Reshaping Postpartum Follow-up

MedStar Health

Status: Completed

Conditions: Gestational Diabetes; Cervical Dysplasia; Hypertension in Pregnancy

Treatments: Behavioral: Postpartum follow up card; Other: Control

Study type: Interventional

Funder types: Other

Identifiers

NCT06054841

STUDY00006037

Details and patient eligibility

About

The aim of this study is to evaluate the impact of personalized postpartum follow-up cards on completion of postpartum health related tasks. The intervention will consist of a card given to patients at time of discharge. One side of the card will list the patient's name and a list of recommended postpartum follow-up appointments based on their diagnoses at the time of discharge. Participants will be randomized to this intervention or the control group, which will consist of standard education routinely given at discharge.

The primary endpoint will be the rate of completion of a postpartum blood pressure check or two hour glucose tolerance test, or both, depending on the patient's discharge diagnosis within the first year after discharge. The secondary endpoints will include establishing care with a primary care provider within the first year after delivery, or completion of postpartum pap smear or colposcopy, as indicated.

Enrollment: 157 patients

Sex: Female

Ages: 18+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Subjects >=18 years of age
• Ability to read English or Spanish
• Delivered via vaginal delivery or c-section within the past 48 hours
• Able to consent for themselves

Exclusion criteria

• Received antepartum care at a facility outside of the Medstar system or plans to continue care with a facility outside of the Medstar system

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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157 participants in 2 patient groups, including a placebo group

Follow up cards

Experimental group

Description:

Subjects will receive a personalized postpartum health card with recommendations for follow up based on their comorbid conditions in pregnancy. They will receive education about these comorbid conditions when they receive their cards.

Treatment:

Behavioral: Postpartum follow up card

Standard education

Placebo Comparator group

Description:

Subjects will receive standard postpartum education as it is routinely performed by nurses prior to discharge.

Treatment:

Other: Control