Randomized Controlled Trial of Two Mobile Health Strategies to Manage Postpartum Hypertension (SMART BP)

Jennifer Lewey, MD, MPH

Status

Not yet enrolling

Conditions

Hypertension, Pregnancy Induced

Treatments

Other: Low-touch blood pressure management

Other: High-touch blood pressure management

Study type

Interventional

Funder types

Other

Identifiers

NCT07209254

858860

Details and patient eligibility

About

A multicenter randomized trial that will compare the effectiveness of two postpartum blood pressure (BP) management strategies in improving blood pressure and cardiac function and increasing patient engagement and feeling of control over one's health

Enrollment

770 estimated patients

Sex

Female

Ages

18+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

Age ≥18 years
Delivery within 14 days
Diagnosis of preeclampsia or gestational hypertension with or without severe features during pregnancy or within 14 days postpartum
Initiation of blood pressure medication prior to hospital discharge and up to 14 days postpartum
English or Spanish speaking (able to read/understand consent and instructions)
Has phone texting capabilities

Exclusion criteria

Diagnosis of chronic hypertension prior to delivery (would therefore include super imposed preeclampsia)
Pre-existing cardiovascular disease (including prior myocardial infarction, stroke, heart failure with reduced ejection fraction, ventricular tachycardia, prior cardiac arrest, pacemaker, severe valvular heart disease, or prior cardiac surgery)
Chronic kidney disease (stage 3 or higher)
Using ≥3 BP medications at time of enrollment