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Trial · NCT05236725

Monitoring and Testing of Blood Pressure in Postpartum Women

NCT05236725, Not applicable, Completed, Wake Forest University Health Sciences; results first posted 2026-03-02

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Monitoring and Testing of Blood Pressure in Postpartum Women. Trials, record NCT05236725. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT05236725

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
Monitoring and Testing of Blood Pressure in Postpartum Women
NCT number
NCT05236725
Status
Completed
Phases
Not applicable
Enrollment
1,607 participants, actual
Lead sponsor
Wake Forest University Health Sciences
Conditions
Hypertension
Interventions
Remote Blood Pressure Cuff, Blood pressure monitoring smart phone app, BabyScripts™, Instructions
First posted
2022-02-11
Last updated
2026-03-19
Results first posted
2026-03-02

Source ClinicalTrials.gov

Registered outcomes13

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryMedian Number of Remote Blood Pressure (rBPM) Measurements Obtained Per ParticipantDischarge through Week 3 postpartum
Used to determine feasibility of remote blood pressure monitoring intervention (rBPM) in postpartum women. This measure represents the median number of remote blood pressure monitoring (rBPM) measurements collected per participant during the study period. The total number of rBPM readings obtained for each participant was calculated, and the median value across all participants in the analysis population was reported
PrimaryProportion of Participants Monitoring Blood Pressure (BP) According to American College of Obstetricians and Gynecologists (ACOG) GuidelinesDischarge through Day 10 postpartum
This outcome measures the proportion of participants whose postpartum blood pressure monitoring adhered to American College of Obstetricians and Gynecologists (ACOG) recommendations. Adherence includes: Initial Monitoring (first 72 hours postpartum): inpatient or equivalent monitoring for women with pregnancy-related hypertension; and Early Follow-Up (3-10 days postpartum): documentation of a follow-up visit or remote blood pressure check within 3-10 days after hospital discharge. Monitoring data will be obtained from electronic health records and remote blood pressure monitoring logs. Participants are counted once if they met both ACOG-recommended monitoring intervals.
PrimaryMedian Total Cost of Health CareFrom discharge through week 8 postpartumCost of hospital based medical care of subjects in US dollars.
PrimaryNumber of Participants Experiencing at Least One Day With a Severe Hypertension EventDischarge through week 1 postpartum
This measure captures the number of participants who experienced one or more days in which a severe hypertension event occurred. A participant is counted once if they had ≥1 day meeting severe hypertension criteria, regardless of the total number of qualifying days. A severe or critical hypertensive event is defined as any blood pressure reading in which the systolic value is ≥160 mmHg and/or the diastolic value is ≥110 mmHg.
PrimaryNumber of Participants Experiencing at Least One Day With a Severe Hypertension EventDischarge through week 3 postpartum
This measure captures the number of participants who experienced one or more days in which a severe hypertension event occurred. A participant is counted once if they had ≥1 day meeting severe hypertension criteria, regardless of the total number of qualifying days. A severe or critical hypertensive event is defined as any blood pressure reading in which the systolic value is ≥160 mmHg and/or the diastolic value is ≥110 mmHg.
PrimaryNumber of Participants With One or More Urgent or Emergent Care EncountersDischarge through week 3 postpartum
The study team will use the electronic health record (EHR) to identify the number of participants who had one or more encounters at Emergency Department, Obstetric Triage, or Urgent Care facilities affiliated with Atrium Health Wake Forest Baptist. Encounters will be identified using visit type classifications and associated encounter codes documented in the EHR. Only encounters occurring within the specified study time frame and attributable to enrolled participants will be included. Each participant will be counted once regardless of the total number of urgent or emergent care visits they experienced.
SecondaryMedian Number of Encounters for Urgent or Emergent CareDischarge through week 8 postpartumStudy team will use the electronic health record to identify encounters to the Emergency Department, OB Triage, and Urgent Care facilities
SecondaryAcceptability of rBPM in Postpartum PeriodWeek 3 postpartum
Survey to determine subject's level of satisfaction with use of the rBPM tools. Survey responses will be compared among subjects from varying demographic and socioeconomic groups. Survey is designed utilizing a Likert-type scale with 1-2 being higher level of acceptability, 3 being neutral, and 4-5 being lower level of acceptability of the rBPM tools. Study team will report the overall proportion and estimate the proportion of women with higher vs. lower levels of acceptability among women of different demographic and socioeconomic groups. This aim only applies to the women in the treatment (rBPM) arm.
SecondaryMedian Length of Stay (LOS) in Hospital After DeliveryBaseline (date of delivery) through discharge, assessed for up to 8 weeks postpartum
SecondaryMedian Number of Hospital ReadmissionsDischarge through week 8 postpartum

