Risk factors associated with attendance at postpartum blood pressure follow-up visit in discharged patients with hypertensive disorders of pregnancy
Abstract Background This study aims to investigate the risk factors for not returning to postpartum blood pressure (BP) follow-up visit at different time points in postpartum discharged hypertensive disorders of pregnancy (HDP) patients. Likewise, females with HDP in China should have a BP evaluatio...
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| Format: | Article |
| Language: | English |
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BMC
2023-06-01
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| Series: | BMC Pregnancy and Childbirth |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12884-023-05780-6 |
| _version_ | 1797789512476131328 |
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| author | Jingjing Li Qin Zhou Yixuan Wang Lufen Duan Guangjuan Xu Liping. Zhu Liping Zhou Lan Peng Lian. Tang Yanxia. Yu |
| author_facet | Jingjing Li Qin Zhou Yixuan Wang Lufen Duan Guangjuan Xu Liping. Zhu Liping Zhou Lan Peng Lian. Tang Yanxia. Yu |
| author_sort | Jingjing Li |
| collection | DOAJ |
| description | Abstract Background This study aims to investigate the risk factors for not returning to postpartum blood pressure (BP) follow-up visit at different time points in postpartum discharged hypertensive disorders of pregnancy (HDP) patients. Likewise, females with HDP in China should have a BP evaluation continuously for at least 42 days postpartum and have BP, urine routine, and lipid and glucose screening for 3 months postpartum. Methods This study is a prospective cohort study of postpartum discharged HDP patients. Telephone follow-up was conducted at 6 weeks and 12 weeks postpartum, the maternal demographic characteristics, details of labor and delivery, laboratory test results of patients at admission, and adherence to BP follow-up visits postpartum were collected. While logistic regression analysis was used to analyze the factors associated with not returning to postpartum BP follow-up visit at 6 weeks and 12 weeks after delivery, the receiver operating characteristic (ROC) curve was drawn to evaluate the model’s predictive value for predicting not returning to postpartum BP visit at each follow-up time point. Results In this study, 272 females met the inclusion criteria. 66 (24.26%) and 137 (50.37%) patients did not return for postpartum BP visit at 6 and 12 weeks after delivery. A multivariate logistic regression analysis identified education level of high school or below (OR = 3.71; 95% CI = 2.01–6.85; p = 0.000), maximum diastolic BP during pregnancy (OR = 0.97; 95% CI = 0.94–0.99; p = 0.0230)and delivery gestational age (OR = 1.12; 95% CI = 1.005–1.244; p = 0.040)as independent risk factors in predicting not returning to postpartum BP follow-up visit at 6 weeks postpartum, and education level of high school or below (OR = 3.20; 95% CI = 1.805–5.67; p = 0.000), maximum diastolic BP during pregnancy (OR = 0.95; 95% CI = 0.92–0.97; p = 0.000), delivery gestational age (OR = 1.13; 95% CI = 1.04–1.24; p = 0.006) and parity (OR = 1.63; 95% CI = 1.06–2.51; p = 0.026) as risk factors for not returning to postpartum BP follow-up visit at 12 weeks postpartum. The ROC curve analysis indicated that the logistic regression models had a significant predictive value for identify not returning to BP follow-up visit at 6 and 12 weeks postpartum with the area under the curve (AUC) 0.746 and 0.761, respectively. Conclusion Attendance at postpartum BP follow-up visit declined with time for postpartum HDP patients after discharge. Education at or below high school, maximum diastolic BP during pregnancy and gestational age at delivery were the common risk factors for not returning for BP follow-up visit at 6 and 12 weeks postpartum in postpartum HDP patients. |
| first_indexed | 2024-03-13T01:51:47Z |
| format | Article |
| id | doaj.art-9e49edd0f1a24bc4a2bfea2354d87aaa |
| institution | Directory Open Access Journal |
| issn | 1471-2393 |
| language | English |
| last_indexed | 2024-03-13T01:51:47Z |
| publishDate | 2023-06-01 |
| publisher | BMC |
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| series | BMC Pregnancy and Childbirth |
| spelling | doaj.art-9e49edd0f1a24bc4a2bfea2354d87aaa2023-07-02T11:29:23ZengBMCBMC Pregnancy and Childbirth1471-23932023-06-012311910.1186/s12884-023-05780-6Risk factors associated with attendance at postpartum blood pressure follow-up visit in discharged patients with hypertensive disorders of pregnancyJingjing Li0Qin Zhou1Yixuan Wang2Lufen Duan3Guangjuan Xu4Liping. Zhu5Liping Zhou6Lan Peng7Lian. Tang8Yanxia. Yu9Department of Pharmacy, The Affiliated Suzhou Hospital of Nanjing Medical University, Suzhou Municipal HospitalDepartment of Pharmacy, The Affiliated Suzhou Hospital of Nanjing Medical University, Suzhou Municipal HospitalDepartment of Pharmacy, The Affiliated Suzhou Hospital of Nanjing Medical University, Suzhou Municipal HospitalDepartment of Pharmacy, The Affiliated Suzhou Hospital of Nanjing Medical University, Suzhou