Trauma-informed Approach to Timely Detection and Management of Early Postpartum Hypertension

Description

The investigators primary project goal is to improve clinical outcomes, including mental health outcomes, among postpartum at-risk women experiencing health disparities by increasing awareness, detection, and timely care of postpartum hypertension, mental health and cardiovascular complications. The investigators will accomplish this by comparing the effectiveness of two multi-component multi-level healthcare delivery models focused on early detection and control of postpartum hypertension and the social and mental health factors known to impact maternal outcomes, with the current standard of care and with each other.

Conditions

Postpartum Hypertension

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Study Overview

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Study Details

Study overview

The investigators primary project goal is to improve clinical outcomes, including mental health outcomes, among postpartum at-risk women experiencing health disparities by increasing awareness, detection, and timely care of postpartum hypertension, mental health and cardiovascular complications. The investigators will accomplish this by comparing the effectiveness of two multi-component multi-level healthcare delivery models focused on early detection and control of postpartum hypertension and the social and mental health factors known to impact maternal outcomes, with the current standard of care and with each other.

Community-based, Family-centered, Trauma-informed Approach to Timely Detection and Management of Early Postpartum Hypertension

Trauma-informed Approach to Timely Detection and Management of Early Postpartum Hypertension

Condition
Postpartum Hypertension
Intervention / Treatment

-

Contacts and Locations

New Haven

Yale New Haven Hospital, New Haven, Connecticut, United States, 06520

Worcester

University of Massachusetts Memorial Health, Worcester, Massachusetts, United States, 01655

Buffalo

Oishei Children's Hospital University at Buffalo, Buffalo, New York, United States, 14203

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

For general information about clinical research, read Learn About Studies.

Eligibility Criteria

  • * Delivery of singleton live birth (twins reduced to singleton or with vanishing twin syndrome prior to 14 weeks qualify)
  • * Postpartum
  • * English or Spanish speaking
  • * Viable pregnancy 24 weeks of gestation or above (Child can be in NICU to participate)
  • * Medicaid or the equivalent within each state (for example, Connecticut has Husky insurance) or uninsured
  • * Must living in one of the three states involved in this study (Connecticut, Massachusetts, New York) and preferably within the geographical area of each of the hospitals
  • * Multifetal pregnancy (since are they at increased risk for key outcomes)
  • * Gestational age \<24 weeks;
  • * Known major fetal anomaly in current pregnancy or stillbirth
  • * Actively using illicit/illegal substances (such as cocaine, heroin and other types of illicit opiates such as fentanyl) as noted in delivery hospitalization notes
  • * Active suicidal ideation with intent and plan
  • * Known primary psychotic disorder (i.e. schizophrenia, or schizoaffective disorder)
  • * Plans to move out of the state within 6 months
  • * Incapable of consent
  • * Severe medical complications that don't allow a mother to do the study effectively (for example, active treatment for cancer, dialysis etc. )
  • * Physician or provider refusal
  • * Patient refusal
  • * Incarcerated or institutionalized
  • * Stillbirth

Ages Eligible for Study

18 Years to

Sexes Eligible for Study

FEMALE

Accepts Healthy Volunteers

No

Collaborators and Investigators

Yale University,

Rafael Pérez-Escamilla, PhD, PRINCIPAL_INVESTIGATOR, Yale University

Study Record Dates

2027-10