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Emergency department visits for postpartum hypertension
E Christine Brousseau1, Valery Danilack1, Fei Cai1
1a Warren Alpert Medical School of Brown University , Obstetrics & Gynecology , Providence , Rhode Island , USA.
Hypertension in Pregnancy
|May 20, 2017
Summary
Postpartum hypertension is common in emergency departments, often appearing within a week of delivery. Prevention interventions, not just surveillance, are needed to reduce readmissions for this condition.
Area of Science:
- Obstetrics and Gynecology
- Emergency Medicine
- Cardiovascular Health
Background:
- Postpartum hypertension requires better understanding for improved maternal care.
- Emergency departments (EDs) are a key point of contact for postpartum women with acute conditions.
Purpose of the Study:
- To characterize women diagnosed with postpartum hypertension in the ED.
- To inform enhanced postpartum care strategies.
Main Methods:
- Retrospective analysis of postpartum women presenting to the ED.
- Comparison of women with hypertension diagnosis versus all other diagnoses.
Main Results:
- 52 of 252 postpartum women in the ED received a hypertension diagnosis.
- Hypertension cases presented within one week postpartum and had identifiable risk factors.
- High readmission rates were observed, with many women aware of their condition.
Conclusions:
- Current postpartum surveillance may be insufficient to prevent hypertension readmissions.
- Future efforts should prioritize preventative interventions for postpartum hypertension.
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