Overview

A multicenter randomized trial that will compare the effectiveness of two postpartum blood pressure (BP) management strategies in improving blood pressure and cardiac function and increasing patient engagement and feeling of control over one's health

Eligibility

Inclusion Criteria:

• Age ≥18 years
• Delivery within 14 days
• Diagnosis of preeclampsia or gestational hypertension with or without severe features during pregnancy or within 14 days postpartum
• Initiation of blood pressure medication prior to hospital discharge and up to 14 days postpartum
• English or Spanish speaking (able to read/understand consent and instructions)
• Has phone texting capabilities

Exclusion Criteria:

• Diagnosis of chronic hypertension prior to delivery (would therefore include super imposed preeclampsia)
• Pre-existing cardiovascular disease (including prior myocardial infarction, stroke, heart failure with reduced ejection fraction, ventricular tachycardia, prior cardiac arrest, pacemaker, severe valvular heart disease, or prior cardiac surgery)
• Chronic kidney disease (stage 3 or higher)
• Using ≥3 BP medications at time of enrollment