Volume 44, June 2026, 101451Author links open overlay panel, , , , , , Highlights•

Hypertensive disorders of pregnancy.

•

Telemedicine.

•

Digital health.

•

Ambulatory blood pressure monitoring.

•

Maternal cardiovascular risk.

Abstract

We evaluated the feasibility and early outcomes of a prototype remote blood pressure (BP) monitoring pathway for hypertensive disorders of pregnancy (HDP) implemented in a multidisciplinary clinic. In a retrospective single-centre before–after cohort, 38 consecutive women were analysed: the first 19 enrolled in telemonitoring (Group A; January–December 2024) received a validated upper-arm BP monitor, standardized technique training, and home readings submitted via a secure digital platform reviewed by clinicians; the preceding 19 (Group B) received standard in-person surveillance. Median age was 34.5 years (IQR 31.0–37.75); 34.2% were primigravida. Group A required fewer in-person consultations (2.68 ± 1.53 vs 3.84 ± 1.68; 30% relative reduction; p = 0.02). Baseline office BP and 24-hour ABPM indices were similar between groups. Group A was older (36 vs 32 years; p = 0.049) and had higher maternal–fetal risk-factor burden (2 vs 1; p = 0.009). Any maternal–fetal event occurred in 68.4% vs 63.2% (p = 0.732), while preeclampsia was more frequent in Group A (36.8% vs 5.3%; p = 0.042). Telemonitoring enabled review of BP trajectories and prompted reassessment when needed. Limitations include small sample size, retrospective design, and case-mix confounding. Overall, remote BP monitoring appeared feasible and reduced routine visits without worse BP indices or overall event rates, supporting larger controlled prospective evaluations of clinical effectiveness and implementation.

Access through your organization

Check access to the full text by signing in through your organization.

Section snippetsLetter to Editor:

Hypertensive disorders of pregnancy (HDP) demand frequent blood pressure (BP) surveillance and timely escalation of care when deterioration occurs, yet reliance on repeated face-to-face visits can create a substantial burden for patients and already constrained outpatient services.[1], [2] Remote BP monitoring offers a pragmatic alternative that may preserve clinical oversight while reducing low-yield appointments.[3] We report an early “real-world” evaluation of a regional prototype remote BP

Declaration of competing interest

The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.

References (3)M.A. Brown et al.Hypertensive disorders of pregnancy: ISSHP classification, diagnosis, and management recommendations for international practice

Hypertension

(2018)

There are more references available in the full text version of this article.

View full text

© 2026 International Society for the Study of Hypertension in Pregnancy. Published by Elsevier B.V. All rights are reserved, including those for text and data mining, AI training, and similar technologies.