Outcomes13

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYMedian Number of Remote Blood Pressure (rBPM) Measurements Obtained Per ParticipantDischarge through Week 3 postpartum
Remote blood pressure monitoring was not implemented as part of usual care in the Standard of Care (SOC) arm. Participants assigned to the SOC arm did not receive remote BP devices, and no remote BP measurements were collected from this group. Therefore, no data for this outcome are available for SOC participants
Number of rBPM measurementsMEDIAN
PRIMARYProportion of Participants Monitoring Blood Pressure (BP) According to American College of Obstetricians and Gynecologists (ACOG) GuidelinesDischarge through Day 10 postpartumProportion of participantsNUMBER
PRIMARYMedian Total Cost of Health CareFrom discharge through week 8 postpartumThere were 190 subjects in the SOC group and 157 subjects in the rBPM group that did not have total medical cost data available.US dollarsMEDIAN
PRIMARYNumber of Participants Experiencing at Least One Day With a Severe Hypertension EventDischarge through week 1 postpartumNumber of participantsNUMBER
PRIMARYNumber of Participants Experiencing at Least One Day With a Severe Hypertension EventDischarge through week 3 postpartumNumber of participantsNUMBER
PRIMARYNumber of Participants With One or More Urgent or Emergent Care EncountersDischarge through week 3 postpartumNumber of subjectsNUMBER
SECONDARYMedian Number of Encounters for Urgent or Emergent CareDischarge through week 8 postpartum
SECONDARYAcceptability of rBPM in Postpartum PeriodWeek 3 postpartum
SECONDARYMedian Length of Stay (LOS) in Hospital After DeliveryBaseline (date of delivery) through discharge, assessed for up to 8 weeks postpartum
SECONDARYMedian Number of Hospital ReadmissionsDischarge through week 8 postpartum

Results by group15

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Median Number of Remote Blood Pressure (rBPM) Measurements Obtained Per ParticipantRemote Blood Pressure Monitoring (rBPM)6Inter-Quartile Range 0 to 22Number of rBPM measurements
Proportion of Participants Monitoring Blood Pressure (BP) According to American College of Obstetricians and Gynecologists (ACOG) GuidelinesStandard of Care (SOC)0.308Proportion of participants
Proportion of Participants Monitoring Blood Pressure (BP) According to American College of Obstetricians and Gynecologists (ACOG) GuidelinesRemote Blood Pressure Monitoring (rBPM)0.786Proportion of participants
Median Total Cost of Health CareStandard of Care (SOC)1040Inter-Quartile Range 402 to 2510US dollars
Median Total Cost of Health CareRemote Blood Pressure Monitoring (rBPM)1046Inter-Quartile Range 432 to 3386US dollars
Number of Participants Experiencing at Least One Day With a Severe Hypertension EventStandard of Care (SOC)Number of participants having 1 or more severe systolic hypertensive events in a day220 to 0Number of participants
Number of Participants Experiencing at Least One Day With a Severe Hypertension EventRemote Blood Pressure Monitoring (rBPM)Number of participants having 1 or more severe systolic hypertensive events in a day270 to 0Number of participants
Number of Participants Experiencing at Least One Day With a Severe Hypertension EventStandard of Care (SOC)Number of participants having 1 or more severe diastolic hypertensive events in a day40 to 0Number of participants
Number of Participants Experiencing at Least One Day With a Severe Hypertension EventRemote Blood Pressure Monitoring (rBPM)Number of participants having 1 or more severe diastolic hypertensive events in a day340 to 0Number of participants
Number of Participants Experiencing at Least One Day With a Severe Hypertension EventStandard of Care (SOC)Number of participants with severe systolic hypertensive events350 to 0Number of participants

Participant flow6

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDStandard of Care (SOC)833
Overall StudySTARTEDRemote Blood Pressure Monitoring (rBPM)774
Overall StudyCOMPLETEDStandard of Care (SOC)797
Overall StudyCOMPLETEDRemote Blood Pressure Monitoring (rBPM)728
Overall StudyNOT COMPLETEDStandard of Care (SOC)36
Overall StudyNOT COMPLETEDRemote Blood Pressure Monitoring (rBPM)46

Adverse events4

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherHypertensionGeneral disordersStandard of Care (SOC)4579757
otherHypertensionGeneral disordersRemote Blood Pressure Monitoring (rBPM)116728153
seriousHospital readmissionGeneral disordersStandard of Care (SOC)2679726
seriousHospital readmissionGeneral disordersRemote Blood Pressure Monitoring (rBPM)3472835

Adverse event totals6

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityStandard of Care (SOC)1797
Total, all-cause mortalityRemote Blood Pressure Monitoring (rBPM)0728
Total, other adverse eventsStandard of Care (SOC)45797
Total, other adverse eventsRemote Blood Pressure Monitoring (rBPM)116728
Total, serious adverse eventsStandard of Care (SOC)26797
Total, serious adverse eventsRemote Blood Pressure Monitoring (rBPM)34728

Papers0

The papers the trial lists on ClinicalTrials.gov.

None in this release.

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons2

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

ComparisonSource
Remote Blood Pressure Monitoring (rBPM) vs Standard of Care (SOC): deaths from any causeTrial comparisons
Remote Blood Pressure Monitoring (rBPM) vs Standard of Care (SOC): serious adverse eventsTrial comparisons

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT05236725

GET https://conductscience.org/api/trials/v1/NCT05236725/registered