Municipal HospitalDepartment of Pharmacy, The Affiliated Suzhou Hospital of Nanjing Medical University, Suzhou Municipal HospitalDepartment of Obstetrics, The Affiliated Suzhou Hospital of Nanjing Medical University, Suzhou Municipal HospitalDepartment of Obstetrics, The Affiliated Suzhou Hospital of Nanjing Medical University, Suzhou Municipal HospitalDepartment of Obstetrics, The Affiliated Suzhou Hospital of Nanjing Medical University, Suzhou Municipal HospitalDepartment of Pharmacy, The Affiliated Suzhou Hospital of Nanjing Medical University, Suzhou Municipal HospitalOffice of Clinical Trial Institutions, The Affiliated Suzhou Hospital of Nanjing Medical University, Suzhou Municipal HospitalAbstract Background This study aims to investigate the risk factors for not returning to postpartum blood pressure (BP) follow-up visit at different time points in postpartum discharged hypertensive disorders of pregnancy (HDP) patients. Likewise, females with HDP in China should have a BP evaluation continuously for at least 42 days postpartum and have BP, urine routine, and lipid and glucose screening for 3 months postpartum. Methods This study is a prospective cohort study of postpartum discharged HDP patients. Telephone follow-up was conducted at 6 weeks and 12 weeks postpartum, the maternal demographic characteristics, details of labor and delivery, laboratory test results of patients at admission, and adherence to BP follow-up visits postpartum were collected. While logistic regression analysis was used to analyze the factors associated with not returning to postpartum BP follow-up visit at 6 weeks and 12 weeks after delivery, the receiver operating characteristic (ROC) curve was drawn to evaluate the model’s predictive value for predicting not returning to postpartum BP visit at each follow-up time point. Results In this study, 272 females met the inclusion criteria. 66 (24.26%) and 137 (50.37%) patients did not return for postpartum BP visit at 6 and 12 weeks after delivery. A multivariate logistic regression analysis identified education level of high school or below (OR = 3.71; 95% CI = 2.01–6.85; p = 0.000), maximum diastolic BP during pregnancy (OR = 0.97; 95% CI = 0.94–0.99; p = 0.0230)and delivery gestational age (OR = 1.12; 95% CI = 1.005–1.244; p = 0.040)as independent risk factors in predicting not returning to postpartum BP follow-up visit at 6 weeks postpartum, and education level of high school or below (OR = 3.20; 95% CI = 1.805–5.67; p = 0.000), maximum diastolic BP during pregnancy (OR = 0.95; 95% CI = 0.92–0.97; p = 0.000), delivery gestational age (OR = 1.13; 95% CI = 1.04–1.24; p = 0.006) and parity (OR = 1.63; 95% CI = 1.06–2.51; p = 0.026) as risk factors for not returning to postpartum BP follow-up visit at 12 weeks postpartum. The ROC curve analysis indicated that the logistic regression models had a significant predictive value for identify not returning to BP follow-up visit at 6 and 12 weeks postpartum with the area under the curve (AUC) 0.746 and 0.761, respectively. Conclusion Attendance at postpartum BP follow-up visit declined with time for postpartum HDP patients after discharge. Education at or below high school, maximum diastolic BP during pregnancy and gestational age at delivery were the common risk factors for not returning for BP follow-up visit at 6 and 12 weeks postpartum in postpartum HDP patients.https://doi.org/10.1186/s12884-023-05780-6Hypertension in pregnancyPredictorsPostpartumBlood pressure follow-upAttendance |
| spellingShingle | Jingjing Li Qin Zhou Yixuan Wang Lufen Duan Guangjuan Xu Liping. Zhu Liping Zhou Lan Peng Lian. Tang Yanxia. Yu Risk factors associated with attendance at postpartum blood pressure follow-up visit in discharged patients with hypertensive disorders of pregnancy BMC Pregnancy and Childbirth Hypertension in pregnancy Predictors Postpartum Blood pressure follow-up Attendance |
| title | Risk factors associated with attendance at postpartum blood pressure follow-up visit in discharged patients with hypertensive disorders of pregnancy |
| title_full | Risk factors associated with attendance at postpartum blood pressure follow-up visit in discharged patients with hypertensive disorders of pregnancy |
| title_fullStr | Risk factors associated with attendance at postpartum blood pressure follow-up visit in discharged patients with hypertensive disorders of pregnancy |
| title_full_unstemmed | Risk factors associated with attendance at postpartum blood pressure follow-up visit in discharged patients with hypertensive disorders of pregnancy |
| title_short | Risk factors associated with attendance at postpartum blood pressure follow-up visit in discharged patients with hypertensive disorders of pregnancy |
| title_sort | risk factors associated with attendance at postpartum blood pressure follow up visit in discharged patients with hypertensive disorders of pregnancy |
| topic | Hypertension in pregnancy Predictors Postpartum Blood pressure follow-up Attendance |
| url | https://doi.org/10.1186/s12884-023-05780-6 |
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