Conclusion
Our results demonstrated high
engagement and retention of overweight and obese postpartum individuals
in a randomized control trial in the first year following a hypertensive
disorder of pregnancy. We found that home blood pressure monitoring
(HBPM) in combination with a lifestyle intervention showed a trend of
lower blood pressure and significantly greater decrease in sodium intake
in this high-risk population. Our findings warrant confirmation with a
larger trial powered to show differences in blood pressure and weight
outcomes. We detected high rates of ongoing hypertension and significant
weight retention postpartum, suggesting that interventions beyond HBPM
and lifestyle coaching may be needed to lower blood pressure and support
weight loss.