Ignite Creation Date:
2025-12-24 @ 7:21 PM
Ignite Modification Date:
2025-12-29 @ 12:39 PM
Study NCT ID:
NCT05849103
Status:
COMPLETED
Last Update Posted:
2025-10-09
First Post:
2023-04-10
Is NOT Gene Therapy:
True
Has Adverse Events:
True
Brief Title:
Comprehensive Postpartum Management for Women With Hypertensive Disorders of Pregnancy
Sponsor:
Organization:
Raw JSON
{'hasResults': True, 'derivedSection': {'miscInfoModule': {'versionHolder': '2025-12-24'}, 'conditionBrowseModule': {'meshes': [{'id': 'D046110', 'term': 'Hypertension, Pregnancy-Induced'}, {'id': 'D006973', 'term': 'Hypertension'}], 'ancestors': [{'id': 'D011248', 'term': 'Pregnancy Complications'}, {'id': 'D005261', 'term': 'Female Urogenital Diseases and Pregnancy Complications'}, {'id': 'D000091642', 'term': 'Urogenital Diseases'}, {'id': 'D014652', 'term': 'Vascular Diseases'}, {'id': 'D002318', 'term': 'Cardiovascular Diseases'}]}}, 'resultsSection': {'moreInfoModule': {'pointOfContact': {'email': 'sarah.osmundson@vumc.org', 'phone': '6158752231', 'title': 'Sarah Osmundson, MD, MS', 'organization': 'Vanderbilt University Medical Center'}, 'certainAgreement': {'piSponsorEmployee': True}, 'limitationsAndCaveats': {'description': 'There are important limitations to our study. First, the randomized controlled trial design increases internal validity of our findings but can also decrease external validity. Forty-eight percent of eligible patients did not enroll, raising concerns for how our interventions would perform outside of a research setting. In addition, we were unable to enroll non-English speaking participants, who are an important population to consider especially for larger implementation efforts.'}}, 'adverseEventsModule': {'timeFrame': 'Through study completion, an average of 1 year.', 'eventGroups': [{'id': 'EG000', 'title': 'A) Standard BP Control, Clinician Monitoring', 'description': 'Target blood pressure will be less than 150/100. Participants will be instructed to check their blood pressures twice a day for two weeks and daily for weeks 3-6 after delivery and report abnormal blood pressures or symptoms to their obstetric clinicians. Additional postpartum visits beyond the blood pressure check will be directed by their obstetric clinician.\n\nBlood Pressure Control Targets: This intervention specifies the goal blood pressure as less than 150/100 versus less than 140/90\n\nHypertension Management: This intervention specifies whether the participant has hypertension management through their obstetric clinician or through a single nurse navigator who provides feedback and modifies hypertension treatment based on blood pressure values submitted by the participant.', 'otherNumAtRisk': 84, 'deathsNumAtRisk': 84, 'otherNumAffected': 0, 'seriousNumAtRisk': 84, 'deathsNumAffected': 0, 'seriousNumAffected': 0}, {'id': 'EG001', 'title': 'B) Tight BP Control, Clinician Monitoring', 'description': 'Target blood pressure will be less than 140/90. Participants will be instructed to check their blood pressures twice a day for two weeks and daily for weeks 3-6 after delivery and report abnormal blood pressures or symptoms to their obstetric clinicians. Additional postpartum visits beyond the blood pressure check will be directed by their obstetric clinician.\n\nBlood Pressure Control Targets: This intervention specifies the goal blood pressure as less than 150/100 versus less than 140/90\n\nHypertension Management: This intervention specifies whether the participant has hypertension management through their obstetric clinician or through a single nurse navigator who provides feedback and modifies hypertension treatment based on blood pressure values submitted by the participant.', 'otherNumAtRisk': 82, 'deathsNumAtRisk': 82, 'otherNumAffected': 0, 'seriousNumAtRisk': 82, 'deathsNumAffected': 0, 'seriousNumAffected': 0}, {'id': 'EG002', 'title': 'C) Standard BP Control, Care Navigation', 'description': "Target blood pressure will be less than 150/100. Participants will check blood pressures twice daily for 14 days and daily for weeks 3-6. A nurse navigator will review their blood pressures M-F for Weeks 1-2 and weekly for weeks 3-6 and will provide feedback on blood pressure values and recommend initiating or escalating medications as needed. The nurse navigator will communicate progress to the participant's clinicians and will remind the participant of their appointments. The nurse navigator will facilitate a visit around 3 months with a primary care clinician or a cardiologist for hypertension follow up.\n\nBlood Pressure Control Targets: This intervention specifies the goal blood pressure as less than 150/100 versus less than 140/90\n\nHypertension Management: This intervention specifies whether the participant has hypertension management through their obstetric clinician or through a single nurse navigator who provides feedback and modifies hypertension treatment based on blood pressure values submitted by the participant.", 'otherNumAtRisk': 83, 'deathsNumAtRisk': 83, 'otherNumAffected': 0, 'seriousNumAtRisk': 83, 'deathsNumAffected': 0, 'seriousNumAffected': 0}, {'id': 'EG003', 'title': 'D) Tight BP Control, Care Navigation', 'description': "Target blood pressure will be less than 140/90. Participants will check blood pressures twice daily for 14 days and daily for weeks 3-6. A nurse navigator will review their blood pressures M-F for Weeks 1-2 and weekly for weeks 3-6 and will provide feedback on blood pressure values and recommend initiating or escalating medications as needed. The nurse navigator will communicate progress to the participant's clinicians and will remind the participant of their appointments. The nurse navigator will facilitate a visit around 3 months with a primary care clinician or a cardiologist for hypertension follow up.\n\nBlood Pressure Control Targets: This intervention specifies the goal blood pressure as less than 150/100 versus less than 140/90\n\nHypertension Management: This intervention specifies whether the participant has hypertension management through their obstetric clinician or through a single nurse navigator who provides feedback and modifies hypertension treatment based on blood pressure values submitted by the participant.", 'otherNumAtRisk': 85, 'deathsNumAtRisk': 85, 'otherNumAffected': 0, 'seriousNumAtRisk': 85, 'deathsNumAffected': 0, 'seriousNumAffected': 0}], 'frequencyThreshold': '0'}, 'outcomeMeasuresModule': {'outcomeMeasures': [{'type': 'PRIMARY', 'title': 'Proportion of Participants With Recorded Blood Pressure Values in Office', 'denoms': [{'units': 'Participants', 'counts': [{'value': '84', 'groupId': 'OG000'}, {'value': '82', 'groupId': 'OG001'}, {'value': '83', 'groupId': 'OG002'}, {'value': '85', 'groupId': 'OG003'}]}], 'groups': [{'id': 'OG000', 'title': 'A) Standard BP Control, Clinician Monitoring', 'description': 'Target blood pressure will be less than 150/100. Participants will be instructed to check their blood pressures twice a day for two weeks and daily for weeks 3-6 after delivery and report abnormal blood pressures or symptoms to their obstetric clinicians. Additional postpartum visits beyond the blood pressure check will be directed by their obstetric clinician.\n\nBlood Pressure Control Targets: This intervention specifies the goal blood pressure as less than 150/100 versus less than 140/90\n\nHypertension Management: This intervention specifies whether the participant has hypertension management through their obstetric clinician or through a single nurse navigator who provides feedback and modifies hypertension treatment based on blood pressure values submitted by the participant.'}, {'id': 'OG001', 'title': 'B) Tight BP Control, Clinician Monitoring', 'description': 'Target blood pressure will be less than 140/90. Participants will be instructed to check their blood pressures twice a day for two weeks and daily for weeks 3-6 after delivery and report abnormal blood pressures or symptoms to their obstetric clinicians. Additional postpartum visits beyond the blood pressure check will be directed by their obstetric clinician.\n\nBlood Pressure Control Targets: This intervention specifies the goal blood pressure as less than 150/100 versus less than 140/90\n\nHypertension Management: This intervention specifies whether the participant has hypertension management through their obstetric clinician or through a single nurse navigator who provides feedback and modifies hypertension treatment based on blood pressure values submitted by the participant.'}, {'id': 'OG002', 'title': 'C) Standard BP Control, Care Navigation', 'description': "Target blood pressure will be less than 150/100. Participants will check blood pressures twice daily for 14 days and daily for weeks 3-6. A nurse navigator will review their blood pressures M-F for Weeks 1-2 and weekly for weeks 3-6 and will provide feedback on blood pressure values and recommend initiating or escalating medications as needed. The nurse navigator will communicate progress to the participant's clinicians and will remind the participant of their appointments. The nurse navigator will facilitate a visit around 3 months with a primary care clinician or a cardiologist for hypertension follow up.