You Patient Asked About Connura.
Here’s What Matters.
Pregnancy-specific protocols, individualized target-setting, and postpartum continuation
Peer-Reviewed Research • ACOG-Aligned • Built for Maternal Health
Your Patients Need Better Support Than Generic BP Apps
You've been recommending home BP monitoring for years - because the evidence is clear and ACOG guidelines support it. But what are your patients actually using?
-
Built on many randomized trials and systematic reviews of remote BP monitoring in pregnancy. Follows ACOG guidelines for measurement technique and HDP management. No adverse outcomes associated with structured home monitoring programs in peer-reviewed studies.
-
What it does:
Patients track daily BP using their own pregnancy-validated monitor
App provides technique guidance at moment of measurement
Generates shareable PDF reports for your review
What it doesn't do:
Make clinical decisions or treatment recommendations
Send automated alerts to physicians
Replace prenatal appointments or your clinical judgment
-
You remain the clinical decision-maker:
Establish BP thresholds based on patient risk profile
Provide measurement technique guidance and calibration
Review trend data patient shares at appointments
Make all treatment decisions based on clinical assessment
This supports your judgment. It doesn't replace it.
The Gap Between Office Visits
The research confirms these concerns:
Your patient is managing anxiety about what happens between appointments. She's worried about missing early warning signs. She remembers your technique instructions but forgets details at home. And she's heard stories about postpartum complications when monitoring stops.
Office visits capture snapshots, not patterns
Hypertension develops gradually. Early elevation happens between appointments. You diagnose severity at a single point in time, not trajectory over days.
Most monitoring starts too late
First-trimester initiation gives patients 4-6 weeks to build habits before delivery. Behavioral research shows 8-12 weeks needed for routines to stick. Late-start monitoring fails postpartum.
Postpartum is when the system breaks down
Risk peaks 48 hours to 6 weeks after delivery
40% of patients don't return for postpartum follow-up
Home BP monitoring improves completion from 60% to 95%
Your patient isn't overreacting. She identified a real gap.
What to Tell Your Patient About Home Monitoring
Technique Essentials
Sit quietly for 5 minutes before measuring
Back supported, feet flat on floor, arm at heart level
Avoid caffeine and exercise 30 minutes prior
Same time each day, same arm, cuff positioned correctly
Take 2 readings 1 minute apart, record both
When to Contact You
Systolic ≥140 or diastolic ≥90 on two occasions 4+ hours apart
Sudden increase >30 systolic or >15 diastolic from her baseline
Severe symptoms: headache, vision changes, upper abdominal pain, sudden swelling
Any concerns or questions about readings—better to call
What the Connura Provides
Pregnancy-specific context (not generic adult ranges)
Trend visibility showing patterns over time
Technique coaching at the moment of measurement
Reports she can share with you at appointments
What the Connura Doesn't Provide
Medical advice or clinical decisions (that's your role)
Emergency response or real-time physician alerts
Replacement for scheduled prenatal visits
Medication management or dosing recommendations
-
During the office visit, you:
Assess her risk profile (chronic HTN, previous preeclampsia, first pregnancy)
Establish BP thresholds appropriate for current trimester
Define action plan: when to take extra readings, when to call clinic, when to go to L&D
Provide measurement technique instruction
-
Before she starts home monitoring:
Have her bring her pregnancy-validated BP monitor to the office
Take simultaneous readings: your clinic device and her home device
Compare results to establish baseline accuracy
Document any consistent variance for future reference
This calibration step ensures data quality from day one.
-
You review her specific situation together:
What BP numbers require attention in her current trimester
What to do if readings are elevated (remeasure, call same day, go to L&D)
How to handle weekends and after-hours situations
When she'll share trends with you (every appointment, weekly, as needed)
She leaves with clear thresholds and your contact protocol.
-
Patient opens app before each measurement and receives:
Positioning reminders (back supported, arm at heart level, feet flat)
Timing guidance (5 minutes rest, same time daily)
Trimester-specific context for readings
Technique reinforcement at point of use
-
After each reading, she sees:
How this reading compares to her recent trend
Reference ranges appropriate for her trimester (not generic adult ranges)
Clear escalation guidance based on thresholds YOU established
When to take another reading vs. when to contact clinic immediately
-
Patient generates PDF report showing:
Daily readings organized by date and time
Visual trend line over selected period
Calibration baseline from your office
Any readings that met escalation thresholds
She brings this to appointments or sends via patient portal.
HOW CONNURA WORKS
No EMR integration required.
No additional monitoring burden on your staff.
See our FAQ for Clinicians
Built on Pregnancy-Specific Research
Is home BP monitoring safe in pregnancy?
Multiple RCTs show no increase in adverse maternal or fetal outcomes with structured home BP monitoring vs. standard clinic care.
Tucker 2022 (JAMA): BUMP Trials
SMBP plus telemonitoring is safe, with no difference in maternal/perinatal outcomes.
PubMed: 35503346
Barry 2023 (JAMA): USPSTF Review
Systematic review confirms home BP monitoring is safe when using validated devices.
PubMed: 37721605
Yeh 2022: Systematic Review
SMBP is likely safe, with no adverse events attributed to monitoring.
PubMed: 35641913
Rajkumar 2025: Narrative Review
RBPM improves detection of elevated BP, ensures follow-up, reduces acute care utilization.
PubMed: 39838651
Arkerson 2023: RCT
Remote monitoring increased recommended BP checks from 60% to 95% without increasing readmissions. Eliminated racial disparities in BP ascertainment.
PubMed: 37734091
Steele 2023: Postpartum SR
Home BP monitoring improves follow-up, reduces hypertension-related readmissions.
PubMed: 37311173
Quantified Impact:
1-2 days earlier hypertension detection
30-40% reduction in antenatal hospitalizations
95% vs. 60% postpartum follow-up completion
Cost-neutral or cost-saving vs. standard care
Structured home BP monitoring reduces hospitalizations, improves early detection, and increases postpartum follow-up completion - without worsening outcomes.
Does it improve outcomes?
Bowen 2021: OPTIMUM-BP Analysis
High adherence to SMBP, good agreement with clinic readings.
PubMed: 34082300
Tobe 2021: Measurement Standards
Proper rest periods and standardization are critical for accuracy.
PubMed: 34314239
ACOG Practice Bulletin 222
Guidelines for the diagnosis and management of gestational hypertension and preeclampsia.
View ACOG Guideline
When properly taught, patients demonstrate high adherence and good agreement with clinic readings. Pregnancy-specific guidance improves technique consistency.
What about BP measurement quality?
Mei 2024: Cost-Effectiveness
Remote postpartum BP management cost-saving, improves quality-adjusted life years.
PubMed: 39074606
Arkerson 2023: RCT
Eliminated racial gap in postpartum BP follow-up (Black patients 93% completion vs. 58% in standard care).
PubMed: 37734091
Hirshberg 2018: Text-Based RCT
Remote BP achieved 91% follow-up completion vs. 51% office-based; reduced readmissions.
PubMed: 29703800
Remote monitoring eliminates disparities, improves medication adherence, and detects postpartum preeclampsia when risk peaks, but engagement traditionally drops.