Remote Postpartum Blood Pressure Monitoring and Cardiovascular Education

Ochsner Health System

Status: Enrolling

Conditions: Gestational Hypertension; Pre-Eclampsia; Complicating Pregnancy

Treatments: Other: Text Reminder; Other: Video; Other: Blood pressure threshold

Study type: Interventional

Funder types: Other

Identifiers

NCT06920563

2023.192

Details and patient eligibility

About

The goal of this clinical trial is to learn if patient education and regular text reminders are a feasible intervention to engage patients and reduce post partum hypertension. The main questions it aims to answer are:

Is a structured postpartum remote blood pressure monitoring intervention with education and individualized medication initiation/adjustment follow-up by televisit feasible? Does a structured program reduce the occurrence of postpartum hypertension, ED visits, hospital readmissions, and adverse outcomes?

Participants will:

View an educational video on HDP post-delivery Receive 1-2 times daily text messages for 6 weeks postpartum Have their blood pressure medications adjusted to lower targets post partum

Enrollment: 296 estimated patients

Sex: Female

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

1. Age of at least 18 years.
2. Postpartum status.
3. Experience new-onset hypertension during pregnancy.
4. Enrollment in Connected MOM.
5. Ability to provide informed consent.
6. Establish medical care within the Ochsner System to facilitate data collection.

Exclusion criteria

1. History of preeclampsia or gestational hypertension during previous pregnancy
2. History of chronic hypertension
3. History of coronary artery disease (myocardial infarction, coronary stent placement, coronary artery bypass grafting, spontaneous coronary artery dissection)
4. History of ischemic CVA
5. History of Congestive heart failure
6. Renal dysfunction
7. Liver dysfunction
8. Left ventricular dysfunction
9. Congenital heart disease
10. Still birth at delivery

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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296 participants in 2 patient groups

Intervention

Experimental group

Description:

This group will watch an education video, receive text message updates, and have their blood pressure medications titrated to a lower BP goal.

Treatment:

Other: Blood pressure threshold

Other: Text Reminder

Other: Video

Control

No Intervention group

Description:

This group will receive usual post partum care from their obstetrician