\n\nBlood Pressure Control Targets: This intervention specifies the goal blood pressure as less than 150/100 versus less than 140/90\n\nHypertension Management: This intervention specifies whether the participant has hypertension management through their obstetric clinician or through a single nurse navigator who provides feedback and modifies hypertension treatment based on blood pressure values submitted by the participant."}, {'id': 'OG003', 'title': 'D) Tight BP Control, Care Navigation', 'description': "Target blood pressure will be less than 140/90. Participants will check blood pressures twice daily for 14 days and daily for weeks 3-6. A nurse navigator will review their blood pressures M-F for Weeks 1-2 and weekly for weeks 3-6 and will provide feedback on blood pressure values and recommend initiating or escalating medications as needed. The nurse navigator will communicate progress to the participant's clinicians and will remind the participant of their appointments. The nurse navigator will facilitate a visit around 3 months with a primary care clinician or a cardiologist for hypertension follow up.\n\nBlood Pressure Control Targets: This intervention specifies the goal blood pressure as less than 150/100 versus less than 140/90\n\nHypertension Management: This intervention specifies whether the participant has hypertension management through their obstetric clinician or through a single nurse navigator who provides feedback and modifies hypertension treatment based on blood pressure values submitted by the participant."}], 'classes': [{'categories': [{'measurements': [{'value': '43', 'groupId': 'OG000'}, {'value': '44', 'groupId': 'OG001'}, {'value': '49', 'groupId': 'OG002'}, {'value': '56', 'groupId': 'OG003'}]}]}], 'paramType': 'COUNT_OF_PARTICIPANTS', 'timeFrame': '7-10 days post delivery', 'description': 'Proportion of participants with blood pressure values recorded in the office', 'unitOfMeasure': 'Participants', 'reportingStatus': 'POSTED'}, {'type': 'SECONDARY', 'title': 'Proportion of Participants With Recorded Blood Pressure Values, Any Reporting', 'denoms': [{'units': 'Participants', 'counts': [{'value': '84', 'groupId': 'OG000'}, {'value': '82', 'groupId': 'OG001'}, {'value': '83', 'groupId': 'OG002'}, {'value': '85', 'groupId': 'OG003'}]}], 'groups': [{'id': 'OG000', 'title': 'A) Standard BP Control, Clinician Monitoring', 'description': 'Target blood pressure will be less than 150/100. Participants will be instructed to check their blood pressures twice a day for two weeks and daily for weeks 3-6 after delivery and report abnormal blood pressures or symptoms to their obstetric clinicians. Additional postpartum visits beyond the blood pressure check will be directed by their obstetric clinician.\n\nBlood Pressure Control Targets: This intervention specifies the goal blood pressure as less than 150/100 versus less than 140/90\n\nHypertension Management: This intervention specifies whether the participant has hypertension management through their obstetric clinician or through a single nurse navigator who provides feedback and modifies hypertension treatment based on blood pressure values submitted by the participant.'}, {'id': 'OG001', 'title': 'B) Tight BP Control, Clinician Monitoring', 'description': 'Target blood pressure will be less than 140/90. Participants will be instructed to check their blood pressures twice a day for two weeks and daily for weeks 3-6 after delivery and report abnormal blood pressures or symptoms to their obstetric clinicians. Additional postpartum visits beyond the blood pressure check will be directed by their obstetric clinician.\n\nBlood Pressure Control Targets: This intervention specifies the goal blood pressure as less than 150/100 versus less than 140/90\n\nHypertension Management: This intervention specifies whether the participant has hypertension management through their obstetric clinician or through a single nurse navigator who provides feedback and modifies hypertension treatment based on blood pressure values submitted by the participant.'}, {'id': 'OG002', 'title': 'C) Standard BP Control, Care Navigation', 'description': "Target blood pressure will be less than 150/100. Participants will check blood pressures twice daily for 14 days and daily for weeks 3-6. A nurse navigator will review their blood pressures M-F for Weeks 1-2 and weekly for weeks 3-6 and will provide feedback on blood pressure values and recommend initiating or escalating medications as needed. The nurse navigator will communicate progress to the participant's clinicians and will remind the participant of their appointments. The nurse navigator will facilitate a visit around 3 months with a primary care clinician or a cardiologist for hypertension follow up.\n\nBlood Pressure Control Targets: This intervention specifies the goal blood pressure as less than 150/100 versus less than 140/90\n\nHypertension Management: This intervention specifies whether the participant has hypertension management through their obstetric clinician or through a single nurse navigator who provides feedback and modifies hypertension treatment based on blood pressure values submitted by the participant."}, {'id': 'OG003', 'title': 'D) Tight BP Control, Care Navigation', 'description': "Target blood pressure will be less than 140/90. Participants will check blood pressures twice daily for 14 days and daily for weeks 3-6. A nurse navigator will review their blood pressures M-F for Weeks 1-2 and weekly for weeks 3-6 and will provide feedback on blood pressure values and recommend initiating or escalating medications as needed. The nurse navigator will communicate progress to the participant's clinicians and will remind the participant of their appointments. The nurse navigator will facilitate a visit around 3 months with a primary care clinician or a cardiologist for hypertension follow up.\n\nBlood Pressure Control Targets: This intervention specifies the goal blood pressure as less than 150/100 versus less than 140/90\n\nHypertension Management: This intervention specifies whether the participant has hypertension management through their obstetric clinician or through a single nurse navigator who provides feedback and modifies hypertension treatment based on blood pressure values submitted by the participant."}], 'classes': [{'categories': [{'measurements': [{'value': '48', 'groupId': 'OG000'}, {'value': '47', 'groupId': 'OG001'}, {'value': '76', 'groupId': 'OG002'}, {'value': '78', 'groupId': 'OG003'}]}]}], 'paramType': 'NUMBER', 'timeFrame': '7-10 days post delivery', 'description': 'Proportion of participants with blood pressure values recorded through any means', 'unitOfMeasure': 'participants', 'reportingStatus': 'POSTED'}, {'type': 'SECONDARY', 'title': 'Systolic Blood Pressure, 7-10 Days', 'denoms': [{'units': 'Participants', 'counts': [{'value': '84', 'groupId': 'OG000'}, {'value': '82', 'groupId': 'OG001'}, {'value': '83', 'groupId': 'OG002'}, {'value': '85', 'groupId': 'OG003'}]}], 'groups': [{'id': 'OG000', 'title': 'A) Standard BP Control, Clinician Monitoring', 'description': 'Target blood pressure will be less than 150/100. Participants will be instructed to check their blood pressures twice a day for two weeks and daily for weeks 3-6 after delivery and report abnormal blood pressures or symptoms to their obstetric clinicians. Additional postpartum visits beyond the blood pressure check will be directed by their obstetric clinician.\n\nBlood Pressure Control Targets: This intervention specifies the goal blood pressure as less than 150/100 versus less than 140/90\n\nHypertension Management: This intervention specifies whether the participant has hypertension management through their obstetric clinician or through a single nurse navigator who provides feedback and modifies hypertension treatment based on blood pressure values submitted by the participant.'}, {'id': 'OG001', 'title': 'B) Tight BP Control, Clinician Monitoring', 'description': 'Target blood pressure will be less than 140/90. Participants will be instructed to check their blood pressures twice a day for two weeks and daily for weeks 3-6 after delivery and report abnormal blood pressures or symptoms to their obstetric clinicians. Additional postpartum visits beyond the blood pressure check will be directed by their obstetric clinician.\n\nBlood Pressure Control Targets: This intervention specifies the goal blood pressure as less than 150/100 versus less than 140/90\n\nHypertension Management: This intervention specifies whether the participant has hypertension management through their obstetric clinician or through a single nurse navigator who provides feedback and modifies hypertension treatment based on blood pressure values submitted by the participant.'