Key result
Motivational interviewing reduces postpartum systolic blood pressure by ~21 mmHg compared to standard care.
Why the study?
The effectiveness of motivational interviewing in reducing blood pressure among postpartum women with hypertension required evaluation.
Does three sessions of Motivational Interviewing counseling added to standard care reduce systolic and diastolic blood pressure in postpartum women with hypertension?
Does three sessions of Motivational Interviewing counseling added to standard care reduce systolic and diastolic blood pressure in postpartum women with hypertension?
Motivational Interviewing added to standard obstetric care significantly reduced systolic and diastolic blood pressure compared to standard care alone in a small cohort of women with postpartum hypertension.
May support motivational interviewing as adjunct in postpartum hypertension; hypothesis-generating and requires larger randomized confirmation.
This study aimed to assess the effectiveness of Motivational Interviewing (MI) in reducing blood pressure among postpartum women diagnosed with hypertension at Sitti Khadijah Hospital. A quasi-experimental design incorporating pre-test and post-test measurements with a control group was employed, involving 30 postpartum hypertensive mothers selected through total sampling. Participants were divided into two groups: an intervention group (n=15) receiving MI and a control group (n=15). Data analysis was conducted using the Wilcoxon and Mann-Whitney tests. In the intervention group, mean systolic blood pressure decreased by 25.33 mmHg and diastolic by 14.67 mmHg (p = 0.000). Meanwhile, the control group showed a relatively smaller reduction, with systolic pressure declining by 8.67 mmHg (p = 0.000) and diastolic by 5.33 mmHg (p = 0.005). The Mann-Whitney test indicated a significant difference in blood pressure reduction between the two groups (p < 0.05). The MI intervention was found to be effective in lowering both systolic and diastolic blood pressure in postpartum mothers with hypertension by increasing motivation, enhancing medication compliance, and promoting healthier lifestyle behaviors. Accordingly, this approach can be employed as a non-pharmacological intervention in obstetric care.
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Buhang et al. (2026) studied Postpartum hypertension (n=30). Motivational Interviewing (MI) vs. Standard hospital care alone was evaluated on Posttest systolic blood pressure (mmHg) (p=0.000). Motivational interviewing plus standard care lowered posttest systolic (126.67 vs 148.00 mmHg, p=0.000) and diastolic (85.33 vs 94.67 mmHg, p=0.003) BP vs standard care in postpartum hypertension.
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