Spironolactone to Improve Pregnancy-Associated Hypertension Trajectories

This study is testing whether spironolactone — a blood pressure medication — can help women return to normal blood pressure more quickly after developing high blood pressure during pregnancy (a condition called hypertensive disorder of pregnancy, or HDP). High blood pressure during pregnancy can persist after giving birth, and this study wants to see if spironolactone speeds up recovery. **You may be eligible if...** - You are 18 or older - You developed high blood pressure or preeclampsia during your pregnancy (not from a pre-existing condition) - Your BMI was 25 or higher before pregnancy or in your first trimester - You were still on blood pressure medication when you left the hospital after giving birth **You may NOT be eligible if...** - Your heart's pumping function is reduced, or you have a history of heart failure - You have a genetic heart condition (such as hypertrophic cardiomyopathy) - You have significantly reduced kidney function - Your potassium levels are already high - You are currently breastfeeding (if the medication is not safe for breastfeeding) Talk to your doctor to see if this trial is right for you.