}, {'id': 'OG002', 'title': 'C) Standard BP Control, Care Navigation', 'description': "Target blood pressure will be less than 150/100. Participants will check blood pressures twice daily for 14 days and daily for weeks 3-6. A nurse navigator will review their blood pressures M-F for Weeks 1-2 and weekly for weeks 3-6 and will provide feedback on blood pressure values and recommend initiating or escalating medications as needed. The nurse navigator will communicate progress to the participant's clinicians and will remind the participant of their appointments. The nurse navigator will facilitate a visit around 3 months with a primary care clinician or a cardiologist for hypertension follow up.\n\nBlood Pressure Control Targets: This intervention specifies the goal blood pressure as less than 150/100 versus less than 140/90\n\nHypertension Management: This intervention specifies whether the participant has hypertension management through their obstetric clinician or through a single nurse navigator who provides feedback and modifies hypertension treatment based on blood pressure values submitted by the participant."}, {'id': 'OG003', 'title': 'D) Tight BP Control, Care Navigation', 'description': "Target blood pressure will be less than 140/90. Participants will check blood pressures twice daily for 14 days and daily for weeks 3-6. A nurse navigator will review their blood pressures M-F for Weeks 1-2 and weekly for weeks 3-6 and will provide feedback on blood pressure values and recommend initiating or escalating medications as needed. The nurse navigator will communicate progress to the participant's clinicians and will remind the participant of their appointments. The nurse navigator will facilitate a visit around 3 months with a primary care clinician or a cardiologist for hypertension follow up.\n\nBlood Pressure Control Targets: This intervention specifies the goal blood pressure as less than 150/100 versus less than 140/90\n\nHypertension Management: This intervention specifies whether the participant has hypertension management through their obstetric clinician or through a single nurse navigator who provides feedback and modifies hypertension treatment based on blood pressure values submitted by the participant."}], 'classes': [{'categories': [{'measurements': [{'value': '130', 'groupId': 'OG000', 'lowerLimit': '122', 'upperLimit': '139'}, {'value': '132', 'groupId': 'OG001', 'lowerLimit': '125', 'upperLimit': '138'}, {'value': '128', 'groupId': 'OG002', 'lowerLimit': '123', 'upperLimit': '136'}, {'value': '128', 'groupId': 'OG003', 'lowerLimit': '120', 'upperLimit': '137'}]}]}], 'paramType': 'MEDIAN', 'timeFrame': '7-10 days post delivery', 'description': 'Mean difference in systolic blood pressure from baseline, 7-10 days', 'unitOfMeasure': 'mmHg', 'dispersionType': 'Inter-Quartile Range', 'reportingStatus': 'POSTED'}, {'type': 'SECONDARY', 'title': 'Diastolic Blood Pressure', 'denoms': [{'units': 'Participants', 'counts': [{'value': '84', 'groupId': 'OG000'}, {'value': '82', 'groupId': 'OG001'}, {'value': '83', 'groupId': 'OG002'}, {'value': '85', 'groupId': 'OG003'}]}], 'groups': [{'id': 'OG000', 'title': 'A) Standard BP Control, Clinician Monitoring', 'description': 'Target blood pressure will be less than 150/100. Participants will be instructed to check their blood pressures twice a day for two weeks and daily for weeks 3-6 after delivery and report abnormal blood pressures or symptoms to their obstetric clinicians. Additional postpartum visits beyond the blood pressure check will be directed by their obstetric clinician.\n\nBlood Pressure Control Targets: This intervention specifies the goal blood pressure as less than 150/100 versus less than 140/90\n\nHypertension Management: This intervention specifies whether the participant has hypertension management through their obstetric clinician or through a single nurse navigator who provides feedback and modifies hypertension treatment based on blood pressure values submitted by the participant.'}, {'id': 'OG001', 'title': 'B) Tight BP Control, Clinician Monitoring', 'description': 'Target blood pressure will be less than 140/90. Participants will be instructed to check their blood pressures twice a day for two weeks and daily for weeks 3-6 after delivery and report abnormal blood pressures or symptoms to their obstetric clinicians. Additional postpartum visits beyond the blood pressure check will be directed by their obstetric clinician.\n\nBlood Pressure Control Targets: This intervention specifies the goal blood pressure as less than 150/100 versus less than 140/90\n\nHypertension Management: This intervention specifies whether the participant has hypertension management through their obstetric clinician or through a single nurse navigator who provides feedback and modifies hypertension treatment based on blood pressure values submitted by the participant.'}, {'id': 'OG002', 'title': 'C) Standard BP Control, Care Navigation', 'description': "Target blood pressure will be less than 150/100. Participants will check blood pressures twice daily for 14 days and daily for weeks 3-6. A nurse navigator will review their blood pressures M-F for Weeks 1-2 and weekly for weeks 3-6 and will provide feedback on blood pressure values and recommend initiating or escalating medications as needed. The nurse navigator will communicate progress to the participant's clinicians and will remind the participant of their appointments. The nurse navigator will facilitate a visit around 3 months with a primary care clinician or a cardiologist for hypertension follow up.\n\nBlood Pressure Control Targets: This intervention specifies the goal blood pressure as less than 150/100 versus less than 140/90\n\nHypertension Management: This intervention specifies whether the participant has hypertension management through their obstetric clinician or through a single nurse navigator who provides feedback and modifies hypertension treatment based on blood pressure values submitted by the participant."}, {'id': 'OG003', 'title': 'D) Tight BP Control, Care Navigation', 'description': "Target blood pressure will be less than 140/90. Participants will check blood pressures twice daily for 14 days and daily for weeks 3-6. A nurse navigator will review their blood pressures M-F for Weeks 1-2 and weekly for weeks 3-6 and will provide feedback on blood pressure values and recommend initiating or escalating medications as needed. The nurse navigator will communicate progress to the participant's clinicians and will remind the participant of their appointments. The nurse navigator will facilitate a visit around 3 months with a primary care clinician or a cardiologist for hypertension follow up.\n\nBlood Pressure Control Targets: This intervention specifies the goal blood pressure as less than 150/100 versus less than 140/90\n\nHypertension Management: This intervention specifies whether the participant has hypertension management through their obstetric clinician or through a single nurse navigator who provides feedback and modifies hypertension treatment based on blood pressure values submitted by the participant."}], 'classes': [{'categories': [{'measurements': [{'value': '84', 'groupId': 'OG000', 'lowerLimit': '78', 'upperLimit': '90'}, {'value': '82', 'groupId': 'OG001', 'lowerLimit': '78', 'upperLimit': '90'}, {'value': '84', 'groupId': 'OG002', 'lowerLimit': '78', 'upperLimit': '89'}, {'value': '84', 'groupId': 'OG003', 'lowerLimit': '78', 'upperLimit': '90'}]}]}], 'paramType': 'MEDIAN', 'timeFrame': '7-10 days post delivery', 'description': 'Mean difference in diastolic blood pressure from baseline, 7-10 days', 'unitOfMeasure': 'mmHg', 'dispersionType': 'Inter-Quartile Range', 'reportingStatus': 'POSTED', 'populationDescription': 'Participants'}, {'type': 'SECONDARY', 'title': 'Systolic Blood Pressure, 4-6 Weeks', 'timeFrame': '4-6 weeks post delivery', 'description': 'Mean difference in systolic blood pressure from baseline, 4-6 weeks', 'reportingStatus': 'NOT_POSTED', 'denomUnitsSelected': 'Participants', 'anticipatedPostingDate': '2026-01'}, {'type': 'SECONDARY', 'title': 'Diastolic Blood Pressure, 4-6 Weeks', 'timeFrame': '4-6 weeks post delivery', 'description': 'Mean difference in diastolic blood pressure from baseline, 4-6 weeks after delivery', 'reportingStatus': 'NOT_POSTED', 'denomUnitsSelected': 'Participants', 'anticipatedPostingDate': '2026-01'}, {'type': 'SECONDARY', 'title': 'Initiated New Medications', 'denoms': [{'units': 'Participants', 'counts': [{'value': '41', 'groupId': 'OG000'}, {'value': '45', 'groupId': 'OG001'}, {'value': '49', 'groupId': 'OG002'}, {'value': '53', 'groupId': 'OG003'}]}], 'groups': [{'id': 'OG000', 'title': 'A) Standard BP Control, Clinician Monitoring', 'description': 'Target blood pressure will be less than 150/100. Participants will be instructed to check their blood pressures twice a day for two weeks and daily for weeks 3-6 after delivery and report abnormal blood pressures or symptoms to their obstetric clinicians. Additional postpartum visits beyond the blood pressure check will be directed by their obstetric clinician.