ArticlePregnancy (Hoboken, N.J.)2026
Bridging care gaps: A qualitative study of postpartum health coaching for hypertensive disorders of pregnancy.
Article in Pregnancy (Hoboken, N.J.), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05685251 (Staying Healthy After Childbirth), which is not on this map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Staying Healthy After Childbirth: My Hypertension Education and Reaching Target Program for Postpartum (STAC-MyHEARTp)
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Introduction: Hypertensive disorders of pregnancy (HDPs) affect approximately one in seven US deliveries and are associated with significant adverse maternal health outcomes. Standard postpartum care, typically a single 6-week visit, is insufficient for ongoing HDP management, education, and support. Combining home blood pressure monitoring with health coaching may enhance self-management, lifestyle change, and engagement with care, yet patient perspectives remain underexplored. This qualitative study examined 1-year postpartum experiences among birthing people with HDPs and explored perceptions of a postpartum health coaching intervention. Methods: This qualitative study was embedded within the STAC-MyHEARTp randomized trial (NCT05685251), which compared home blood pressure monitoring plus health coaching to usual care. Using an explanatory sequential design, semi-structured interviews were conducted posttrial and analyzed thematically. Self-Determination Theory and Self-Regulation Theory guided coding and interpretation, with comparison across intervention and control arms. Results: Thirty-two participants (16 per arm) completed interviews. Four themes were identified: (1) postpartum experiences were emotionally and medically challenging, characterized by fear, anxiety, and hypervigilance; (2) participants strongly desired education and support, with coaching filling gaps unmet by standard care; (3) coaching provided behavioral, emotional, and healthcare benefits, including enhanced motivation, confidence, self-monitoring, lifestyle change, and self-advocacy; (4) persistent gaps, particularly in mental health support and continuity of care, remained across groups. Control participants recognized the potential value of structured support. Conclusions: Health coaching offers meaningful, multidimensional support for individuals with HDP, promoting self-efficacy, engagement, and lifestyle change. Integrating structured coaching into comprehensive postpartum care can address persistent gaps, improve patient experience, and potentially enhance long-term cardiovascular and psychosocial outcomes, underscoring the need for sustained, person-centered postpartum care.
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