Improving Heart Health Care for Women After Pregnancy with High Blood Pressure Disorders

What this Trial Is About

Cardiovascular disease is the leading cause of death among women in the United States, and women who have had hypertensive disorders during pregnancy face twice the risk of developing cardiovascular disease later in life compared to those with uncomplicated pregnancies. This research focuses on a patient-centered approach during the postpartum period to improve engagement in cardiovascular preventive care. The study aims to fill gaps in knowledge about the needs, values, and barriers faced by postpartum women at risk and to test a supportive tool designed to enhance prevention efforts. The study involves a decision aid developed from qualitative research and stakeholder input. This tool provides information about cardiovascular risks after hypertensive pregnancy disorders and offers exercises to help set goals for blood pressure, weight, glucose control, physical activity, and smoking cessation. It also includes guidance on self-care steps and helps women clarify their values and priorities for cardiovascular risk management. Participants either use this decision aid during the postpartum period or receive standard postpartum care. Participants will be involved during the postpartum period, using the decision aid or receiving usual care. Researchers will assess decisional conflict at 6 to 8 weeks postpartum and again one month after the initial assessment. The study tracks patient knowledge, self-efficacy, and engagement in cardiovascular prevention. The total study duration spans from enrollment through postpartum follow-up, with ongoing monitoring of how well participants engage with prevention strategies and make informed decisions about their cardiovascular health.

Optimizing Cardiovascular Preventive Care for Women Following Hypertensive Disorders of Pregnancy