Women with hypertensive pregnancies are 4× more likely to develop chronic hypertension.
Previously, we showed a short period of blood pressure (BP) self-management following
hypertensive pregnancy resulted in persistently lower BP after 6 months. We now report the
impact on long-term BP control. Women who participated in the postpartum randomized
controlled trial, SNAP-HT (Self-Management of Postnatal Hypertension; NCT02333240),
were invited for 24-hour ambulatory and clinic BP measures. Height and weight were …

METHODS Women with hypertensive pregnancies are four times more likely to develop
chronic hypertension. In 2018, we reported the results of a randomised trial of blood
pressure (BP) self-management (daily home BP monitoring and automated medication
reduction via telemonitoring) compared with standard NHS led care on postpartum
hypertension in 91 women across five hospital sites in England (NCT02333240). In the self-
management cohort, diastolic BP was persistently lower for six months postpartum. We now …