Community Maternity Care Program to Support Mothers With High Blood Pressure in Pregnancy
Tests a community care program for pregnant people at risk of high blood pressure disorders.
Plain-language title generated from the registry record
Registry title: Thriving Hearts: Healing-Centered, Integrated, Community Maternity Care
Key facts
- Where
- Chapel Hill, United StatesSee the site
Where in United States
- University of North CarolinaChapel Hill, United StatesNo longer taking part
Questions to ask the study team
- How often do I need to come in, and for how long each time?
- Are travel costs paid?
- Can I keep my own doctor?
- What happens if I want to stop?
Trial details
- Who runs it
- University of North Carolina, Chapel Hill
- Trial code
- NCT06744231
- Record updated
- 8 June 2026
- Original description
The overarching goal of Thriving Hearts is to implement a multi-level program through Local Health Departments (LHDs) that cultivates conditions for mothers and birthing people to not only survive pregnancy, but to thrive. Thriving Hearts is a collaboration among LHDs in ten North Carolina counties, designed to reduce incidence of Hypertensive Disorders of Pregnancy (HDP) and their complications through support and connection at the individual, healthcare provider, and community level. The investigators will conduct a pragmatic, stepped-wedge, cluster randomized study. Participating LHDs will begin in a usual care phase, and they will transition to Thriving Hearts in clusters in a randomly assigned sequence at 9-month intervals.Read full original descriptionShow less
Thriving Hearts: Healing-Centered, Integrated, Community Maternity Care
The overarching goal of Thriving Hearts is to implement a multi-level program through Local Health Departments (LHDs) that cultivates conditions for mothers and birthing people to not only survive pregnancy, but to thrive. Thriving Hearts is a collaboration among LHDs in ten North Carolina counties, designed to reduce incidence of Hypertensive Disorders of Pregnancy (HDP) and their complications through support and connection at the individual, healthcare provider, and community level. The investigators will conduct a pragmatic, stepped-wedge, cluster randomized study. Participating LHDs will begin in a usual care phase, and they will transition to Thriving Hearts in clusters in a randomly assigned sequence at 9-month intervals.
Inclusion: Age ≥15 and ≤55; Had a live birth at >=24 weeks in the past 6 months; Listed the birthing parent's residential address on the birth certificate as within a Thriving Hearts county ( Alamance, Caswell, Chatham, Cumberland, Durham, Forsyth, Guilford, Johnston, Orange, and Person counties); Are able to communicate in English or Spanish; Age ≥ 18; Provides services for perinatal patients in a Thriving Hearts county (Alamance, Caswell, Chatham, Cumberland, Durham, Forsyth, Guilford, Johnston, Orange, and Person counties); Are able to communicate in English.
Exclusion: < 15 or > 55 years of age; Age < 18; Did not have a live birth at >= 24 weeks in the past 6 months; Residential address not listed on birth certificate as one of the study counties; Not able to communicate in either English; Cross-sectional survey of people who serve perinatal patients; To assess the effectiveness of the Healing Centered Engagement program, the team will conduct cross-sectional surveys of people who serve perinatal patients in Thriving Hearts counties, repeated during each of the six study time periods; Does not provide services for perinatal patients in a Thriving Hearts county (Alamance, Caswell, Chatham, Cumberland, Durham, Forsyth, Guilford, Johnston, Orange, and Person counties); Are unable to communicate in English.
Any individual who is pregnant or <4 months postpartum and resides in county where Thriving Hearts is active can engage with Thriving Hearts-supported programs and services; Cross-sectional survey of postpartum people; For participation in the population-based survey of postpartum parents, the following criteria are required:.