About this trial

The goal of this clinical trial is to learn if a postpartum bundle intervention can improve cardiometabolic health and lifestyle-related factors in women who have had preeclampsia during their first pregnancy. The main questions it aims to answer are:

* Does the 9-month intervention reduce systolic and diastolic blood pressure? * Does the intervention promote postpartum weight loss? * Does the intervention affect weight and blood pressure depending on early pregnancy BMI? Researchers will compare the bundle intervention to standard care to see if the intervention improves cardiometabolic health and lifestyle outcomes.

All participants will attend clinical visits for outcome assessments.

Participants in the intervention group will:

* Receive online targeted screening and group meetings with study personnel * Use the trial-specific PEPP app to access self-monitoring tools for blood pressure and weight, lifestyle modification, and health education * Follow the intervention in two phases: starting after inclusion (≈8 weeks postpartum) with a Light phase (baseline-3 months) and progressing to an Intensive phase (3-9 months)

Eligibility criteria

Qualifiers

First-time mothers postpartum

Preeclampsia during first pregnancy

Age ≥ 18 years

Singleton live birth (infant still alive)

Disqualifiers

Pre-pregnancy hypertension

Diabetes mellitus type I or II

Cardiovascular disease

Kidney disease

Trial design

Treatments tested in this trial

  • Bundle Intervention

Treatment groups

356 Participants
are divided into 2 treatment groups

Locations

2
Karolinska Institutet17177, StockholmStockholm County, Sweden
Karolinska University Hospital17176, StockholmStockholm County, Sweden

Sponsors and collaborators

Karolinska Institutet

Lead sponsor