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Pregnancy and Postpartum Hypertension Control Initiative

Department of Health and Human Services

The Office on Women's Health (OWH) anticipates the availability of funding for an implementation and scaling project to build upon foundational work in managing hypertension by the HHS Hypertension Innovator Award (OWH), the Hypertension in Pregnancy Change Package (CDC), the National Hypertension Control Initiative (OMH, HRSA), the SMBP Forum and SMBP QI work (CDC), the CDC-supported National Hypertension Control Roundtable, and the HHS Federal Hypertension Control Leadership Council.

The lessons generated from these endeavors will be deployed to achieve the current initiative’s primary aim to accelerate nation-wide implementation of SMBP (self-measured blood pressure) during pregnancy and postpartum. SMBP is a best practice defined as the regular measurement of blood pressure by the patient at home or other setting with clinical support. Based on a large body of evidence, SMBP is recommended in both national and international guidelines for the detection and control of HTN in adults and its use postpartum by AHRQ’s Systematic Review and Meta-Analysis on the Management of Postpartum Hypertensive Disorders of Pregnancy.

This initiative is intended to serve as the catalyst to drive towards making SMBP a common and routine practice during pregnancy and postpartum. With a special focus on underserved and rural communities, including maternity care deserts, the initiative seeks equitable detection and control of HTN, improved maternal and fetal outcomes, and reductions in admissions and morbidity from HTN-related complications.

Deadline: April 2, 2025