This pilot, exploratory qualitative, descriptive study will examine whether standard postpartum discharge education, a free home blood pressure cuff, and an "At-Risk Postpartum" bracelet support self-management among postpartum patients newly diagnosed with preeclampsia or gestational hypertension at Memorial Hermann Memorial City Medical Center. Up to 40 eligible patients will receive standard postpartum education supplemented with blood pressure monitoring instruction, the Preeclampsia Foundation's blood pressure guidance sheet, and a bracelet intended to serve as a visual reminder of postpartum risk. Participants will complete virtual interviews at 6 and 10 weeks post-discharge to assess home blood pressure monitoring, knowledge retention, perceived usefulness of the bracelet, self-advocacy, and barriers to following recommended self-management behaviors. Findings will help determine whether these low-burden educational and practical tools can improve postpartum awareness, engagement, and safety, and will inform the design of a larger future study.
None
Patients with a preexisting diagnosis of chronic hypertension or PE, or are currently on antihypertensive medications (as these factors may influence self-management behaviors and outcomes).
Single group
Education, Blood Pressure Cuff, and Visual Cue Bracelet
Other interventionIn Family Life Center the intervention will be to provide standard education, at-risk bracelet, and BP cuff on discharge day. We are combining these practical tools to enhance self-management, knowledge, and engagement.
Evidence of Blood Pressure Self-Management
The primary outcome measure assesses whether the intervention supports postpartum blood pressure self-management among participants newly diagnosed with gestational hypertension or preeclampsia. This outcome is evaluated through the 6-week and 10-week semi-structured interview by asking participants if they are using tools to measure their blood pressure, and what action they are taking to manage their blood pressure and what barriers they face.
Postpartum Bracelet Stimulates Self-Management Behaviors
The secondary outcome measure evaluates whether the "At-Risk Postpartum" bracelet serves as a visual reminder that reinforces self-management of preeclampsia and gestational hypertension. The semi-structure interviews address this outcome by asking participants at 6 and 10 weeks whether they wear the postpartum bracelet, why or why not, what value the bracelet adds if they wear it, and whether something else inspires them to take care of themselves if they do not wear it.
In Hospital Preeclampsia Education on Self-Management
The tertiary outcome measure determines whether participants retain the in-hospital education they received about preeclampsia signs and symptoms, blood pressure management, and appropriate follow-up actions. This is assessed through the semi-structured interviews by asking participants, in their own words, to describe signs and symptoms associated with preeclampsia, what they would do if they recognized those symptoms, and whether they remember any education about preeclampsia and blood pressure management if they are unable to identify the signs and symptoms.
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