Management of Postpartum Preeclampsia (MOPP)
Postpartum Preeclampsia
About this trial
This is an interventional treatment trial for Postpartum Preeclampsia
Eligibility Criteria
Inclusion Criteria: Chronic hypertension, gestational hypertension, or preeclampsia. Delivery of a neonate after 20 weeks during their current hospitalization Able to consent 18 years old or above English or Spanish speaking Planning to follow up with a physician associated with Robert Wood Johnson University Hospital or Cooperman Barnabas Medical Center Ability to follow directions Exclusion Criteria: Any medical condition that the providers feel is a contraindication to the MOPP algorithm. Planning to follow up with an outside institution. Unwillingness to take blood pressure at home.
Sites / Locations
- Cooperman Barnabas Medical Center
- Robert Wood Johnson Medical SchoolRecruiting
Arms of the Study
Arm 1
Arm 2
Experimental
No Intervention
Prospective interventional arm
Retrospective observational arm
The prospective cohort will identify patients in the postpartum period of their delivery hospitalization who are at risk of readmission for hypertensive disorders in the initial six weeks postpartum. Those at risk include patients with diagnosed with chronic hypertension or PIH. Chronic hypertension is defined as either taking antihypertensive medications or a blood pressure of greater than or equal to 140/90 mm Hg prior to 20 weeks of gestation. Pregnancy induced hypertension includes gestational hypertension, preeclampsia without severe features, preeclampsia with severe features and Hemolysis, Elevated Liver enzymes and Low Platelets (HELLP). The minimum requirement to be diagnosed with this spectrum of disorders is having two blood pressures of greater than or equal to 140/90 mm Hg during the antepartum, intrapartum or postpartum periods.
The retrospective cohort will include all patients diagnosed with chronic hypertension or pregnancy-induced hypertensive (PIH) disorders at Robert Wood Johnson University Hospital and Cooperman Barnabas Medical Center in the past two years, including those presenting to the Emergency Department or readmitted for hypertensive disorders, during the immediate six weeks postpartum.