\n\nBlood Pressure Control Targets: This intervention specifies the goal blood pressure as less than 150/100 versus less than 140/90\n\nHypertension Management: This intervention specifies whether the participant has hypertension management through their obstetric clinician or through a single nurse navigator who provides feedback and modifies hypertension treatment based on blood pressure values submitted by the participant.'}, {'id': 'OG001', 'title': 'B) Tight BP Control, Clinician Monitoring', 'description': 'Target blood pressure will be less than 140/90. Participants will be instructed to check their blood pressures twice a day for two weeks and daily for weeks 3-6 after delivery and report abnormal blood pressures or symptoms to their obstetric clinicians. Additional postpartum visits beyond the blood pressure check will be directed by their obstetric clinician.\n\nBlood Pressure Control Targets: This intervention specifies the goal blood pressure as less than 150/100 versus less than 140/90\n\nHypertension Management: This intervention specifies whether the participant has hypertension management through their obstetric clinician or through a single nurse navigator who provides feedback and modifies hypertension treatment based on blood pressure values submitted by the participant.'}, {'id': 'OG002', 'title': 'C) Standard BP Control, Care Navigation', 'description': "Target blood pressure will be less than 150/100. Participants will check blood pressures twice daily for 14 days and daily for weeks 3-6. A nurse navigator will review their blood pressures M-F for Weeks 1-2 and weekly for weeks 3-6 and will provide feedback on blood pressure values and recommend initiating or escalating medications as needed. The nurse navigator will communicate progress to the participant's clinicians and will remind the participant of their appointments. The nurse navigator will facilitate a visit around 3 months with a primary care clinician or a cardiologist for hypertension follow up.\n\nBlood Pressure Control Targets: This intervention specifies the goal blood pressure as less than 150/100 versus less than 140/90\n\nHypertension Management: This intervention specifies whether the participant has hypertension management through their obstetric clinician or through a single nurse navigator who provides feedback and modifies hypertension treatment based on blood pressure values submitted by the participant."}, {'id': 'OG003', 'title': 'D) Tight BP Control, Care Navigation', 'description': "Target blood pressure will be less than 140/90. Participants will check blood pressures twice daily for 14 days and daily for weeks 3-6. A nurse navigator will review their blood pressures M-F for Weeks 1-2 and weekly for weeks 3-6 and will provide feedback on blood pressure values and recommend initiating or escalating medications as needed. The nurse navigator will communicate progress to the participant's clinicians and will remind the participant of their appointments. The nurse navigator will facilitate a visit around 3 months with a primary care clinician or a cardiologist for hypertension follow up.\n\nBlood Pressure Control Targets: This intervention specifies the goal blood pressure as less than 150/100 versus less than 140/90\n\nHypertension Management: This intervention specifies whether the participant has hypertension management through their obstetric clinician or through a single nurse navigator who provides feedback and modifies hypertension treatment based on blood pressure values submitted by the participant."}], 'classes': [{'categories': [{'measurements': [{'value': '9', 'groupId': 'OG000'}, {'value': '7', 'groupId': 'OG001'}, {'value': '4', 'groupId': 'OG002'}, {'value': '17', 'groupId': 'OG003'}]}]}], 'paramType': 'COUNT_OF_PARTICIPANTS', 'timeFrame': '7-10 days', 'description': 'Initiated new antihypertensive medications by 7-10 days postpartum', 'unitOfMeasure': 'Participants', 'reportingStatus': 'POSTED', 'populationDescription': 'Participants'}, {'type': 'SECONDARY', 'title': 'Sustained Severe Hypertension, 7-10 Days', 'denoms': [{'units': 'Participants', 'counts': [{'value': '80', 'groupId': 'OG000'}, {'value': '75', 'groupId': 'OG001'}, {'value': '80', 'groupId': 'OG002'}, {'value': '81', 'groupId': 'OG003'}]}], 'groups': [{'id': 'OG000', 'title': 'A) Standard BP Control, Clinician Monitoring', 'description': 'Target blood pressure will be less than 150/100. Participants will be instructed to check their blood pressures twice a day for two weeks and daily for weeks 3-6 after delivery and report abnormal blood pressures or symptoms to their obstetric clinicians. Additional postpartum visits beyond the blood pressure check will be directed by their obstetric clinician.\n\nBlood Pressure Control Targets: This intervention specifies the goal blood pressure as less than 150/100 versus less than 140/90\n\nHypertension Management: This intervention specifies whether the participant has hypertension management through their obstetric clinician or through a single nurse navigator who provides feedback and modifies hypertension treatment based on blood pressure values submitted by the participant.'}, {'id': 'OG001', 'title': 'B) Tight BP Control, Clinician Monitoring', 'description': 'Target blood pressure will be less than 140/90. Participants will be instructed to check their blood pressures twice a day for two weeks and daily for weeks 3-6 after delivery and report abnormal blood pressures or symptoms to their obstetric clinicians. Additional postpartum visits beyond the blood pressure check will be directed by their obstetric clinician.\n\nBlood Pressure Control Targets: This intervention specifies the goal blood pressure as less than 150/100 versus less than 140/90\n\nHypertension Management: This intervention specifies whether the participant has hypertension management through their obstetric clinician or through a single nurse navigator who provides feedback and modifies hypertension treatment based on blood pressure values submitted by the participant.'}, {'id': 'OG002', 'title': 'C) Standard BP Control, Care Navigation', 'description': "Target blood pressure will be less than 150/100. Participants will check blood pressures twice daily for 14 days and daily for weeks 3-6. A nurse navigator will review their blood pressures M-F for Weeks 1-2 and weekly for weeks 3-6 and will provide feedback on blood pressure values and recommend initiating or escalating medications as needed. The nurse navigator will communicate progress to the participant's clinicians and will remind the participant of their appointments. The nurse navigator will facilitate a visit around 3 months with a primary care clinician or a cardiologist for hypertension follow up.\n\nBlood Pressure Control Targets: This intervention specifies the goal blood pressure as less than 150/100 versus less than 140/90\n\nHypertension Management: This intervention specifies whether the participant has hypertension management through their obstetric clinician or through a single nurse navigator who provides feedback and modifies hypertension treatment based on blood pressure values submitted by the participant."}, {'id': 'OG003', 'title': 'D) Tight BP Control, Care Navigation', 'description': "Target blood pressure will be less than 140/90. Participants will check blood pressures twice daily for 14 days and daily for weeks 3-6. A nurse navigator will review their blood pressures M-F for Weeks 1-2 and weekly for weeks 3-6 and will provide feedback on blood pressure values and recommend initiating or escalating medications as needed. The nurse navigator will communicate progress to the participant's clinicians and will remind the participant of their appointments. The nurse navigator will facilitate a visit around 3 months with a primary care clinician or a cardiologist for hypertension follow up.\n\nBlood Pressure Control Targets: This intervention specifies the goal blood pressure as less than 150/100 versus less than 140/90\n\nHypertension Management: This intervention specifies whether the participant has hypertension management through their obstetric clinician or through a single nurse navigator who provides feedback and modifies hypertension treatment based on blood pressure values submitted by the participant."