Remote Monitoring and Education for Postpartum Hypertension

Overseen By Salima Qamruddin, MD

Age: 18+

Sex: Female

Trial Phase: Academic

Sponsor: Ochsner Health System

Disqualifiers: Chronic hypertension, Coronary artery disease, others

No Placebo Group All trial participants will receive the active study treatment (no placebo)

Compensation: Varies

Number of Visits: Unknown

Duration: 6 weeks

296 Participants Needed

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial examines whether a program with education and text reminders can help new mothers manage high blood pressure after childbirth. It tests whether watching a video, receiving daily texts, and adjusting medication can reduce high blood pressure and prevent hospital visits. Those who experienced high blood pressure during their recent pregnancy and receive care in the Ochsner System might be suitable candidates. Participants will either receive this new program, which includes remote postpartum blood pressure monitoring and cardiovascular education, or regular care from their doctor. As an unphased trial, this study offers participants the chance to contribute to innovative research that could enhance postpartum care.

Will I have to stop taking my current medications?

The trial does not specify if you need to stop your current medications, but it mentions that your blood pressure medications may be adjusted after delivery.

What prior data suggests that this remote monitoring and education intervention is safe for postpartum hypertension?

Research has shown that monitoring blood pressure from home after childbirth is a reliable and effective way to manage high blood pressure. Studies have found that using cell phones for this purpose can successfully track blood pressure and detect high blood pressure in new mothers. This method is safe and easy to use, with no major negative effects reported in previous studies. It provides a convenient alternative to traditional follow-up care, making it easier for new mothers to manage their health from home. ^{1 2 3 4 5}

Why are researchers excited about this trial?

Researchers are excited about the trial for remote postpartum blood pressure monitoring and cardiovascular education because it offers a fresh approach to managing postpartum hypertension. Unlike standard care, which typically involves regular in-person visits to the doctor and medication adjustments based on those visits, this method allows for real-time monitoring and immediate feedback through text updates. By educating new mothers with videos and setting personalized blood pressure goals, this approach not only aims to improve health outcomes but also empowers women to take an active role in their health management right from home.

What evidence suggests that this remote monitoring and education intervention is effective for postpartum hypertension?

This trial will compare usual postpartum care with an intervention involving remote postpartum blood pressure monitoring and cardiovascular education. Studies have shown that checking blood pressure at home after childbirth, along with receiving additional information, helps maintain blood pressure control. Specifically, one study found that this approach lowered the diastolic blood pressure by 4.5 points for up to six months postpartum. Other research indicates that this method not only improves health outcomes but also reduces costs compared to regular care. Using cell phones for remote blood pressure monitoring has successfully tracked blood pressure and identified hypertension in various populations. Overall, this method can enhance follow-up care and reduce long-term cardiovascular issues. ^{3 4 6 7 8}

Are You a Good Fit for This Trial?

This trial is for individuals who have experienced high blood pressure conditions during pregnancy, such as eclampsia or pre-eclampsia. Participants will engage in a program involving education and regular monitoring of their blood pressure after giving birth.

Inclusion Criteria

Postpartum status

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

I have a long-term high blood pressure problem.

I have kidney problems.

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants receive education and remote blood pressure monitoring with medication adjustments for 6 weeks postpartum

6 weeks

Televisits for medication adjustment

Follow-up

Participants are monitored for safety and effectiveness after treatment, including tracking of ED visits and re-admissions

1 year

What Are the Treatments Tested in This Trial?

Interventions

• Remote Postpartum Blood Pressure Monitoring and Cardiovascular Education

Trial Overview The study tests whether educational videos on hypertension during pregnancy (HDP), daily text reminders, and telehealth follow-ups can help manage postpartum hypertension. It also looks at the impact on emergency visits, hospital readmissions, and other adverse outcomes.

How Is the Trial Designed?

Group I: Intervention Experimental Treatment 3 Interventions

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

Group II: Control Active Control 1 Intervention

This group will receive usual post partum care from their obstetrician

Who Is Running the Clinical Trial?

Ochsner Health System

Lead Sponsor

Trials

97

Recruited

91,900+

Published Research Related to This Trial

Telehealth has emerged as a valuable tool for postpartum care, particularly for managing hypertension, with evidence suggesting it improves compliance and reduces disparities in follow-up care.

