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妊娠高血压疾病:产后覆盖农村人口

Hypertensive Disorders of Pregnancy: Reaching the Rural Population After Delivery.

作者信息

Freiha Marianne, Sosso Jessica L, Kattah Andrea G

机构信息

Poznań University of Medical Sciences, English division, Poznań, 61-701, Poland.

Department of Family Medicine, Mayo Clinic Health System, Sparta, WI, USA.

出版信息

Curr Hypertens Rep. 2025 Aug 20;27(1):23. doi: 10.1007/s11906-025-01340-9.

Abstract

PURPOSE OF REVIEW

Hypertensive disorders of pregnancy are associated with maternal morbidity, mortality, hospital readmissions, and significant costs to healthcare systems.

RECENT FINDINGS

The incidence of hypertensive disorders of pregnancy (HDP) and maternal morbidity is higher in rural areas than in urban areas. The interaction of rural residence, race, and non-medical drivers of health can create significant barriers to post-partum care in rural communities. Novel models of care, including remote blood pressure monitoring, telehealth, and application-based approaches, may offer ways to reach rural patients after hypertensive pregnancy. There are significant opportunities to create novel multi-modal and multi-disciplinary approaches to post-partum care of HDP. Tailoring and evaluating the approach in rural communities is an important next step to improve care.

摘要

综述目的

妊娠高血压疾病与孕产妇发病、死亡、再次入院以及医疗系统的高额费用相关。

最新发现

农村地区妊娠高血压疾病(HDP)的发病率和孕产妇发病率高于城市地区。农村居住环境、种族和非医疗健康驱动因素之间的相互作用可能给农村社区的产后护理造成重大障碍。新型护理模式,包括远程血压监测、远程医疗和基于应用程序的方法,可能为妊娠高血压后接触农村患者提供途径。有重大机会创建新型多模式、多学科的HDP产后护理方法。在农村社区调整并评估该方法是改善护理的重要下一步。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3357/12367886/536000e5a580/11906_2025_1340_Fig1_HTML.jpg

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