}], 'classes': [{'categories': [{'measurements': [{'value': '6', 'groupId': 'OG000'}, {'value': '5', 'groupId': 'OG001'}, {'value': '6', 'groupId': 'OG002'}, {'value': '9', 'groupId': 'OG003'}]}]}], 'paramType': 'COUNT_OF_PARTICIPANTS', 'timeFrame': '7-10 days postpartum', 'description': 'Proportion of participants with two blood pressures \\>=160/100 at least 15 minutes apart', 'unitOfMeasure': 'Participants', 'reportingStatus': 'POSTED', 'populationDescription': 'Participants'}, {'type': 'SECONDARY', 'title': 'Unplanned Visits', 'denoms': [{'units': 'Participants', 'counts': [{'value': '84', 'groupId': 'OG000'}, {'value': '82', 'groupId': 'OG001'}, {'value': '83', 'groupId': 'OG002'}, {'value': '85', 'groupId': 'OG003'}]}], 'groups': [{'id': 'OG000', 'title': 'A) Standard BP Control, Clinician Monitoring', 'description': 'Target blood pressure will be less than 150/100. Participants will be instructed to check their blood pressures twice a day for two weeks and daily for weeks 3-6 after delivery and report abnormal blood pressures or symptoms to their obstetric clinicians. Additional postpartum visits beyond the blood pressure check will be directed by their obstetric clinician.\n\nBlood Pressure Control Targets: This intervention specifies the goal blood pressure as less than 150/100 versus less than 140/90\n\nHypertension Management: This intervention specifies whether the participant has hypertension management through their obstetric clinician or through a single nurse navigator who provides feedback and modifies hypertension treatment based on blood pressure values submitted by the participant.'}, {'id': 'OG001', 'title': 'B) Tight BP Control, Clinician Monitoring', 'description': 'Target blood pressure will be less than 140/90. Participants will be instructed to check their blood pressures twice a day for two weeks and daily for weeks 3-6 after delivery and report abnormal blood pressures or symptoms to their obstetric clinicians. Additional postpartum visits beyond the blood pressure check will be directed by their obstetric clinician.\n\nBlood Pressure Control Targets: This intervention specifies the goal blood pressure as less than 150/100 versus less than 140/90\n\nHypertension Management: This intervention specifies whether the participant has hypertension management through their obstetric clinician or through a single nurse navigator who provides feedback and modifies hypertension treatment based on blood pressure values submitted by the participant.'}, {'id': 'OG002', 'title': 'C) Standard BP Control, Care Navigation', 'description': "Target blood pressure will be less than 150/100. Participants will check blood pressures twice daily for 14 days and daily for weeks 3-6. A nurse navigator will review their blood pressures M-F for Weeks 1-2 and weekly for weeks 3-6 and will provide feedback on blood pressure values and recommend initiating or escalating medications as needed. The nurse navigator will communicate progress to the participant's clinicians and will remind the participant of their appointments. The nurse navigator will facilitate a visit around 3 months with a primary care clinician or a cardiologist for hypertension follow up.\n\nBlood Pressure Control Targets: This intervention specifies the goal blood pressure as less than 150/100 versus less than 140/90\n\nHypertension Management: This intervention specifies whether the participant has hypertension management through their obstetric clinician or through a single nurse navigator who provides feedback and modifies hypertension treatment based on blood pressure values submitted by the participant."}, {'id': 'OG003', 'title': 'D) Tight BP Control, Care Navigation', 'description': "Target blood pressure will be less than 140/90. Participants will check blood pressures twice daily for 14 days and daily for weeks 3-6. A nurse navigator will review their blood pressures M-F for Weeks 1-2 and weekly for weeks 3-6 and will provide feedback on blood pressure values and recommend initiating or escalating medications as needed. The nurse navigator will communicate progress to the participant's clinicians and will remind the participant of their appointments. The nurse navigator will facilitate a visit around 3 months with a primary care clinician or a cardiologist for hypertension follow up.\n\nBlood Pressure Control Targets: This intervention specifies the goal blood pressure as less than 150/100 versus less than 140/90\n\nHypertension Management: This intervention specifies whether the participant has hypertension management through their obstetric clinician or through a single nurse navigator who provides feedback and modifies hypertension treatment based on blood pressure values submitted by the participant."}], 'classes': [{'categories': [{'measurements': [{'value': '13', 'groupId': 'OG000'}, {'value': '10', 'groupId': 'OG001'}, {'value': '10', 'groupId': 'OG002'}, {'value': '12', 'groupId': 'OG003'}]}]}], 'paramType': 'COUNT_OF_PARTICIPANTS', 'timeFrame': '7-10 days', 'description': 'Proportion of patients with obstetric triage visits, emergency department visits, or hospital readmission', 'unitOfMeasure': 'Participants', 'reportingStatus': 'POSTED', 'populationDescription': 'Participants'}, {'type': 'SECONDARY', 'title': 'Postpartum Visit Attendance', 'timeFrame': '3-6 weeks post delivery', 'description': 'Proportion of patients with postpartum visit attendance', 'reportingStatus': 'NOT_POSTED', 'denomUnitsSelected': 'Participants', 'anticipatedPostingDate': '2026-01'}, {'type': 'SECONDARY', 'title': 'Primary Care Visit Attendance', 'timeFrame': '3 months post delivery', 'description': 'Proportion of patients with primary care visit attendance', 'reportingStatus': 'NOT_POSTED', 'denomUnitsSelected': 'Participants', 'anticipatedPostingDate': '2026-01'}, {'type': 'OTHER_PRE_SPECIFIED', 'title': 'Feeling That Their Voice is Heard', 'timeFrame': '2 weeks post delivery', 'description': "Proportion of patients who respond 'yes' to feeling that their voice is heard", 'reportingStatus': 'NOT_POSTED', 'denomUnitsSelected': 'Participants', 'anticipatedPostingDate': '2026-01'}, {'type': 'OTHER_PRE_SPECIFIED', 'title': 'Perceived Stress', 'timeFrame': '2 weeks post delivery', 'description': 'mean T-score (Range 1-100) using NIH Toolbox', 'reportingStatus': 'NOT_POSTED', 'denomUnitsSelected': 'Participants', 'anticipatedPostingDate': '2026-01'}, {'type': 'OTHER_PRE_SPECIFIED', 'title': 'Self-Efficacy', 'timeFrame': '2 weeks post delivery', 'description': 'mean T-score (Range 1-100) on Self-efficacy PROMIS measure', 'reportingStatus': 'NOT_POSTED', 'denomUnitsSelected': 'Participants', 'anticipatedPostingDate': '2026-01'}, {'type': 'OTHER_PRE_SPECIFIED', 'title': 'Mothers on Respect Index Score', 'timeFrame': '6 weeks post delivery', 'description': 'mean score (range 14-84) for the Mothers on Respect Index Score', 'reportingStatus': 'NOT_POSTED', 'denomUnitsSelected': 'Participants', 'anticipatedPostingDate': '2026-01'}]}, 'participantFlowModule': {'groups': [{'id': 'FG000', 'title': 'A) Standard BP Control, Clinician Monitoring', 'description': 'Target blood pressure will be less than 150/100. Participants will be instructed to check their blood pressures twice a day for two weeks and daily for weeks 3-6 after delivery and report abnormal blood pressures or symptoms to their obstetric clinicians. Additional postpartum visits beyond the blood pressure check will be directed by their obstetric clinician.\n\nBlood Pressure Control Targets: This intervention specifies the goal blood pressure as less than 150/100 versus less than 140/90\n\nHypertension Management: This intervention specifies whether the participant has hypertension management through their obstetric clinician or through a single nurse navigator who provides feedback and modifies hypertension treatment based on blood pressure values submitted by the participant.'}, {'id': 'FG001', 'title': 'B) Tight BP Control, Clinician Monitoring', 'description': 'Target blood pressure will be less than 140/90. Participants will be instructed to check their blood pressures twice a day for two weeks and daily for weeks 3-6 after delivery and report abnormal blood pressures or symptoms to their obstetric clinicians. Additional postpartum visits beyond the blood pressure check will be directed by their obstetric clinician.\n\nBlood Pressure Control Targets: This intervention specifies the goal blood pressure as less than 150/100 versus less than 140/90\n\nHypertension Management: This intervention specifies whether the participant has hypertension management through their obstetric clinician or through a single nurse navigator who provides feedback and modifies hypertension treatment based on blood pressure values submitted by the participant.'}, {'id': 'FG002', 'title': 'C) Standard BP Control, Care Navigation', 'description': "Target blood pressure will be less than 150/100. Participants will check blood pressures twice daily for 14 days and daily for weeks 3-6. A nurse navigator will review their blood pressures M-F for Weeks 1-2 and weekly for weeks 3-6 and will provide feedback on blood pressure values and recommend initiating or escalating medications as needed. The nurse navigator will communicate progress to the participant's clinicians and will remind the participant of their appointments. The nurse navigator will facilitate a visit around 3 months with a primary care clinician or a cardiologist for hypertension follow up.