Early Intervention to Promote Cardiovascular Health of Mothers and Children (ENRICH) During Pregnancy

The Promoting Cardiovascular Health of Northern Appalachian Women During and After Pregnancy: Pilot Study is a single arm pilot study that will enroll pregnant women (<28 weeks' gestation) participating in the NFP home visitation program in the Northern Appalachian region of Central Pennsylvania. This pilot study will include an enhanced version of the NFP standard care plan delivered by trained nurses to promote cardiovascular health among women by targeting decreased sedentary time and enhanced physical activity (and where applicable smoking cessation) during and after pregnancy. This pilot study will also examine the feasibility and acceptability of digital devices (actigraphy, digital scale, blood pressure monitor) during this same time period.

Inclusion criteria

• Nulliparous pregnant woman
• Age ≥ 18 years old
• Enrolled in and receiving the Nurse-Family Partnership program through the Geisinger Clinic or UPMC Home Health Care of Central PA
• English speaking
• Women with a singleton viable pregnancy confirmed by NFP home visitors
• Access to reliable internet service required for data collection
• A minimum of 5 women with use of nicotine containing products (cigarette, cigar, hookah, chewing tobacco, e-cigarette, patch) within the past 3 months

Exclusion criteria

• Unable or unwilling to comply with the study visits and procedures
• Participation in a concurrent interventional study
• Diagnosis of cancer
• A personal history of complex congenital heart disease
• A fetus in the current pregnancy with known chromosomal abnormalities or birth defects inconsistent with survival to 2 years will be excluded