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Objective Women with prior preeclampsia are at increased risk of cardiovascular disease. This study investigated barriers and facilitators towards learning about this link and engaging in lifestyle modifications to reduce this risk. Methods Four focus groups were held with 14 women within six months of a preeclamptic pregnancy. Results Participants were unaware of the link between preeclampsia and cardiovascular disease, suggested improvements to provider-patient communication, and discussed the benefits of social support and online tracking (weight, blood pressure) in making lifestyle modifications. Conclusions Solutions offered may improve efforts to modify lifestyle and communication between providers and women about this link.

Objective To test the feasibility of a randomised trial of home blood pressure monitoring paired with a remote lifestyle intervention (Heart Health 4 New Moms) versus home blood pressure monitoring alone versus control in individuals with a hypertensive disorder of pregnancy in the first year postpartum. Design Single‐blinded three‐arm randomised clinical trial. Setting Two tertiary care hospitals and a community organisation. Population Postpartum overweight and obese individuals with a hypertensive disorder of pregnancy and without pre‐pregnancy hypertension or diabetes. Methods We assessed the feasibility of recruitment and retention of 150 participants to study completion at 1‐year postpartum with randomisation 1:1:1 into each arm. Secondary aims were to test effects of the interventions on weight, blood pressure and self‐efficacy. Results Over 23 months, we enrolled 148 of 400 eligible, screened individuals (37%); 28% black or other race and mean pre‐pregnancy body mass index (BMI) of 33.4 ± 6.7 kg/m2. In total, 129 (87%) participants completed the 1‐year postpartum study visit. Overall, 22% of participants developed stage 2 hypertension (≥140/90 mmHg or on anti‐hypertensive medications) by 1 year postpartum. There were no differences in weight or self‐efficacy across the study arms. Conclusion In this pilot, randomised trial, we demonstrate feasibility of HBPM paired with a lifestyle intervention in the first year postpartum. We detected high rates of ongoing hypertension, emphasising the need for the development of effective interventions in this population.