Remote blood pressure monitoring is feasible and acceptable for postpartum women, making it a promising strategy for enhancing maternal health outcomes during the COVID-19 pandemic.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Establishing Better Evidence on Remote Monitoring for Postpartum Hypertension: A Silver Lining of the Coronavirus Pandemic. Sawyer, MR., Jaffe, EF., Naqvi, M., et al.[2020]

Hypertensive disorders of pregnancy are a major cause of maternal morbidity and mortality, particularly in the postpartum period, highlighting the need for effective monitoring and care during this time.

Implementing remote blood pressure monitoring programs can improve care for postpartum patients, enhance blood pressure control, and reduce racial disparities in healthcare access, while being well-received by both patients and providers.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Postpartum remote home blood pressure monitoring: the new frontier. Corlin, T., Raghuraman, N., Rampersad, RM., et al.[2023]

This randomized controlled trial involving 186 women with postpartum hypertension demonstrated that self-management, which included daily blood pressure monitoring and telemonitoring for medication adjustments, was feasible and led to better blood pressure control compared to usual care.

The intervention group showed significantly lower blood pressure, particularly diastolic pressure, at 6 weeks and maintained better control up to 6 months, suggesting that self-management could be an effective strategy for managing postpartum hypertension.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Self-Management of Postnatal Hypertension: The SNAP-HT Trial. Cairns, AE., Tucker, KL., Leeson, P., et al.[2021]

The MyWellSpan mobile application was found to be a feasible method for postpartum women who experienced preeclampsia to self-monitor their blood pressure, with 69% of participants submitting at least one measurement.

Participants reported high satisfaction with the ease of use of the blood pressure cuff and the monitoring process, indicating that mobile health applications could effectively engage this population in their postpartum care.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Feasibility of Using Blood Pressure Self-Monitoring and the Epic MyChart Blood Pressure Flowsheet to Monitor Blood Pressure After Preeclampsia. Burgess, A., Gartrell, K., Anderson, T.[2023]

Citations

1. nature.com nature.com/articles/s44294-025-00095-7

Advances in postpartum hypertension management An EMR-integrated clinic model for postpartum hypertension care can enhance follow-up, improve outcomes, and reduce long-term cardiovascular ...

2. pubmed.ncbi.nlm.nih.gov pubmed.ncbi.nlm.nih.gov/39074606/

Remote blood pressure management for postpartum ... Conclusion: Remote blood pressure management for postpartum hypertension is cost saving and has better outcomes than usual care.

3. pmc.ncbi.nlm.nih.gov pmc.ncbi.nlm.nih.gov/articles/PMC11326966/

Clinical Outcomes Associated With a Remote Postpartum ... Both studies found improvements in diastolic blood pressure with a lowering of 4.5mmHg seen in the intervention group up to 6 months postpartum, ...

4. ajogmfm.org ajogmfm.org/article/S2589-9333(24)00168-X/fulltext

Remote blood pressure management for postpartum ... Remote blood pressure management for postpartum hypertension is cost saving and has better outcomes than usual care. Our data can be used to ...

5. ahajournals.org ahajournals.org/doi/10.1161/JAHA.123.034031

Implementation of a Cell‐Enabled Remote Blood Pressure ... A cell‐enabled postpartum remote BP monitoring program was successful in uniformly monitoring BP and capturing hypertension among a diverse, safety‐net ...

6. clinicaltrials.gov clinicaltrials.gov/study/NCT06920563

Study Details | NCT06920563 | Remote Postpartum Blood ... 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 ...

7. pmc.ncbi.nlm.nih.gov pmc.ncbi.nlm.nih.gov/articles/PMC10407242/

Postpartum remote home blood pressure monitoring Remote monitoring of postpartum hypertensive disorders of pregnancy is a reliable and effective alternative to current follow-up care models.

8. trial.medpath.com trial.medpath.com/clinical-trial/ded4c7f05ff3863f/nct06920563-postpartum-blood-pressure-monitoring-cardiovascular-education

Remote Postpartum Blood Pressure Monitoring and ... 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 ...