ChristianaCare Health System
Presentation Abstract
Impact of Postpartum Blood Pressure Monitoring and Telehealth Among Women with Hypertensive Disorders of Pregnancy
Increasingly it has become recognized that postpartum hypertension following delivery is a common cause of both severe maternal morbidity and mortality that has significant levels of social and racial inequity. Recent efforts have focused on remote patient monitoring as a potential bridge to remedy these gaps and improve outcomes; however, the frequency of monitoring, who should be monitored, the optimal treatment strategy of those who remain hypertensive, and policies to support organizations offering these services are under investigated. Similarly, it has been recognized that hypertensive disorders of pregnancy portend lifetime risks of developing hypertension and other cardiovascular diseases. This presentation will discuss the burden of disease both in the immediate weeks following delivery and over the first year postpartum, results of early studies using remote patient monitoring, data supporting various treatment strategies, and will suggest further research directions and policy implications of broader implementation of remote patient monitoring of hypertension postpartum.
About Dr. Hoffman
Dr. Matthew (Matt) K. Hoffman is the Marie Pinizzotto Endowed Chair of Obstetrics and Gynecology at ChristianaCare in Newark, Delaware and Professor of Obstetrics and Gynecology at Thomas Jefferson University. His research interests have focused on preterm birth, health equity, international health, big data/predictive analytics, and digital outreach in obstetrics. Research initiatives he has led include the ASPIRIN trial (Aspirin Supplementation for Pregnancy Risk Indicated Risk Reduction in Nulliparas), ASPRIRIN NEURO Follow-up (Neurologic follow up of the children whose mothers participated in the ASPIRIN trial) and the Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) Maternal-Fetal Medicine Units’ TOPS (Trial Of Pessary in Singletons). Additionally, he has worked with big data including being part of the NICHD’s Consortium of Safe Labor and has published several machine learning models in obstetrics. Much of his current work has been focused on community outreach and improving patient outcomes through remote patient monitoring and connecting communities across the state of Delaware to receive quality obstetrical care. He is a graduate of the University of Pennsylvania (B.A.), University of Florida (M.D.), Penn State University (Residency), and Johns Hopkins University (M.P.H.). He has published over 100 papers in peer-reviewed journals and remains active in clinical medicine and residency education.
Dr. Hoffman did not disclose any conflicts of interest for this workshop.