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Community Health Worker Support to Lower Blood Pressure After a Pregnancy With High Blood Pressure

RecruitingNAAges 16 Years - 56 YearsFemaleUniversity of Alabama at Birmingham
NCT07778966 on ClinicalTrials.gov ↗
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In plain words

What the trial is, and whether it could suit you

High blood pressure during or after pregnancy (such as preeclampsia, gestational hypertension, eclampsia, or Hemolysis, Elevated Liver enzymes, and Low Platelet (HELLP) syndrome) raises a mother's risk of heart disease later in life. Many patients do not return for follow-up care after delivery, missing a key window to protect their heart health. The Alabama Womb to Heart Solution (AW2H) trial will test whether pairing postpartum patients with a trained community health worker (CHW) for 6 months lowers blood pressure compared with usual care. A total of 174 postpartum patients who had pregnancy-associated hypertension or stage 2 high blood pressure will be randomly assigned (1:1) to usual care or usual care plus the AW2H CHW program. All participants receive education on measuring their own blood pressure and a pregnancy-validated home blood pressure monitor. Participants in the CHW gro

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📋 Eligibility rules (as published)
Inclusion Criteria: * Postpartum patients with pregnancy-associated hypertension (gestational hypertension, preeclampsia, eclampsia, hypertension with superimposed preeclampsia, or hemolysis, elevated liver enzymes, and low platelet count \[HELLP\] syndrome) or stage 2 hypertension per American College of Cardiology/American Heart Association (ACC/AHA) guidelines (systolic blood pressure \[SBP\] \>=140 mmHg or diastolic blood pressure \[DBP\] \>=90 mmHg) on two separate occasions at delivery-related hospital discharge or during the postpartum period * Delivered in the last six weeks at \>=14 weeks gestational age, including pregnancy loss * 16-56 years old * Speaks and writes in English * Delivering at University of Alabama at Birmingham (UAB) Hospital Exclusion Criteria: * Declines randomization * Does not speak English * Currently incarcerated * Currently enrolled in other community health worker studies or services
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What it tests

  • Alabama Womb to Heart Solution (AW2H) Community Health Worker (CHW) Program
  • Usual postpartum care with self-measured blood pressure education and home blood pressure monitor
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Where

1 site
University of Alabama at Birmingham (UAB Women and Infants Center)
Birmingham, United States
🤝 Taking part is your choice, and you can leave at any time. Only the trial team can confirm you are eligible — always decide together with your own doctor.
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