\n\nBlood Pressure Control Targets: This intervention specifies the goal blood pressure as less than 150/100 versus less than 140/90\n\nHypertension Management: This intervention specifies whether the participant has hypertension management through their obstetric clinician or through a single nurse navigator who provides feedback and modifies hypertension treatment based on blood pressure values submitted by the participant."}, {'id': 'FG003', 'title': 'D) Tight BP Control, Care Navigation', 'description': "Target blood pressure will be less than 140/90. Participants will check blood pressures twice daily for 14 days and daily for weeks 3-6. A nurse navigator will review their blood pressures M-F for Weeks 1-2 and weekly for weeks 3-6 and will provide feedback on blood pressure values and recommend initiating or escalating medications as needed. The nurse navigator will communicate progress to the participant's clinicians and will remind the participant of their appointments. The nurse navigator will facilitate a visit around 3 months with a primary care clinician or a cardiologist for hypertension follow up.\n\nBlood Pressure Control Targets: This intervention specifies the goal blood pressure as less than 150/100 versus less than 140/90\n\nHypertension Management: This intervention specifies whether the participant has hypertension management through their obstetric clinician or through a single nurse navigator who provides feedback and modifies hypertension treatment based on blood pressure values submitted by the participant."}], 'periods': [{'title': 'Overall Study', 'milestones': [{'type': 'STARTED', 'achievements': [{'groupId': 'FG000', 'numSubjects': '86'}, {'groupId': 'FG001', 'numSubjects': '86'}, {'groupId': 'FG002', 'numSubjects': '86'}, {'groupId': 'FG003', 'numSubjects': '85'}]}, {'type': 'COMPLETED', 'achievements': [{'groupId': 'FG000', 'numSubjects': '84'}, {'groupId': 'FG001', 'numSubjects': '83'}, {'groupId': 'FG002', 'numSubjects': '82'}, {'groupId': 'FG003', 'numSubjects': '85'}]}, {'type': 'NOT COMPLETED', 'achievements': [{'groupId': 'FG000', 'numSubjects': '2'}, {'groupId': 'FG001', 'numSubjects': '3'}, {'groupId': 'FG002', 'numSubjects': '4'}, {'groupId': 'FG003', 'numSubjects': '0'}]}]}]}, 'baselineCharacteristicsModule': {'denoms': [{'units': 'Participants', 'counts': [{'value': '84', 'groupId': 'BG000'}, {'value': '82', 'groupId': 'BG001'}, {'value': '83', 'groupId': 'BG002'}, {'value': '85', 'groupId': 'BG003'}, {'value': '334', 'groupId': 'BG004'}]}], 'groups': [{'id': 'BG000', 'title': 'A) Standard BP Control, Clinician Monitoring', 'description': 'Target blood pressure will be less than 150/100. Participants will be instructed to check their blood pressures twice a day for two weeks and daily for weeks 3-6 after delivery and report abnormal blood pressures or symptoms to their obstetric clinicians. Additional postpartum visits beyond the blood pressure check will be directed by their obstetric clinician.\n\nBlood Pressure Control Targets: This intervention specifies the goal blood pressure as less than 150/100 versus less than 140/90\n\nHypertension Management: This intervention specifies whether the participant has hypertension management through their obstetric clinician or through a single nurse navigator who provides feedback and modifies hypertension treatment based on blood pressure values submitted by the participant.'}, {'id': 'BG001', 'title': 'B) Tight BP Control, Clinician Monitoring', 'description': 'Target blood pressure will be less than 140/90. Participants will be instructed to check their blood pressures twice a day for two weeks and daily for weeks 3-6 after delivery and report abnormal blood pressures or symptoms to their obstetric clinicians. Additional postpartum visits beyond the blood pressure check will be directed by their obstetric clinician.\n\nBlood Pressure Control Targets: This intervention specifies the goal blood pressure as less than 150/100 versus less than 140/90\n\nHypertension Management: This intervention specifies whether the participant has hypertension management through their obstetric clinician or through a single nurse navigator who provides feedback and modifies hypertension treatment based on blood pressure values submitted by the participant.'}, {'id': 'BG002', 'title': 'C) Standard BP Control, Care Navigation', 'description': "Target blood pressure will be less than 150/100. Participants will check blood pressures twice daily for 14 days and daily for weeks 3-6. A nurse navigator will review their blood pressures M-F for Weeks 1-2 and weekly for weeks 3-6 and will provide feedback on blood pressure values and recommend initiating or escalating medications as needed. The nurse navigator will communicate progress to the participant's clinicians and will remind the participant of their appointments. The nurse navigator will facilitate a visit around 3 months with a primary care clinician or a cardiologist for hypertension follow up.\n\nBlood Pressure Control Targets: This intervention specifies the goal blood pressure as less than 150/100 versus less than 140/90\n\nHypertension Management: This intervention specifies whether the participant has hypertension management through their obstetric clinician or through a single nurse navigator who provides feedback and modifies hypertension treatment based on blood pressure values submitted by the participant."}, {'id': 'BG003', 'title': 'D) Tight BP Control, Care Navigation', 'description': "Target blood pressure will be less than 140/90. Participants will check blood pressures twice daily for 14 days and daily for weeks 3-6. A nurse navigator will review their blood pressures M-F for Weeks 1-2 and weekly for weeks 3-6 and will provide feedback on blood pressure values and recommend initiating or escalating medications as needed. The nurse navigator will communicate progress to the participant's clinicians and will remind the participant of their appointments. The nurse navigator will facilitate a visit around 3 months with a primary care clinician or a cardiologist for hypertension follow up.\n\nBlood Pressure Control Targets: This intervention specifies the goal blood pressure as less than 150/100 versus less than 140/90\n\nHypertension Management: This intervention specifies whether the participant has hypertension management through their obstetric clinician or through a single nurse navigator who provides feedback and modifies hypertension treatment based on blood pressure values submitted by the participant."}, {'id': 'BG004', 'title': 'Total', 'description': 'Total of all reporting groups'}], 'measures': [{'title': 'Age, Continuous', 'classes': [{'categories': [{'measurements': [{'value': '29.0', 'groupId': 'BG000', 'lowerLimit': '22.0', 'upperLimit': '33.5'}, {'value': '30.5', 'groupId': 'BG001', 'lowerLimit': '27.0', 'upperLimit': '34.0'}, {'value': '30.0', 'groupId': 'BG002', 'lowerLimit': '24.0', 'upperLimit': '35.0'}, {'value': '30.0', 'groupId': 'BG003', 'lowerLimit': '26.0', 'upperLimit': '34.0'}, {'value': '30.0', 'groupId': 'BG004', 'lowerLimit': '25.0', 'upperLimit': '34.0'}]}]}], 'paramType': 'MEDIAN', 'description': 'Continuous age in years', 'unitOfMeasure': 'years', 'dispersionType': 'INTER_QUARTILE_RANGE'}, {'title': 'Sex: Female, Male', 'classes': [{'categories': [{'title': 'Female', 'measurements': [{'value': '84', 'groupId': 'BG000'}, {'value': '82', 'groupId': 'BG001'}, {'value': '83', 'groupId': 'BG002'}, {'value': '85', 'groupId': 'BG003'}, {'value': '334', 'groupId': 'BG004'}]}, {'title': 'Male', 'measurements': [{'value': '0', 'groupId': 'BG000'}, {'value': '0', 'groupId': 'BG001'}, {'value': '0', 'groupId': 'BG002'}, {'value': '0', 'groupId': 'BG003'}, {'value': '0', 'groupId': 'BG004'}]}]}], 'paramType': 'COUNT_OF_PARTICIPANTS', 'description': 'Percentage male and female', 'unitOfMeasure': 'Participants'}, {'title': 'Race/Ethnicity, Customized', 'classes': [{'title': 'Race or Ethnicity', 'categories': [{'title': 'Asian', 'measurements': [{'value': '2', 'groupId': 'BG000'}, {'value': '4', 'groupId': 'BG001'}, {'value': '0', 'groupId': 'BG002'}, {'value': '2', 'groupId': 'BG003'}, {'value': '8', 'groupId': 'BG004'}]}, {'title': 'Hispanic', 'measurements': [{'value': '11', 'groupId': 'BG000'}, {'value': '0', 'groupId': 'BG001'}, {'value': '8', 'groupId': 'BG002'}, {'value': '7', 'groupId': 'BG003'}, {'value': '26', 'groupId': 'BG004'}]}, {'title': 'Multi-racial', 'measurements': [{'value': '5', 'groupId': 'BG000'}, {'value': '4', 'groupId': 'BG001'}, {'value': '2', 'groupId': 'BG002'}, {'value': '5', 'groupId': 'BG003'}, {'value': '16', 'groupId': 'BG004'}]}, {'title': 'Non-Hispanic Black', 