Diagnostics of hypertensive disorders in cardio-obstetrics: current state-of-affairs

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The emergence of the term “cardioobstetrics” in modern medical literature is associated with the high relevance of cardiovascular problems during pregnancy and postpartum, leading in many cases to maternal and perinatal mortality and morbidity, as well as increased cardiovascular risk in later life. The authors of most reviews on cardioobstetrics try to cover all the problems in this field of medicine as completely as possible in one article, which makes the disclosure of specific issues incomplete. Our review provides, in our opinion, comprehensive information on applied issue of cardioobstetrics — the diagnosis of hypertensive disorders during pregnancy and the postpartum period. The paper evaluates methodological approaches in this diagnosis based primarily on the analysis of modern Russian and foreign clinical recommendations, as well as other key literature data. In particular, the use of office and out-of-office methods for blood pressure measuring is considered. As a result of the analysis, clear and easy-to-understand flowcharts for diagnosing hypertensive disorders were proposed.

Keywords:

blood pressure

hypertension

pregnancy

postpartum

office blood pressure

home blood pressure monitoring

ambulatory blood pressure monitoring

cardio-obstetrics

Authors:

Posokhov I.N.

Burnazyan Federal Medical Biophysical Center

ORCID: 0000-0002-2381-0351

Filippov O.S.

Burnazyan Federal Medical Biophysical Center;
Russian University of Medicine;
Federal Scientific and Clinical Center for Children and Adolescents

ORCID: 0000-0003-2654-1334

Received:

06.07.2024

Accepted:

26.12.2024

List of references:

Misra A, Porras MP, Rajendran A, Contreras J, Scott NS. Cardio-Obstetrics: A Focused Review. Current Cardiology Reports. 2023; 25(9):1065-1073. https://doi.org/10.1007/s11886-023-01928-0
Khalid H, Karishma F, Mumtaz H, Saqib M, Iftikhar M, Shahab R. Current status and future of cardio-obstetrics-review. Annals of Medicine and Surgery. 2023;85(6):2774-2780. https://doi.org/10.1097/MS9.0000000000000773
Wang W, Xie X, Yuan T, Wang Y, Zhao F, Zhou Z, Zhang H. Epidemiological trends of maternal hypertensive disorders of pregnancy at the global, regional, and national levels: a population-based study. BMC Pregnancy and Childbirth. 2021;21(1):364. https://doi.org/10.1186/s12884-021-03809-2
Chappell LC, Tucker KL, Galal U, Yu LM, Campbell H, Rivero-Arias O, Allen J, Band R, Chisholm A, Crawford C, Dougall G, Engonidou L, Franssen M, Green M, Greenfield S, Hinton L, Hodgkinson J, Lavallee L, Leeson P, McCourt C, Mackillop L, Sandall J, Santos M, Tarassenko L, Velardo C, Wilson H, Yardley L, McManus RJ; BUMP 2 Investigators. Effect of Self-monitoring of Blood Pressure on Blood Pressure Control in Pregnant Individuals with Chronic or Gestational Hypertension: The BUMP 2 Randomized Clinical Trial. JAMA. 2022;327(17):1666-1678. https://doi.org/10.1001/jama.2022.4726
Lawn JE, Blencowe H, Waiswa P, Amouzou A, Mathers C, Hogan D, Flenady V, Frøen JF, Qureshi ZU, Calderwood C, Shiekh S, Jassir FB, You D, McClure EM, Mathai M, Cousens S; Lancet Ending Preventable Stillbirths Series study group; Lancet Stillbirth Epidemiology investigator group. Stillbirths: rates, risk factors, and acceleration towards 2030. Lancet. 2016;387(10018):587-603. https://doi.org/10.1016/S0140-6736(15)00837-5
Parker SE, Ajayi A, Yarrington CD. De Novo Postpartum Hypertension: Incidence and Risk Factors at a Safety-Net Hospital. Hypertension. 2023;80(2):279-287. https://doi.org/10.1161/HYPERTENSIONAHA.122.19275
Sanusi AA, Sinkey RG. De Novo Postpartum Hypertension: Is Pregnancy a Stress Test or Risk Factor? Hypertension. 2023;80(2):288-290. https://doi.org/10.1161/HYPERTENSIONAHA.122.20155
Shapero KS, Desai NR, Elder RW, Lipkind HS, Chou JC, Spatz ES. Cardio-obstetrics: Recognizing and managing cardiovascular complications of pregnancy. Cleveland Clinic Journal of Medicine. 2020;87(1):43-52. https://doi.org/10.3949/ccjm.87a.18137
Kitt J, Frost A, Mollison J, Tucker KL, Suriano K, Kenworthy Y, McCourt A, Woodward W, Tan C, Lapidaire W, Mills R, Lacharie M, Tunnicliffe EM, Raman B, Santos M, Roman C, Hanssen H, Mackillop L, Cairns A, Thilaganathan B, Chappell L, Aye C, Lewandowski AJ, McManus RJ, Leeson P. Postpartum blood pressure self-management following hypertensive pregnancy: protocol of the Physician Optimised Post-partum Hypertension Treatment (POP-HT) trial. BMJ Open. 2022;12(2):e051180. https://doi.org/10.1136/bmjopen-2021-051180.
Preeklampsiya. Eklampsiya. Oteki, proteinuriya i gipertenzivnye rasstrojstva vo vremya beremennosti, v rodakh i poslerodovom periode. Klinicheskie rekomendatsii. Odobreno Nauchno-prakticheskim Sovetom Ministerstva zdravookhraneniya Rossijskoj Federatsii. 2021. (In Russ.). Accessed October 25, 2024. https://disuria.ru/_ld/10/1046_kr21O10O16MZ.pdf
Kobalava ZhD, Konradi AO, Nedogoda SV, Shlyakhto EV, Arutyunov GP, Baranova EI, Barbarash OL, Boitsov SA, Vavilova TV, Villevalde SV, Galyavich AS, Glezer MG, Grineva EN, Grinstein YuI, Drapkina OM, Zhernakova YuV, Zvartau NE, Kislyak OA, Koziolova NA, Kosmacheva ED, Kotovskaya YuV, Libis RA, Lopatin YuM, Nebiridze DV, Nedoshivin AO, Ostroumova OD, Oshchepkova EV, Ratova LG, Skibitsky VV, Tkacheva ON, Chazova IE, Chesnikova AI, Chumakova GA, Shalnova SA, Shestakova MV, Yakushin SS, Yanishevsky SN. Arterial hypertension in adults. Clinical guidelines 2020. Rossijskij kardiologicheskij zhurnal. 2020;25(3):3786. (In Russ.). https://doi.org//10.15829/1560-4071-2020-3-3786
