Nurse Practitioners Driving Virtual Postpartum Care

Abstract

Hypertensive disorders of pregnancy account for 2.5% to 4.6% of readmissions within 6 weeks postpartum (PP). A standardized approach to hypertensive disorders of pregnancy using remote patient monitoring may improve outcomes through optimized PP blood pressure (BP) management. The feasibility of a standardized nurse practitioner (NP)–driven remote patient monitoring protocol was measured to optimize BPs in the immediate PP period and was successfully demonstrated in a pilot sample (n = 30) at 0.767 (CI = 0.577-0.885; P = .0027) using an exact binomial test. Overall participant adherence was 91.23%, and overall satisfaction was 92%. Future work to improve systems innovation for BP optimization in PP patients is needed.