Hypertension in Pregnancy
What is Hypertension in Pregnancy?
Hypertension in pregnancy includes chronic hypertension and pregnancy-associated hypertension (i.e., gestational hypertension, preeclampsia, eclampsia, and preeclampsia/ eclampsia superimposed on chronic hypertension). It is a leading cause of maternal morbidity and mortality and is associated with earlier onset of sustained chronic hypertension and increased incidence of cardiovascular disease and cardiovascular mortality. Because postpartum exacerbation of severe hypertension is common, the American College of Obstetricians and Gynecologists recommends that patients with severe hypertension during childbirth hospitalization be seen within 72 hours after discharge.
What is the Hypertension in Pregnancy Change Package?
The Hypertensionin Pregnancy Change Package (HPCP) was developed in partnership with the American Academy of Family Physicians (AAFP), American College of Nurse-Midwives (ACNM), American College of Obstetricians and Gynecologists (ACOG), American College of Osteopathic Obstetricians and Gynecologists (ACOOG), American Medical Association (AMA), National Association of Nurse Practitioners in Women’s Health (NPWH), and the Society for Maternal-Fetal Medicine (SMFM). It presents an evidence-informed listing of process improvements with accompanying tools and resources that outpatient clinicians and care team members can implement as they provide care to pregnant and postpartum women and women of reproductive age with a focus on early identification, optimal management, and prevention of complications of hypertension in pregnancy.
The HPCP is composed of change concepts, change ideas, and evidence- or practice-based tools and resources.
Change concepts are general notions that are useful in the development of more specific ideas for changes that lead to improvement.
Change ideas are specific, actionable ideas for changing a process. Change ideas can be rapidly tested on a small scale to determine whether they result in improvements in the local environment.
Evidence- or practice-informed tools and resources listed with each change idea can be adapted or adopted in a clinical setting to improve identification and management of hypertension in pregnancy.
Download the Hypertension in Pregnancy Change Package
The Million Hearts® Hypertension in Pregnancy Action Forum provides an opportunity for clinical, public health, and community-based partners to exchange best and promising practices, identify solutions to common obstacles, and share resources related to improving hypertension management during and after pregnancy.
Please register for the 2025 Action Forums here.
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May 13, 2025 (2:00 PM ET – 3:00 PM ET)
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Aug 14, 2025 (2:00 PM ET – 3:00 PM ET)
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Nov 12, 2025 (2:00 PM ET – 3:00 PM ET)
Last Updated March 31, 2025