Arterial’naya gipertenziya u vzroslykh. Klinicheskie rekomendatsii. Odobreno Nauchno-prakticheskim Sovetom Ministerstva zdravookhraneniya Rossijskoj Federatsii. 2022. (In Russ.). Accessed October 25, 2024. https://disuria.ru/_ld/13/1394_kr20I10I15MZ.pdf
Gipertenzivnye rasstrojstva vo vremya beremennosti, v rodakh i poslerodovom periode. Preeklampsiya. Eklampsiya. Klinicheskie rekomendatsii (protokol lecheniya). (In Russ.). Accessed October 25, 2024. https://disuria.ru/_ld/10/1046_kr21O10O16MZ.pdf
Magee LA, Brown MA, Hall DR, Gupte S, Hennessy A, Karumanchi SA, Kenny LC, McCarthy F, Myers J, Poon LC, Rana S, Saito S, Staff AC, Tsigas E, von Dadelszen P. The 2021 International Society for the Study of Hypertension in Pregnancy classification, diagnosis & management recommendations for international practice. Pregnancy Hypertension. 2022;27:148-169. https://doi.org/10.1016/j.preghy.2021.09.008
American College of Obstetricians and Gynecologists. Task Force on Hypertension in Pregnancy, Author. Hypertension in Pregnancy. Washington, DC; 2013.
Gestational Hypertension and Preeclampsia: ACOG Practice Bulletin, Number 222. Obstetrics and Gynecology. 2020;135(6):e237-e260. https://doi.org/10.1097/AOG.0000000000003891
Magee LA, Smith GN, Bloch C, Côté AM, Jain V, Nerenberg K, von Dadelszen P, Helewa M, Rey E. Guideline No. 426: Hypertensive Disorders of Pregnancy: Diagnosis, Prediction, Prevention, and Management. J Journal of Obstetrics and Gynaecology Canada. 2022;44(5):547-571.e1. https://doi.org/10.1016/j.jogc.2022.03.002
Mancia G, Kreutz R, Brunström M, Burnier M, Grassi G, Januszewicz A, Muiesan ML, Tsioufis K, Agabiti-Rosei E, Algharably EAE, Azizi M, Benetos A, Borghi C, Hitij JB, Cifkova R, Coca A, Cornelissen V, Cruickshank JK, Cunha PG, Danser AHJ, Pinho RM, Delles C, Dominiczak AF, Dorobantu M, Doumas M, Fernández-Alfonso MS, Halimi JM, Járai Z, Jelaković B, Jordan J, Kuznetsova T, Laurent S, Lovic D, Lurbe E, Mahfoud F, Manolis A, Miglinas M, Narkiewicz K, Niiranen T, Palatini P, Parati G, Pathak A, Persu A, Polonia J, Redon J, Sarafidis P, Schmieder R, Spronck B, Stabouli S, Stergiou G, Taddei S, Thomopoulos C, Tomaszewski M, Van de Borne P, Wanner C, Weber T, Williams B, Zhang ZY, Kjeldsen SE. 2023 ESH Guidelines for the Management of Arterial Hypertension The Task Force for the Management of Arterial Hypertension of the European Society of Hypertension: Endorsed by the International Society of Hypertension (ISH) and the European Renal Association (ERA). Journal of Hypertension. 2023;41(12): 1874-2071. https://doi.org/10.1097/HJH.0000000000003480
Thomopoulos C, Hitij JB, De Backer T, Gkaliagkousi E, Kreutz R, Lopez-Sublet M, Marketou M, Mihailidou AS, Olszanecka A, Pechère-Bertschi A, Pérez MP, Persu A, Piani F, Socrates T, Stolarz-Skrzypek K, Cífková R. Management of hypertensive disorders in pregnancy: a Position Statement of the European Society of Hypertension Working Group ‘Hypertension in Women’. Journal of Clinical Hypertension. 2024;42(7):1109-1132. https://doi.org/10.1097/HJH.0000000000003739
Lee-Ann Hawkins T, Brown MA, Mangos GJ, Davis GK. Transient gestational hypertension: Not always a benign event. Pregnancy Hypertension. 2012;2(1):22-27. https://doi.org/10.1016/j.preghy.2011.09.001
Normal’naya beremennost’. Klinicheskie rekomendatsii. 2023. Odobreno Nauchno-prakticheskim Sovetom Ministerstva zdravookhraneniya Rossijskoj Federatsii. (In Russ.). Accessed October 25, 2024. https://cr.minzdrav.gov.ru/recomend/288
Vischer AS, Burkard T. How Should We Measure and Deal with Office Blood Pressure in 2021? Diagnostics. 2021;11(2):235. https://doi.org/10.3390/diagnostics11020235
