Implementing the Systemic Treatment and Management of Postpartum Hypertension (STAMPP-HTN) Bundle in a High-risk Mississippi Population
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 250
- 试验地点
- 2
- 主要终点
- Determine if HBPT decreases the severity of postpartum hypertension complication
研究概览
简要总结
The purpose of this study is to determine if monitored blood pressure paired with education reduces maternal mortality and morbidity during the post-partum period in a high-risk rural population of women.
详细描述
Women with hypertension during pregnancy are at an increased risk of maternal mortality (death during or within 42 days of termination of pregnancy) and hypertension related morbidity. Black women, women with lower education and less access to health care resources also have increased maternal mortality and morbidity. This project will use Bluetooth enabled blood pressure devices to monitor blood pressure in a population of postpartum women at increased risk for maternal mortality and morbidity. We will compare the number of postpartum hypertensive incidences and severities to a population of women who did not have a postpartum blood pressure control intervention.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Health Services Research
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 45 Years（Adult）
- 性别
- Female
- 接受健康志愿者
- 否
入选标准
- •Signed informed consent in a postpartum woman between 18-45 years of age at the time of study enrollment
- •Hospitalized for delivery with a hypertensive disorder of pregnancy as defined by ACOG 2019 Guidelines (chronic hypertension, HELLP syndrome, eclampsia, preeclampsia, gestational hypertension or new onset postpartum hypertension).
- •Ability to understand English or Spanish
- •Reliable access to the Internet and a Bluetooth mobile device
- •Willingness to download Omron Connect App and ability to use blood pressure monitor
排除标准
- •Does not meet Inclusion criteria
- •Postpartum or operative complication that prolongs hospital stay beyond postpartum day
- •Patients who are currently participating in another clinical trial to evaluate a therapeutic intervention for control of blood pressure.
结局指标
主要结局
Determine if HBPT decreases the severity of postpartum hypertension complication
时间窗: 9 months
Postpartum outcomes between women being monitored to those from the previous year who received no postpartum blood pressure monitoring will be compared. Women will be monitored and we measure Systolic, Diastolic and Mean arterial pressure and to see if HPBT decreases the severity of postpartum hypertension from previous baseline measurements from women who had no interventions. Percentages of patients with controlled blood pressure at each time point will be compared to previous BP measurements.
次要结局
- Increase awareness and knowledge of postpartum blood pressure control in a group of high-risk women(9 months)
- Assess compliance using HBPT and adherence to blood pressure medication(9 months)
研究者
Kedra Wallace
Associate Professor, PhD
University of Mississippi Medical Center