A 39-years-old woman with a pregnancy at 21 weeks complicated by hypertension was seen for initial intake by Ouma physician, at which time it was noted that she could not afford a blood pressure cuff. Ouma made arrangements and blood pressure cuff was immediately mailed to her home.

At 29 weeks she contacted Ouma with severe-range blood pressure values, and her family practitioner wanted her to be transported to tertiary care center for delivery. She met with Ouma's MFM physician within hours, was prescribed higher-dose regimen, and her primary care physician was contacted to provide reassurance that this was physiologic rise in the 3rd trimester and did not necessitate delivery. She successfully went on to delivery at 37 weeks.