Siddique S, Hameed Khan A, Shahab H, Zhang YQ, Chin Tay J, Buranakitjaroen P, Turana Y, Verma N, Chen CH, Cheng HM, Wang TD, Van Minh H, Chia YC, Kario K. Office blood pressure measurement: A comprehensive review. Journal of Clinical Hypertension. 2021;23(3):440-449. https://doi.org/10.1111/jch.14169
Posokhov IN, Praskurnichiy EA, Orlova OS, Sukhodolova EA, Lystseva AV, Lobova MD. Validation Standards for Automatic Cuff-Based Sphygmomanometers: State of the Art. A.I. Burnasyan Federal Medical Biophysical Center Clinical Bulletin. 2024;1:5-13. (In Russ.). https://doi.org/10.33266/2782-6430-2024-1-05-13
Stergiou GS, Menti A, Asayama K, De La Sierra A, Wang J, Kinoshita H, Sawanoi Y, Yamashita S, Kollias A, Wu CO, Ichikawa T, Alpert B. Accuracy of automated cuff blood pressure monitors in special populations: International Organization for Standardization (ISO) Task Group report and call for research. Journal of Hypertension. 2023;41(5):811-818. https://doi.org/10.1097/HJH.0000000000003403
Picone DS, Padwal R, Stergiou GS, Cohen JB, McManus RJ, Eckert S, Asayama K, Atkins N, Rakotz M, Lombardi C, Brady TM, Sharman JE. How to find and use validated blood pressure measuring devices. Journal of Human Hypertension. 2023;37(2):108-114. https://doi.org/10.1038/s41371-022-00718-5
Posohov IN. Pregnancy, Kidneys, Hypertension. A.I. Burnasyan Federal Medical Biophysical Center Clinical Bulletin. 2024;1:22-35. (In Russ.). https://doi.org/10.33266/2782-6430-2024-1-22-35
Rotar OP, Ilyanova IN, Boyarinova MA, Moguchaya EV, Tolkunova KM, Dyachkov VA, Rubanenko OA, Rubanenko AO, Gaberman OE, Gubareva EYu, Pomogaibo BV, Dolya EM, Kaliberdenko VB, Avdeeva IV, Tomashevskaya YuA, Falkovskaya AYu, Manukyan MA, Solonskaya EI, Vtorushina AA, Khunkhinova SA, Tsareva VM, Molokoedova LE, Petrova MM, Kaskaeva DS, Romanova IV, Danilova LK, Evsyukov AA, Tutyrina OV, Tepnadze LE, Yakunchenko TI, Mevsha OV, Sharapova YuA, Chernykh TM, Syomkina EV, Tsygankova OV, Protasov KV, Fedorishina OV, Makeeva ER, Smolkina YA, Nikishina DD, Verushkina AS, Smirnova EA, Belenikina YaA, Bikushova IV, Derevyanchenko MV, Fedotov VV, Shaposhnikova MYu, Sereda DV, Kartashova EA, Zheleznyak EI, Rakhmatullina DM, Kiseleva LS, Evsevieva M, Sergeeva OV, Kudryavtseva VD, Zavyalova AM, Slezova VI, Kitalaeva KT, Artemov NN, Tanicheva AA, Konradi AA, Shlyakhto EV. 2023 All-Russian screening for hypertension: results. Russian Journal of Cardiology. 2024;29(5):5931. (In Russ.). https://doi.org/10.15829/1560-4071-2024-5931
Padwal R, Campbell NRC, Schutte AE, Olsen MH, Delles C, Etyang A, Cruickshank JK, Stergiou G, Rakotz MK, Wozniak G, Jaffe MG, Benjamin I, Parati G, Sharman JE. Optimizing observer performance of clinic blood pressure measurement: a position statement from the Lancet Commission on Hypertension Group. Journal of Hypertension. 2019;37(9):1737-1745. https://doi.org/10.1097/HJH.0000000000002112
Stergiou GS, Palatini P, Parati G, O’Brien E, Januszewicz A, Lurbe E, Persu A, Mancia G, Kreutz R; European Society of Hypertension Council and the European Society of Hypertension Working Group on Blood Pressure Monitoring and Cardiovascular Variability. 2021 European Society of Hypertension practice guidelines for office and out-of-office blood pressure measurement. Journal of Hypertension. 2021;39(7):1293-1302. https://doi.org/10.1097/HJH.0000000000002843
Vischer AS, Socrates T, Winterhalder C, Eckstein J, Mayr M, Burkard T. How should we measure blood pressure? Implications of the fourth blood pressure measurement in office blood pressure. Journal of Clinical Hypertension. 2021;23(1):35-43. https://doi.org/10.1111/jch.14130
Unger T, Borghi C, Charchar F, Khan NA, Poulter NR, Prabhakaran D, Ramirez A, Schlaich M, Stergiou GS, Tomaszewski M, Wainford RD, Williams B, Schutte AE. 2020 International Society of Hypertension Global Hypertension Practice Guidelines. Hypertension. 2020;75(6):1334-1357. https://doi.org/10.1161/HYPERTENSIONAHA.120.15026
