Clinical trial Recruiting at 1 site Interventional Ages 18 to 45 Women only

Telehealth and remote blood pressure management for pregnant women with chronic high blood pressure

Official title: Feasibility and Safety of Incorporating Telehealth Visits Combined With Remote Blood Pressure Monitoring in the Management of Chronic Hypertension in Pregnancy

Run by Wake Forest University Health Sciences · NCT07356518 · Data updated 2026-11-12

This study tests whether alternating telehealth visits with home blood pressure monitoring and health coaching helps pregnant women (18–45) with chronic high blood pressure compared with standard in-person care.

More Hypertension trials

Quick facts

Study typeInterventional
Ages18 Years to 45 Years
SexWomen only
Enrollment60 (estimated)
SponsorWake Forest University Health Sciences
Academic / other
Locations1 site (Winston-Salem, North Carolina)
StatusRecruiting
StartedApril 22, 2026
Main results expectedDecember 2026
Study endsDecember 2026
Registry record updatedApril 27, 2026
Trial IDNCT07356518 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are pregnant women aged 18–45 with a documented diagnosis of chronic hypertension or on antihypertensive medication before pregnancy who receive prenatal care and plan to deliver at Atrium Health Wake Forest Baptist.

Probably not a fit

Patients with severe hypertension, significant cardiac disorders, multifetal pregnancy, current substance abuse, prior stroke, major fetal abnormalities, or those planning to deliver outside the study hospital are excluded and unlikely to benefit from this protocol.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

Pregnant women with chronic hypertension are assigned to either alternating telehealth visits with remote blood pressure monitoring plus five health coaching sessions or to standard in-person clinic visits. Telehealth participants alternate telehealth and clinic visits every two weeks until pregnancy week 31 and receive five phone or video coaching sessions through week 36, while the control group follows usual in-person care. The study focuses on feasibility outcomes (willingness to enroll, completion rate, adherence to monitoring) and also explores safety outcomes related to blood pressure control and pregnancy complications through delivery. Participation continues until the baby is delivered and requires the ability to use telehealth technology and plan to deliver at the study hospital.

Why it matters

Potential benefit: If successful, this approach could reduce in-person visit burden, improve home blood pressure monitoring and medication adherence, and potentially lower hypertension-related admissions during pregnancy.

How similar studies have gone: Some prior digital blood pressure management programs in high-risk pregnancies showed fewer hypertension-related admissions, but evidence specifically for chronic hypertension in pregnancy is limited.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* prior diagnosis of Chronic hypertension (cHTN)
* Pregnant women
* Known: documented diagnosis or on antihypertensive medication prior to pregnancy

Exclusion Criteria:

* Any significant chronic medical or psychiatric illness that, in the investigator's opinion, would prevent participation in the study
* Cardiac disorders: cardiomyopathy, angina, Coronary Artery Disease (CAD)
* Current substance abuse disorder
* Multifetal pregnancy
* Participation in another study without prior approval
* Plan to deliver outside Atrium Health Wake Forest Baptist
* Prior stroke
* Severe hypertension
* Suspected or known fetal major structural/chromosomal abnormality or fetal demise

Where it's running

  • Wake Forest University Health Sciences
    Winston-Salem, North Carolina, United States
    Recruiting

Study contacts

Similar studies

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How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.