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Evaluating Racial Disparities in Implementation and Monitoring of a Remote Blood Pressure Program in a Pregnant
Elizabeth Howard1, Veronica Gillispie-Bell1,2,3, Susan Olet1
1Ochsner-Xavier Institute for Health Equity and Research, Ochsner Clinic Foundation, New Orleans, LA.
Ochsner Journal
|March 21, 2024
Summary
Remote blood pressure monitoring improved measurement frequency for pregnant patients. However, the Connected Maternity Online Monitoring program did not reduce postpartum BP check disparities for Black patients.
Area of Science:
- Maternal Health
- Cardiovascular Health
- Health Disparities
Background:
- Racial disparities in blood pressure (BP) monitoring during pregnancy and postpartum persist.
- The effectiveness of remote BP monitoring in reducing these disparities is not well-established.
Purpose of the Study:
- To evaluate the impact of the Connected Maternity Online Monitoring (CMOM) program on BP ascertainment and interval among Black and White pregnant patients.
- To assess if CMOM improves BP measurement adherence within 7 days postpartum for patients with hypertensive disorders of pregnancy.
Main Methods:
- Retrospective cohort study of 3,976 pregnant patients comparing CMOM enrollees to usual care.
- Analysis of electronic health records from January 2016 to September 2022.
- Primary outcomes: BP ascertainment and BP interval during pregnancy and postpartum.
Main Results:
- CMOM enrollment was lower among Black patients (42.1%) than White patients (54.7%).
- CMOM patients had significantly more BP measurements during pregnancy (RR=1.78) and postpartum (RR=1.30) compared to usual care.
- CMOM improved 7-day postpartum BP check adherence for White patients (RR=1.09) but not for Black patients (RR=1.03).
Conclusions:
- Remote BP monitoring programs enhance BP measurement frequency and reduce intervals during prenatal and postpartum periods for all patients.
- Further research is needed to identify barriers to CMOM program access and enrollment for Black patients.
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