Campbell NRC, Padwal R, Picone DS, Su H, Sharman JE. The impact of small to moderate inaccuracies in assessing blood pressure on hypertension prevalence and control rates. Journal of Clinical Hypertension. 2020;22(6):939-942. https://doi.org/10.1111/jch.13915
Funktsional’naya diagnostika: Natsional’noe rukovodstvo. Kratkoe izdanie. Beresten’ NF, Sandrikov VA, Fedorova SI, ed. GEOTAR-Media; 2023. (In Russ.).
O’Brien E, Parati G, Stergiou G, Asmar R, Beilin L, Bilo G, Clement D, de la Sierra A, de Leeuw P, Dolan E, Fagard R, Graves J, Head GA, Imai Y, Kario K, Lurbe E, Mallion JM, Mancia G, Mengden T, Myers M, Ogedegbe G, Ohkubo T, Omboni S, Palatini P, Redon J, Ruilope LM, Shennan A, Staessen JA, vanMontfrans G, Verdecchia P, Waeber B, Wang J, Zanchetti A, Zhang Y; European Society of Hypertension Working Group on Blood Pressure Monitoring. European Society of Hypertension position paper on ambulatory blood pressure monitoring. Journal of Hypertension. 2013;31(9):1731-1768. https://doi.org/10.1097/HJH.0b013e328363e964
Hamdani G, Flynn JT, Daniels S, Falkner B, Hanevold C, Ingelfinger J, Lande MB, Martin LJ, Meyers KE, Mitsnefes M, Rosner B, Samuels J, Urbina EM. Ambulatory blood pressure monitoring tolerability and blood pressure status in adolescents: the SHIP AHOY study. Blood Pressure Monitoring. 2019;24(1):12-17. https://doi.org/10.1097/MBP.0000000000000354
Parati G, Stergiou GS, Bilo G, Kollias A, Pengo M, Ochoa JE, Agarwal R, Asayama K, Asmar R, Burnier M, De La Sierra A, Giannattasio C, Gosse P, Head G, Hoshide S, Imai Y, Kario K, Li Y, Manios E, Mant J, McManus RJ, Mengden T, Mihailidou AS, Muntner P, Myers M, Niiranen T, Ntineri A, O’Brien E, Octavio JA, Ohkubo T, Omboni S, Padfield P, Palatini P, Pellegrini D, Postel-Vinay N, Ramirez AJ, Sharman JE, Shennan A, Silva E, Topouchian J, Torlasco C, Wang JG, Weber MA, Whelton PK, White WB, Mancia G; Working Group on Blood Pressure Monitoring and Cardiovascular Variability of the European Society of Hypertension. Home blood pressure monitoring: methodology, clinical relevance and practical application: a 2021 position paper by the Working Group on Blood Pressure Monitoring and Cardiovascular Variability of the European Society of Hypertension. Journal of Hypertension. 2021;39(9):1742-1767. https://doi.org/10.1097/HJH.0000000000002922
Kollias A, Shennan A, Agarwal R, Ntineri A, Stergiou GS. Home blood pressure monitoring in children, pregnancy, and chronic kidney disease. In: Stergiou G, Parati G, Mancia G, eds. Updates in hypertension and cardiovascular protection; home blood pressure monitoring. Cham: Springer; 2019: 131-142.
Tucker KL, Bankhead C, Hodgkinson J, Roberts N, Stevens R, Heneghan C, Rey É, Lo C, Chandiramani M, Taylor RS, North RA, Khalil A, Marko K, Waugh J, Brown M, Crawford C, Taylor KS, Mackillop L, McManus RJ. How Do Home and Clinic Blood Pressure Readings Compare in Pregnancy? Hypertension. 2018;72(3): 686-694. https://doi.org/10.1161/HYPERTENSIONAHA.118.10917
Albadrani M, Tobaiqi M, Al-Dubai S. An evaluation of the efficacy and the safety of home blood pressure monitoring in the control of hypertensive disorders of pregnancy in both pre and postpartum periods: a systematic review and meta-analysis. BMC Pregnancy and Childbirth. 2023;23(1):550. https://doi.org/10.1186/s12884-023-05663-w
Pihl K, McManus RJ, Stevens R, Tucker KL. Comparison of clinic and home blood pressure readings in higher risk pregnancies — Secondary analysis of the BUMP 1 trial. Pregnancy Hypertension. 2024;36:101114. https://doi.org/10.1016/j.preghy.2024.101114
Niiranen TJ, Asayama K, Thijs L, Johansson JK, Hara A, Hozawa A, Tsuji I, Ohkubo T, Jula AM, Imai Y, Staessen JA; IDHOCO Investigators. Optimal number of days for home blood pressure measurement. American Journal of Hypertension. 2015;28(5):595-603. https://doi.org/10.1093/ajh/hpu216
