How Pulse Health unifies maternal and infant data to prevent worsening postpartum hypertension and neonatal complications.
Per nursing round
Early jaundice & dehydration detection
Reduced maternal readmission risk
Patients: Mrs. Priya Kapoor (32y, Post-C-section, mild gestational hypertension) & Baby Aria Kapoor (3d old, mild jaundice)
Setting: Inpatient maternity → home health follow-up → outpatient newborn clinic. Obstetric History: G2P1, prior uncomplicated vaginal delivery. Challenges included monitoring maternal hypertension and infant feeding/jaundice simultaneously, with data fragmented across two separate patient charts.
On post-op day 1, Priya reports mild dizziness; BP is borderline elevated (148/92). Baby Aria has had only two effective feeds in 8 hours, one wet diaper, and visible facial jaundice. Maternal vitals and infant logs are fragmented. Missing these early patterns risks worsening postpartum hypertension and neonatal dehydration.
Query: "Analyze maternal vitals and output + infant weight trend, bilirubin levels, feeding for the first 24 hours. Compare all findings to ACOG & AAP early postpartum benchmarks."
| Parameter | Value | Insight |
|---|---|---|
| Infant Feeds | 6 feeds/24h | Below target (8-12) |
| Bilirubin | 5.8 → 7.1 mg/dL | Rising (3.9% weight loss) |
| Maternal BP | 142/90 → 148/92 | Rising |
Insight: Baby showing early feeding insufficiency + bilirubin rising at faster-than-average rate. Maternal BP trending upward → evaluate for postpartum hypertension.
On post-operative day 2, Priya reports her incision "feels warmer than yesterday." Notes are scattered: one nurse noted mild serous drainage, another noted 1 cm erythema, and overnight vitals showed low-grade temps. Clinicians rarely see these synthesized.
Realize-365 autogenerates insightful AI clinical summary:
Insight: Current pattern is inconsistent with expected POD2 recovery. Recommendation: prompt incision evaluation and consider wound culture.
On day 4 post-discharge, home health observes mild scleral icterus and notes the infant now weighs 6 lbs 0 oz (–7% from birth). Parents report difficulty waking the baby for feeds.
Query: "Identify risk level for jaundice based on bilirubin progression, feeding volume, and weight changes since birth."
Insight: Infant approaching phototherapy threshold (AAP 2022) with inadequate intake pattern. Recommend: repeat TcB in 4–6 hrs, increase feeding frequency, and schedule urgent pediatric follow-up.
At the 1-week outpatient newborn visit, parents report feeding 6–7 times/day, longer sleep intervals, and less than 3 wet diapers/day. These symptoms often go unnoticed without integrated log-based analysis.
Query: "Analyze home feeding logs, diaper output, weight change, and parent-submitted photos. Compare findings to expected 7-day newborn benchmarks and assess dehydration risk."
Insight: Feeding frequency and output consistently below expected newborn norms. Infant is at risk for early dehydration and breastfeeding failure. Recommendation: Initiate triple feeding plan. Lactation consults within 24 hours.
Pulse Health is unique in its ability to link maternal and infant charts, treating them as a dyad to catch complications that affect both.
Real-time comparison against ACOG and AAP guidelines ensures that subtle deviations are flagged before they become emergencies.
Early identification of feeding issues allows for timely lactation support, preventing readmissions and supporting successful breastfeeding.