University of Wisconsin–Madison Medical College of Wisconsin

Empowering Birth Workers to Address Maternal Hypertension: Evaluation of a Community-Based Training in Wisconsin

Kristine Alaniz, PhD, MPH; Kristina Kaljo, PhD; Kara Hoppe, DO, PhD

WMJ. 2026;125(1):225-227.

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ABSTRACT

Background: Hypertensive disorders of pregnancy are a leading cause of maternal morbidity, especially among Black, Indigenous, and rural birthing individuals.

Methods: A multidisciplinary team developed and evaluated a community-based training for birth workers to enhance knowledge and response to maternal hypertension.

Results: Participants reported high satisfaction with the training across multiple domains. Confidence increased across all learning objectives. Follow-up data showed strong intent to apply learning, with most participants planning practice changes. Planners also observed a need to focus on skill-building and inclusion of birth workers in the planning process.

Discussion: Results suggest that targeted training for birth workers is feasible, impactful, and supports their critical role in addressing hypertensive disorder disparities. Ongoing sessions will integrate skill-building and deeper community engagement.


Author affiliations: Department of Obstetrics and Gynecology, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin (Alaniz, Hoppe, Kaljo).
Corresponding author:
Kristine Alaniz, PhD, MPH, University of Wisconsin School of Medicine and Public Health, 1010 Mound St, Madison, WI 53715; email kalaniz@wisc.edu; ORCID ID 0009-0004-0805-3892
Financial disclosures: None declared.
Funding/support: None declared.
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