Kyriakoulis KG, Ntineri A, Niiranen TJ, Lindroos A, Jula A, Schwartz C, Kollias A, Andreadis EA, McManus RJ, Stergiou GS. Home blood pressure monitoring schedule: optimal and minimum based on 2122 individual participants’ data. Journal of Hypertension. 2022;40(7):1380-1387. https://doi.org/10.1097/HJH.0000000000003157
Cappuccio FP. The Role of Nocturnal Blood Pressure and Sleep Quality in Hypertension Management. European Cardiology. 2020; 15:e60. https://doi.org/10.15420/ecr.2020.13
Asayama K, Fujiwara T, Hoshide S, Ohkubo T, Kario K, Stergiou GS, Parati G, White WB, Weber MA, Imai Y; International Expert Group of Nocturnal Home Blood Pressure. Nocturnal blood pressure measured by home devices: evidence and perspective for clinical application. Journal of Hypertension.. 2019;37(5):905-916. https://doi.org/10.1097/HJH.0000000000001987
Sharma KJ, Kilpatrick SJ. Postpartum Hypertension: Etiology, Diagnosis, and Management. Obstetrical and Gynecological Survey. 2017;72(4):248-252. https://doi.org/10.1097/OGX.0000000000000424
Benschop L, Duvekot JJ, Versmissen J, van Broekhoven V, Steegers EAP, Roeters van Lennep JE. Blood Pressure Profile 1 Year after Severe Preeclampsia. Hypertension. 2018;71(3):491-498. https://doi.org/10.1161/HYPERTENSIONAHA.117.10338
Rudaeva EV, Kashtalap VV, Marciyash AA, Moses VG, Savchenko YaA, Moses KB, Elgina SI, Rudaeva EG. Hypertensive disorders of pregnancy — management strategies in the postpartum period (literature review). Kompleksnye problemy serdechno-sosudistykh zabolevanij. 2023;12(3):200-210. (In Russ.). https://doi.org/10.17802/2306-1278-2023-12-3-200-210
Katsi V, Skalis G, Vamvakou G, Tousoulis D, Makris T. Postpartum Hypertension. Current Hypertension Reports. 2020;22(8):58. https://doi.org/10.1007/s11906-020-01058-w
Steele DW, Adam GP, Saldanha IJ, Kanaan G, Zahradnik ML, Danilack-Fekete VA, Stuebe AM, Peahl AF, Chen KK, Balk EM. Postpartum Home Blood Pressure Monitoring: A Systematic Review. Obstetrics and Gynecology. 2023;142(2):285-295. https://doi.org/10.1097/AOG.0000000000005270
Steele DW, Adam GP, Saldanha IJ, Kanaan G, Zahradnik ML, Danilack VA, Stuebe AM, Peahl AF, Chen KK, Balk EM. Management of Postpartum Hypertensive Disorders of Pregnancy [Internet]. Rockville (MD): Agency for Healthcare Research and Quality (US); 2023 May. Report No.: 23-EHC012.
Lopes Perdigao J, Lewey J, Hirshberg A, Koelper N, Srinivas SK, Elovitz MA, Levine LD. Furosemide for Accelerated Recovery of Blood Pressure Postpartum in women with a hypertensive disorder of pregnancy: A Randomized Controlled Trial. Hypertension. 2021; 77(5):1517-1524. https://doi.org/10.1161/HYPERTENSIONAHA.120.16133
Fishel Bartal M, Blackwell SC, Pedroza C, Lawal D, Amro F, Samuel J, Chauhan SP, Sibai BM. Oral combined hydrochlorothiazide and lisinopril vs nifedipine for postpartum hypertension: a comparative-effectiveness pilot randomized controlled trial. American Journal of Obstetrics and Gynecology. 2023;228(5):571.e1-571.e10. https://doi.org/10.1016/j.ajog.2023.01.015
Palatnik A, Mukhtarova N, Hetzel SJ, Hoppe KK. Blood pressure changes in gestational hypertension, preeclampsia, and chronic hypertension from preconception to 42-day postpartum. Pregnancy Hypertension. 2023;31:25-31. https://doi.org/10.1016/j.preghy.2022.11.009
Kitt JA, Fox RL, Cairns AE, Mollison J, Burchert HH, Kenworthy Y, McCourt A, Suriano K, Lewandowski AJ, Mackillop L, Tucker KL, McManus RJ, Leeson P. Short-Term Postpartum Blood Pressure Self-Management and Long-Term Blood Pressure Control: A Randomized Controlled Trial. Hypertension. 2021;78(2): 469-479. https://doi.org/10.1161/HYPERTENSIONAHA.120.17101

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