Optimizing Gestational Weight Gain, Birth Weight and Other Perinatal Outcomes Among Pregnant Women at Risk of Hypertension in Pregnancy
Hypertension, Pregnancy-Induced, Hypertension, Essential Hypertension, Hypertension; Pre-Eclampsia
About this trial
This is an interventional prevention trial for Hypertension, Pregnancy-Induced focused on measuring Eclampsia,, Pre-Eclampsia, Low birthweight, Wearable, continuous monitoring
Eligibility Criteria
Inclusion Criteria:
- High risk pregnancy
- At 12-16 weeks of gestation
- Aged between 15 to 50 years
- Living in Matlab bangladesh
Exclusion Criteria:
- Have congenital malformation/anomaly in current pregnancy
- Current pregnancy have chromosomal abnormality e.g. Down syndrome
- Have chronic debilitating illness
- Mother is a known case of psychosis
- Who do not have electricity at their house
- Do not have smart phone at their house
Sites / Locations
- Icddr,BRecruiting
Arms of the Study
Arm 1
Arm 2
Experimental
No Intervention
Intervention
Control group
Women in the intervention arm will be provided with the "Health Gauge" device. With this device, the women will be able to do self-monitoring of blood pressure as well as a few other things like heart rate, daily activities. Investigators will train our study participants (high-risk pregnant women) on how to use Salu Health Gauge to measure BP as well as how to charge them. Trained FFWs will visit the households weekly and synchronize the device with a tablet computer to collect the stored data. The FFWs will measure the weight of the participants using a digital weighing scale at enrollment and on a monthly bases thereafter. Investigators will keep monitoring up to termination of pregnancy. in any health issue arises, our health worker will ensure that an appropriate referral is made to a tertiary care facility. This intervention will be in addition to the conventional antenatal and postnatal care.
All those women randomized to the control arm will receive conventional antenatal and postnatal care only. Investigators will collect the outcome data from the households and/or the health centers by follow-up visits or over phone. Investigators will consell participants, women both in the control group, to make at least four antenatal visits. In addition, Investigators will provide counselling about eating healty and keeping physically active during pregnancy. Investigators will provide general nutrition education on taking balanced energy and protein diet.