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Postpartum Home Visiting (HEART at Home)
Sponsor: Washington University School of Medicine
Summary
The goal of this clinical trial is to learn whether HEART at Home (Home-based Engagement And Remote Treatment for Hypertension), a home-based postpartum hypertension care program, is feasible and acceptable for people with high blood pressure after delivery and the health care teams caring for them. The main questions it aims to answer are: Is HEART at Home feasible to deliver, including successful enrollment, completion of home visits and blood pressure monitoring, and delivery of the planned intervention? Is HEART at Home acceptable to participants and health care providers? The study will also explore changes in blood pressure control and track emergency room visits and hospital readmissions related to high blood pressure. Participants will: Measure their blood pressure at home using a provided blood pressure cuff and securely share their readings with the health care team. Receive home visits and phone or text check-ins from trained postpartum doulas for the first three months after delivery. Doulas will provide education, assist with blood pressure monitoring, and help participants connect with ongoing medical care. Have their blood pressure readings reviewed by nurses and doctors, who may adjust blood pressure medications as needed. At 12 weeks after delivery, a plan set for ongoing care with a primary care provider or heart specialist.
Official title: HEART at Home: Improving Postpartum Cardiovascular Outcomes Through Implementation of a Hybrid Home-Based and Remote Blood Pressure Management Model for Hypertensive Disorders of Pregnancy
Key Details
Gender
FEMALE
Age Range
18 Years - Any
Study Type
OBSERVATIONAL
Enrollment
10
Start Date
2026-07-01
Completion Date
2026-10-15
Last Updated
2026-09-22
Healthy Volunteers
No
Interventions
HEART at Home
The intervention integrates biweekly home visitor-led BP monitoring and health education, extended rBPM through 12 weeks, protocol-driven escalation to the clinical team, and clinician-supervised medication management and telehealth follow-up. Core components of HEART at Home include: 1) home visiting-based BP measurement and support for patient-initiated rBPM between visits, 2) cardiovascular risk assessment and patient education, 3) protocolized clinical escalation and pharmacologic management, and 4) facilitated linkage to longitudinal clinical care.
Locations (1)
Barnes Jewish Hospital
St Louis, Missouri, United States