Skip to main content
SMFM 2026 Pregnancy Meeting Main banner
Icon Legend
This session is not in your schedule.
This session is in your schedule. Click again to remove it.
Presentation Icons
Additional registration fee required
Additional registration fee required
Faculty have requested this content not be shared outside of the session
Faculty have requested this content not be shared outside of the session
CME Credit Offered
CME Credit Offered
Abstract Award
Abstract Award
Recording available 2/16-5/2
Recording available 2/16-5/2
AIUM Credit
AIUM Credit
Foundation Awardee
Foundation Awardee
Poster Icons
Abstract Award
Abstract Award
Foundation Awardee
Foundation Awardee

Poster Session 3

Category: Hypertension

Poster Session 3

(961) Remote patient monitoring impact on short-term outcomes for individuals with hypertensive disorders of pregnancy

Thursday, February 12, 2026
10:30 AM - 12:00 PM  
Objective:
Remote patient monitoring (RPM) for individuals with postpartum (PP) hypertensive disorders of pregnancy (HDP) has been shown to be an effective alternative to standard follow-up models. We sought to compare short term PP outcomes between patients enrolled in an RPM program to those who decline enrollment in an academic community health network.

Study Design:
Retrospective cohort study of patients with HDP referred to a PP RPM program at the time of delivery discharge from 4/13/2020 – 12/31/2022. Demographics, clinical characteristics and postpartum outcomes were compared between those that enrolled and those that declined. The primary outcome was rate of readmission for PP HDP management.

Results:
Of the 1787 patients during the study period referred for PP RPM at delivery, 1187 (66.4%) enrolled and 597 (33.6%) declined (Table). Patients who enrolled in RPM were more likely to be older, privately insured, nulliparous and married, characteristics often associated with higher healthcare engagement. Enrolled patients were also more likely to have preeclampsia with severe features, deliver preterm and be discharged on antihypertensive medications. Despite evidence of increased disease severity in the enrolled group, readmission rate was similar between groups (5.4% enrolled vs 3.7% declined, p=0.128). Enrolled patients had more frequent PP triage visits, office BP follow-up and rates of home blood pressure monitoring. Importantly, those enrolled in RPM were more likely to attend their PP visit (89.7% vs 76.6%, p< 0.001).

Conclusion:
Patients who opt to enroll in PP RPM demonstrate a high degree of healthcare engagement, including better compliance with the postpartum visit, an important obstetric quality metric. Despite evidence of more severe disease, there was no increase in PP readmission rates in the enrolled group, suggesting that RPM allows for early identification and outpatient management of HDP complications. Given the possible advantages of RPM, future public health initiatives should focus on barriers to enrollment.