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 Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
296
Those in the intervention arm will watch a short educational video.
Those in the intervention group will receive regular text message reminders to check their blood pressures
Those in the intervention group will have a lower blood pressure threshold to titrate their BP medications towards
Ochsner Baptist
New Orleans, Louisiana, United States
RECRUITINGEngagement
Engagement will be defined by frequency of use: number of remote BP measurements ascertained during the 6 week postpartum period.
Time frame: 6 weeks
Acceptability
Post program survey questions using 5-item Likert response scale at 6 weeks postpartum
Time frame: 6 weeks
Duration of Participation
Duration of participation is defined by the last day of recorded remote BP measurement
Time frame: 6 weeks
Post partum Blood pressure
Proportion of patients with BP \<130/80 at 6 weeks Mean SBP, DBP at 6 weeks, 6 months, 1 year postpartum
Time frame: 1 year
Number of ED visits
Number of ED visits recorded after discharge from her delivery encounter over the following year.
Time frame: 1 year
Severe Maternal Morbidity
Incidence of death, postpartum stroke, congestive heart failure, myocardial infarction, eclampsia
Time frame: 1 year
Number of Inpatient re-admissions
Number of inpatient re-admissions over the following year after discharge from delivery encounter
Time frame: 1 year
Post partum visit follow up
Proportion of 4-6 week postpartum follow up visit attendance with OB provider
Time frame: 6 weeks
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