ACHIEVE Clinical Trial

The purpose of this study is to figure out the best way to work with providers and staff who treat pregnant people with very high blood pressure. We will send a nurse to 20 clinics that provide prenatal care in the community. For 12 months, the nurse will train and coach staff on implementing guidelines for addressing severe blood pressure. Some of the training will use patient actors who need their blood pressure measured, or who come to the clinic with very high blood pressure. The nurse will observe the clinic team as they interact with the "pretend" patient, and talk to them afterwards about ways to improve care. We will collect data before, during, and after the nurse has worked in the clinic. Information from 1) observations, and 2) patient charts of people who have already delivered, will tell us if our efforts in the clinics made a difference.