Remote Postpartum Blood Pressure Monitoring and Cardiovascular Education to Reduce Emergency Department Visits, Re-admissions and Adverse Cardiovascular Outcomes in Hypertensive Disorder of Pregnancy
Trial Snapshot
- Phase
- Not Applicable
- Status
- Recruiting
- Sponsor
- Ochsner Health System
- Enrollment
- 296
- Locations
- 1
- Primary Endpoint
- Acceptability
Study Overview
Brief Summary
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
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- None
Eligibility Criteria
- Ages
- 18 Years to — (Adult, Older Adult)
- Sex
- Female
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Age of at least 18 years.
- •Postpartum status.
- •Experience new-onset hypertension during pregnancy.
- •Enrollment in Connected MOM.
- •Ability to provide informed consent.
- •Establish medical care within the Ochsner System to facilitate data collection.
Exclusion Criteria
- •History of preeclampsia or gestational hypertension during previous pregnancy
- •History of chronic hypertension
- •History of coronary artery disease (myocardial infarction, coronary stent placement, coronary artery bypass grafting, spontaneous coronary artery dissection)
- •History of ischemic CVA
- •History of Congestive heart failure
- •Renal dysfunction
- •Liver dysfunction
- •Left ventricular dysfunction
- •Congenital heart disease
- •Still birth at delivery
Arms & Interventions
Intervention
This group will watch an education video, receive text message updates, and have their blood pressure medications titrated to a lower BP goal.
Intervention: Video (Other)
Intervention
This group will watch an education video, receive text message updates, and have their blood pressure medications titrated to a lower BP goal.
Intervention: Text Reminder (Other)
Intervention
This group will watch an education video, receive text message updates, and have their blood pressure medications titrated to a lower BP goal.
Intervention: Blood pressure threshold (Other)
Control
This group will receive usual post partum care from their obstetrician
Outcomes
Primary Outcomes
Acceptability
Time Frame: 6 weeks
Post program survey questions using 5-item Likert response scale at 6 weeks postpartum
Engagement
Time Frame: 6 weeks
Engagement will be defined by frequency of use: number of remote BP measurements ascertained during the 6 week postpartum period.
Duration of Participation
Time Frame: 6 weeks
Duration of participation is defined by the last day of recorded remote BP measurement
Secondary Outcomes
- Post partum Blood pressure(1 year)
- Number of ED visits(1 year)
- Severe Maternal Morbidity(1 year)
- Number of Inpatient re-admissions(1 year)
- Post partum visit follow up(6 weeks)