Strategi Manajemen Keperawatan Maternitas pada Penatalaksanaan Hipertensi Postpartum: A Narrative Literature Review

Background: Postpartum hypertension is a major contributor to maternal morbidity and mortality and requires continuous monitoring. Objective: To synthesize current evidence on strategies for postpartum hypertension management. Methods: A narrative literature review was conducted using articles published between January 2021 and July 2026 retrieved from PubMed, ScienceDirect, and SAGE Journals. The selection process was documented using a PRISMA flow diagram. Of 312 identified articles, 78 duplicates were removed, and 11 articles met the inclusion criteria for thematic narrative synthesis. Results: Remote blood pressure monitoring was associated with a lower risk of readmission (adjusted risk ratio, 0.78) and 85.4 additional blood pressure measurements per 100 patients within 10 days postpartum compared with the comparison group. Community health worker coordination showed potential to support postpartum appointment scheduling and attendance. Safety bundles significantly improved nurses’ knowledge and performance. eHealth, interprofessional collaboration, and structured education also showed potential to improve continuity of care, although outcomes and evidence strength varied across studies. Conclusion: Remote blood pressure monitoring, structured education, community health worker support, safety bundles, and interprofessional collaboration may support postpartum hypertension management. However, the effectiveness of an integrated approach remains inconclusive because evidence strength varies across study designs and outcomes. Healthcare facilities in Indonesia may consider postpartum monitoring programs and patient safety–focused nurse training, taking into account clinical guidelines, available resources, patient access, and outcome evaluation.