'measurements': [{'value': '21', 'groupId': 'BG000'}, {'value': '20', 'groupId': 'BG001'}, {'value': '24', 'groupId': 'BG002'}, {'value': '24', 'groupId': 'BG003'}, {'value': '89', 'groupId': 'BG004'}]}, {'title': 'Non-Hispanic White', 'measurements': [{'value': '43', 'groupId': 'BG000'}, {'value': '49', 'groupId': 'BG001'}, {'value': '47', 'groupId': 'BG002'}, {'value': '45', 'groupId': 'BG003'}, {'value': '184', 'groupId': 'BG004'}]}, {'title': 'Unknown', 'measurements': [{'value': '2', 'groupId': 'BG000'}, {'value': '5', 'groupId': 'BG001'}, {'value': '2', 'groupId': 'BG002'}, {'value': '2', 'groupId': 'BG003'}, {'value': '11', 'groupId': 'BG004'}]}]}], 'paramType': 'COUNT_OF_PARTICIPANTS', 'unitOfMeasure': 'Participants'}, {'title': 'Region of Enrollment', 'classes': [{'title': 'United States', 'categories': [{'measurements': [{'value': '84', 'groupId': 'BG000'}, {'value': '82', 'groupId': 'BG001'}, {'value': '83', 'groupId': 'BG002'}, {'value': '85', 'groupId': 'BG003'}, {'value': '334', 'groupId': 'BG004'}]}]}], 'paramType': 'NUMBER', 'unitOfMeasure': 'participants'}], 'populationDescription': 'Median (Interquartile Range)'}}, 'documentSection': {'largeDocumentModule': {'largeDocs': [{'date': '2023-04-04', 'size': 1258544, 'label': 'Study Protocol, Statistical Analysis Plan, and Informed Consent Form', 'hasIcf': True, 'hasSap': True, 'filename': 'Prot_SAP_ICF_000.pdf', 'typeAbbrev': 'Prot_SAP_ICF', 'uploadDate': '2025-08-05T12:56', 'hasProtocol': True}]}}, 'protocolSection': {'designModule': {'phases': ['NA'], 'studyType': 'INTERVENTIONAL', 'designInfo': {'allocation': 'RANDOMIZED', 'maskingInfo': {'masking': 'SINGLE', 'whoMasked': ['OUTCOMES_ASSESSOR'], 'maskingDescription': 'Research personnel assessing outcomes will be masked to the intervention'}, 'primaryPurpose': 'HEALTH_SERVICES_RESEARCH', 'interventionModel': 'FACTORIAL', 'interventionModelDescription': 'A factorial study design will be used where participants will be randomized in a 1:1:1:1 ratio to two intervention types (blood pressure target, hypertension care model) or four total interventions.'}, 'enrollmentInfo': {'type': 'ACTUAL', 'count': 343}}, 'statusModule': {'overallStatus': 'COMPLETED', 'startDateStruct': {'date': '2023-05-08', 'type': 'ACTUAL'}, 'expandedAccessInfo': {'hasExpandedAccess': False}, 'statusVerifiedDate': '2025-09', 'completionDateStruct': {'date': '2024-08-01', 'type': 'ACTUAL'}, 'lastUpdateSubmitDate': '2025-09-23', 'studyFirstSubmitDate': '2023-04-10', 'resultsFirstSubmitDate': '2025-08-15', 'studyFirstSubmitQcDate': '2023-05-04', 'lastUpdatePostDateStruct': {'date': '2025-10-09', 'type': 'ESTIMATED'}, 'resultsFirstSubmitQcDate': '2025-09-23', 'studyFirstPostDateStruct': {'date': '2023-05-08', 'type': 'ACTUAL'}, 'resultsFirstPostDateStruct': {'date': '2025-10-09', 'type': 'ESTIMATED'}, 'primaryCompletionDateStruct': {'date': '2024-08-01', 'type': 'ACTUAL'}}, 'outcomesModule': {'otherOutcomes': [{'measure': 'Feeling That Their Voice is Heard', 'timeFrame': '2 weeks post delivery', 'description': "Proportion of patients who respond 'yes' to feeling that their voice is heard"}, {'measure': 'Perceived Stress', 'timeFrame': '2 weeks post delivery', 'description': 'mean T-score (Range 1-100) using NIH Toolbox'}, {'measure': 'Self-Efficacy', 'timeFrame': '2 weeks post delivery', 'description': 'mean T-score (Range 1-100) on Self-efficacy PROMIS measure'}, {'measure': 'Mothers on Respect Index Score', 'timeFrame': '6 weeks post delivery', 'description': 'mean score (range 14-84) for the Mothers on Respect Index Score'}], 'primaryOutcomes': [{'measure': 'Proportion of Participants With Recorded Blood Pressure Values in Office', 'timeFrame': '7-10 days post delivery', 'description': 'Proportion of participants with blood pressure values recorded in the office'}], 'secondaryOutcomes': [{'measure': 'Proportion of Participants With Recorded Blood Pressure Values, Any Reporting', 'timeFrame': '7-10 days post delivery', 'description': 'Proportion of participants with blood pressure values recorded through any means'}, {'measure': 'Systolic Blood Pressure, 7-10 Days', 'timeFrame': '7-10 days post delivery', 'description': 'Mean difference in systolic blood pressure from baseline, 7-10 days'}, {'measure': 'Diastolic Blood Pressure', 'timeFrame': '7-10 days post delivery', 'description': 'Mean difference in diastolic blood pressure from baseline, 7-10 days'}, {'measure': 'Systolic Blood Pressure, 4-6 Weeks', 'timeFrame': '4-6 weeks post delivery', 'description': 'Mean difference in systolic blood pressure from baseline, 4-6 weeks'}, {'measure': 'Diastolic Blood Pressure, 4-6 Weeks', 'timeFrame': '4-6 weeks post delivery', 'description': 'Mean difference in diastolic blood pressure from baseline, 4-6 weeks after delivery'}, {'measure': 'Initiated New Medications', 'timeFrame': '7-10 days', 'description': 'Initiated new antihypertensive medications by 7-10 days postpartum'}, {'measure': 'Sustained Severe Hypertension, 7-10 Days', 'timeFrame': '7-10 days postpartum', 'description': 'Proportion of participants with two blood pressures \\>=160/100 at least 15 minutes apart'}, {'measure': 'Unplanned Visits', 'timeFrame': '7-10 days', 'description': 'Proportion of patients with obstetric triage visits, emergency department visits, or hospital readmission'}, {'measure': 'Postpartum Visit Attendance', 'timeFrame': '3-6 weeks post delivery', 'description': 'Proportion of patients with postpartum visit attendance'}, {'measure': 'Primary Care Visit Attendance', 'timeFrame': '3 months post delivery', 'description': 'Proportion of patients with primary care visit attendance'}]}, 'oversightModule': {'oversightHasDmc': False, 'isFdaRegulatedDrug': False, 'isFdaRegulatedDevice': False}, 'conditionsModule': {'keywords': ['Hypertension', 'Postpartum hypertension'], 'conditions': ['Hypertension, Pregnancy-Induced', 'Postpartum Preeclampsia', 'Hypertension; Maternal']}, 'descriptionModule': {'briefSummary': 'Investigators propose a comprehensive management program for postpartum patients with HDP who are at risk for severe maternal morbidity and mortality. Our program will emphasize three key components: 1) self-monitoring of blood pressures with app-based reporting connected to our electronic health record, 2) blood pressure management directed by a program navigator with guideline and physician support and 3) facilitated transitions of care to primary care clinicians for hypertension management. Investigators will randomize 300 patents with HDP on postpartum day one with follow up through 3 months postpartum. Primary outcome will be blood pressure reporting at 7-10 postpartum. Secondary outcomes include blood pressure control at 7-10 days postpartum, identification and treatment of severe blood pressures, severe maternal morbidity, hospital readmission, triage visits for hypertension, postpartum and primary care visit attendance, and multiple patient-reported outcome measures. All outcomes will be stratified by race (Black and non-Black) to evaluate disparities and by tight versus usual blood pressure control to evaluate the impact of strict postpartum blood pressure control on outcomes. Investigators hypothesize that a comprehensive postpartum HDP management program will improve hypertension control for all patients and reduce disparities that affect Black patients, and that stricter blood pressure control will be associated with fewer adverse outcomes.', 'detailedDescription': 'Hypertension complicates 10% of pregnancies in the U.S., directly accounting for 7% of pregnancy-related deaths and 38% of severe maternal morbidity. Hypertensive disorders of pregnancy (HDP) include chronic hypertension, gestational hypertension, preeclampsia, hemolysis-elevated-liver enzymes-low platelets (HELLP), and eclampsia, and occur 2.5 times more frequently among Black compared to non-Black patients. The weeks after delivery are crucial for maternal health, severe maternal morbidity, and hypertension-associated morbidity. Half of all pregnancy-related deaths occur in this time and Black patients are impacted disproportionally by these morbidities including pulmonary edema, stroke, and renal failure.\n\nThe American College of Obstetricians and Gynecologists (ACOG) recently redefined postpartum care to encompass 12 months after birth and stressed the importance of connecting postpartum patients to primary care clinicians to manage chronic conditions. This handoff is critical as 50% of patients with HDP develop chronic hypertension, and patients affected by HDP have twice the risk of later cardiovascular-related death. Recently, Tennessee expanded Medicaid coverage to 12 months postpartum. Given that most obstetric clinicians do not provide comprehensive primary care, investigators urgently need models for bridging gaps in care after pregnancy. While interventions such as telemedicine and peer navigation demonstrate promise to improve patient engagement in care and reduce postpartum racial disparities,15-18 no randomized trials address system-level initiatives to improve postpartum care for patients with HDP.