{"doi":"10.1016/j.jacadv.2025.101739","title":"Feasibility of Postpartum Blood Pressure Monitoring for Hypertensive Disorders in a Low-Resource Setting","abstract":"BACKGROUND: Hypertensive disorders of pregnancy (HDP) pose significant risks to maternal health globally, especially in Nigeria, which has the highest maternal mortality rate. Home blood pressure (BP) monitoring is a promising approach for managing HDP. OBJECTIVES: This study assessed the feasibility of a postpartum home BP-monitoring program for women with HDP in low-resource settings like Nigeria, focusing on recruitment, retention, and fidelity to monitoring protocols. HDP diagnoses associated with persistent hypertension were also assessed. METHODS: Participants with HDP were enrolled into a prospective cohort. They were educated on BP monitoring and transmitted daily BP readings for 2 weeks. A control group of healthy postpartum women was also enrolled. The 12-week study involved assessments at prespecified intervals. RESULTS: The study met its target of 90 participants (mean age: 30 years) and had high fidelity (96%) to daily BP recordings and retention (94%) at 12 weeks. The mean systolic BP decreased from 137 mm Hg to 125 mm Hg, and the mean diastolic BP decreased from 89 mm Hg to 84 mm Hg. During the initial 2-week period, 81.1% of normotensive participants experienced elevated BP, with 86.5% showing elevated BP over 12 weeks. In addition, 22% reported adverse cardiovascular events. CONCLUSIONS: The study demonstrates the feasibility of a postpartum BP-monitoring program in a low-resource setting like Nigeria, with high recruitment, fidelity, and retention. Continued monitoring beyond the immediate postpartum period is essential for improving outcomes. Further research is needed to evaluate the long-term effectiveness and scalability of such programs.","journal":"JACC Advances","year":2025,"id":541312,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":2,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.9619,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2025-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":1430052,"name":"Chukwuebuka Francis Okoye","orcid":null,"position":1,"is_corresponding":false},{"id":1430053,"name":"Adaego A Orji","orcid":null,"position":2,"is_corresponding":false},{"id":1430054,"name":"Friday O. Ameh","orcid":null,"position":3,"is_corresponding":false},{"id":1430055,"name":"Cecilia Nartey","orcid":null,"position":4,"is_corresponding":false},{"id":644045,"name":"Godwin Akaba","orcid":"0000-0002-8149-5492","position":5,"is_corresponding":false},{"id":1430056,"name":"Bissallah Ekele","orcid":null,"position":6,"is_corresponding":false},{"id":1385071,"name":"Erica L Jamro","orcid":"0000-0003-3431-9653","position":7,"is_corresponding":false},{"id":626143,"name":"Kathryn J. Lindley","orcid":"0000-0002-8504-0006","position":8,"is_corresponding":false},{"id":398300,"name":"Dike Ojji","orcid":"0000-0002-2084-1988","position":9,"is_corresponding":false},{"id":74971,"name":"Mark D. Huffman","orcid":"0000-0001-7412-2519","position":10,"is_corresponding":false},{"id":905999,"name":"Zainab Mahmoud","orcid":"0000-0002-5203-2253","position":0,"is_corresponding":true}],"reference_count":30,"raw_metadata":null,"created_at":"2026-07-19T02:52:47.161928Z","pmid":"40447338","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}