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.