\n\nAnother area of active investigation relates to establishing appropriate blood pressure targets for patients in and around the time of pregnancy. Recent findings from the Chronic Hypertension and Pregnancy Trial suggest that stricter control of antepartum blood pressure is beneficial in reducing the incidence of a composite adverse perinatal outcome which included preeclampsia with severe features, medically indicated preterm birth at less than 35 weeks of gestation, placental abruption, and fetal or neonatal death. This trial has been practice-changing, lowering the historic antepartum blood pressure target from 160/110mmHg (millimeter of mercury) to less than 140/90mmHg. However, this trial did not contemplate the management of maternal blood pressure in the postpartum period. ACOG presently endorses a postpartum goal of less than 150/100mmHg which, notably, is higher than the newly established antepartum goal. Furthermore, the blood pressure target set for non-pregnant adults by the American College of Cardiology and American Heart Association is even lower, at less than 120/80mmHg to minimize the cardiovascular disease risk associated with chronic hypertension.\n\nInvestigators propose a comprehensive management program for postpartum patients with HDP who are at risk for severe maternal morbidity and mortality. Our program will emphasize three key components: 1) self-monitoring of blood pressures with app-based reporting connected to our electronic health record, 2) blood pressure management directed by a program navigator with guideline and physician support and 3) facilitated transitions of care to primary care clinicians for hypertension management. Investigators will randomize 300 patents with HDP on postpartum day one with follow up through 3 months postpartum. Primary outcome will be blood pressure reporting at 7-10 postpartum. Secondary outcomes include blood pressure control at 7-10 days postpartum, identification and treatment of severe blood pressures, severe maternal morbidity, hospital readmission, triage visits for hypertension, postpartum and primary care visit attendance, and multiple patient-reported outcome measures. All outcomes will be stratified by race (Black and non-Black) to evaluate disparities and by tight versus usual blood pressure control to evaluate the impact of strict postpartum blood pressure control on outcomes. Investigators hypothesize that a comprehensive postpartum HDP management program will improve hypertension control for all patients and reduce disparities that affect Black patients, and that stricter blood pressure control will be associated with fewer adverse outcomes.'}, 'eligibilityModule': {'sex': 'FEMALE', 'stdAges': ['ADULT', 'OLDER_ADULT'], 'minimumAge': '18 Years', 'genderBased': True, 'genderDescription': 'Women who have recently given birth. The aim of this study evaluate post-partum hypertension care.', 'healthyVolunteers': False, 'eligibilityCriteria': 'Inclusion Criteria\n\n1. Age \\>18 years\n2. Diagnosed with a Hypertensive Disorder of Pregnancy (HDP), which includes chronic hypertension, preeclampsia, gestational hypertension, HELLP Syndrome (Hemolysis, Elevated Liver enzymes, Low Platelets), or eclampsia (O10, O11, O13, O14, O15, O16) Exclusion Criteria\n\n1\\. Not able or willing to receive electronic surveys 2. Deemed inappropriate for study enrollment by the bedside nurse 3. Non-English speaking 4. Contraindication to ACOG-recommended hypertension control (i.e. chronic kidney disease, stroke)'}, 'identificationModule': {'nctId': 'NCT05849103', 'briefTitle': 'Comprehensive Postpartum Management for Women With Hypertensive Disorders of Pregnancy', 'organization': {'class': 'OTHER', 'fullName': 'Vanderbilt University Medical Center'}, 'officialTitle': 'Comprehensive Postpartum Management for Women With Hypertensive Disorders of Pregnancy: A Randomized Controlled', 'orgStudyIdInfo': {'id': 'R21NR020857-01', 'link': 'https://reporter.nih.gov/quickSearch/R21NR020857-01', 'type': 'NIH'}}, 'armsInterventionsModule': {'armGroups': [{'type': 'ACTIVE_COMPARATOR', 'label': 'A) Standard BP Control, Clinician Monitoring', 'description': 'Target blood pressure will be less than 150/100. Participants will be instructed to check their blood pressures twice a day for two weeks and daily for weeks 3-6 after delivery and report abnormal blood pressures or symptoms to their obstetric clinicians. Additional postpartum visits beyond the blood pressure check will be directed by their obstetric clinician.', 'interventionNames': ['Other: Blood Pressure Control Targets', 'Other: Hypertension Management']}, {'type': 'ACTIVE_COMPARATOR', 'label': 'B) Tight BP Control, Clinician Monitoring', 'description': 'Target blood pressure will be less than 140/90. Participants will be instructed to check their blood pressures twice a day for two weeks and daily for weeks 3-6 after delivery and report abnormal blood pressures or symptoms to their obstetric clinicians. Additional postpartum visits beyond the blood pressure check will be directed by their obstetric clinician.', 'interventionNames': ['Other: Blood Pressure Control Targets', 'Other: Hypertension Management']}, {'type': 'ACTIVE_COMPARATOR', 'label': 'C) Standard BP Control, Care Navigation', 'description': "Target blood pressure will be less than 150/100. Participants will check blood pressures twice daily for 14 days and daily for weeks 3-6. A nurse navigator will review their blood pressures M-F for Weeks 1-2 and weekly for weeks 3-6 and will provide feedback on blood pressure values and recommend initiating or escalating medications as needed. The nurse navigator will communicate progress to the participant's clinicians and will remind the participant of their appointments. The nurse navigator will facilitate a visit around 3 months with a primary care clinician or a cardiologist for hypertension follow up.", 'interventionNames': ['Other: Blood Pressure Control Targets', 'Other: Hypertension Management']}, {'type': 'ACTIVE_COMPARATOR', 'label': 'D) Tight BP Control, Care Navigation', 'description': "Target blood pressure will be less than 140/90. Participants will check blood pressures twice daily for 14 days and daily for weeks 3-6. A nurse navigator will review their blood pressures M-F for Weeks 1-2 and weekly for weeks 3-6 and will provide feedback on blood pressure values and recommend initiating or escalating medications as needed. The nurse navigator will communicate progress to the participant's clinicians and will remind the participant of their appointments. The nurse navigator will facilitate a visit around 3 months with a primary care clinician or a cardiologist for hypertension follow up.", 'interventionNames': ['Other: Blood Pressure Control Targets', 'Other: Hypertension Management']}], 'interventions': [{'name': 'Blood Pressure Control Targets', 'type': 'OTHER', 'description': 'This intervention specifies the goal blood pressure as less than 150/100 versus less than 140/90', 'armGroupLabels': ['A) Standard BP Control, Clinician Monitoring', 'B) Tight BP Control, Clinician Monitoring', 'C) Standard BP Control, Care Navigation', 'D) Tight BP Control, Care Navigation']}, {'name': 'Hypertension Management', 'type': 'OTHER', 'description': 'This intervention specifies whether the participant has hypertension management through their obstetric clinician or through a single nurse navigator who provides feedback and modifies hypertension treatment based on blood pressure values submitted by the participant.', 'armGroupLabels': ['A) Standard BP Control, Clinician Monitoring', 'B) Tight BP Control, Clinician Monitoring', 'C) Standard BP Control, Care Navigation', 'D) Tight BP Control, Care Navigation']}]}, 'contactsLocationsModule': {'locations': [{'zip': '37215', 'city': 'Nashville', 'state': 'Tennessee', 'country': 'United States', 'facility': 'Vanderbilt University Medical Center', 'geoPoint': {'lat': 36.16589, 'lon': -86.78444}}], 'overallOfficials': [{'name': 'Sarah Osmundson, MD', 'role': 'PRINCIPAL_INVESTIGATOR', 'affiliation': 'Associate Professor Maternal-Fetal Medicine'}]}, 'sponsorCollaboratorsModule': {'leadSponsor': {'name': 'Vanderbilt University Medical Center', 'class': 'OTHER'}, 'collaborators': [{'name': 'Sarah Osmundson, MD, MS', 'class': 'UNKNOWN'}, {'name': 'Alex Phelps, MD', 'class': 'UNKNOWN'}, {'name': 'Julia Phillippi, PhD, CNM', 'class': 'UNKNOWN'}, {'name': 'Soha Patel, MD, MSPH', 'class': 'UNKNOWN'}, {'name': 'Etoi Garrison, MD, PhD', 'class': 'UNKNOWN'}, {'name': 'Kathryn Lindley, MD', 'class': 'UNKNOWN'}], 'responsibleParty': {'type': 'PRINCIPAL_INVESTIGATOR', 'investigatorTitle': 'Principal Investigator', 'investigatorFullName': 'Sarah Osmundson', 'investigatorAffiliation': 'Vanderbilt University Medical Center'}}}}