New Data on PP Home BP Checks: June 2023 Systematic Review

The world of "Hypertension (HTN) in Pregnancy" is an ever-evolving environment! Many clinicians have adopted patients' home monitoring of blood pressure (BP) in their management of hypertensive disorders in pregnancy. Do you recommend home BP monitoring in your OB patients? On May 4, 2022 we summarized the results of 2 RCTs examining whether home BP monitoring during antepartum care prevents HTN morbidity and mortality. These were BUMP1 and BUMP2 (JAMA). We will again summarize the key findings from those 2 RCTs in this episode. PLUS, we will highlight a brand new publication from Obstet Gynecology (the Green Journal) which was just released on June 13, 2023 (Steele et al) which examines the effectiveness of POSTPARTUM home BP monitoring in patients with hypertensive disorders of pregnancy. Does that reduce postpartum HTN morbidity? Its completely acceptable to be "medically conservative" and have patients self-monitor their BPs at home...but is that also data-driven? And which antihypertensive seems to work the best in the immediate postpartum interval: labetalol, nifedipine, or is it furosemide? Listen in and find out!