mHealth for Hypertensive Disorder of Pregnancy
Hypertensive Disorder of Pregnancy, Preeclampsia
About this trial
This is an interventional treatment trial for Hypertensive Disorder of Pregnancy
Eligibility Criteria
Inclusion Criteria: Diagnosis: 1 or 2 Pregnant women diagnosed with hypertensive disorders of pregnancy at or beyond 12 weeks of gestation: Chronic hypertension: Diagnosed with hypertension within 20 weeks of gestation (elevated office/clinic blood pressure ≥140/90 mm Hg) or currently on antihypertensive medication. Gestational hypertension: Newly diagnosed with hypertension after 20 weeks of gestation (elevated office/clinic blood pressure ≥140/90 mm Hg) or currently on antihypertensive medication. Preeclampsia: Newly diagnosed with hypertension after 20 weeks of gestation (elevated office/clinic blood pressure ≥140/90 mm Hg) or currently on antihypertensive medication, and presents with proteinuria (300 mg/24 hours or urine protein-to-creatinine ratio ≥0.3), thrombocytopenia (less than 100,000 platelets per microliter), abnormal renal function (creatinine exceeding 1.1 or doubling of baseline), elevated liver enzymes (twice normal levels), neurological symptoms (headache, visual disturbances, seizures, etc.), and/or pulmonary edema. Superimposed preeclampsia: Diagnosed with hypertension within 20 weeks of gestation (elevated office/clinic blood pressure ≥140/90 mm Hg) or currently on antihypertensive medication and experiences symptoms or signs related to superimposed preeclampsia. Pregnant women at elevated risk for hypertensive disorders of pregnancy: Multifetal gestation, obesity, uncontrolled gestational or pre-existing diabetes, history of hypertensive disorder of pregnancy leading to preterm birth, presence of borderline blood pressure readings during antepartum care (elevated office/clinic blood pressure ≥130/80 mm Hg) following a previous diagnosis of hypertension-related disorder in a prior pregnancy. , and Adult individuals aged 18 years and above who possess a smartphone and are capable of independently utilizing the application among pregnant women. Exclusion Criteria: Patients with evidence of delusions, confusion, or other cognitive disorders. Patients deemed difficult to conduct this study on by the researchers due to various reasons. Cases where device familiarity is significantly low, making data collection challenging. Pregnant patients requiring immediate electronic fetal monitoring or maternal monitoring due to imminent delivery.
Sites / Locations
Arms of the Study
Arm 1
Arm 2
Experimental
No Intervention
App Group
Usual Care Group
Patients assigned to the app group receive assistance from the research team to install the Heart4U application and familiarize themselves with its usage.
The app (n=290) and usual care groups (n-290) continue to receive active treatment as previously administered (guideline-based prenatal care).