Reshaping Postpartum Follow-up

Purpose

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.

Conditions

  • Hypertension in Pregnancy
  • Gestational Diabetes
  • Cervical Dysplasia

Eligibility

Eligible Ages
Over 18 Years
Eligible Genders
Female
Accepts Healthy Volunteers
Yes

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

Study Design

Phase
N/A
Study Type
Interventional
Allocation
Randomized
Intervention Model
Parallel Assignment
Primary Purpose
Prevention
Masking
None (Open Label)

Arm Groups

ArmDescriptionAssigned Intervention
Experimental
Follow up cards 		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.
  • Behavioral: Postpartum follow up card
    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. The back of the card will list relevant phone numbers to assist patients with scheduling.
Placebo Comparator
Standard education 		Subjects will receive standard postpartum education as it is routinely performed by nurses prior to discharge.
  • Other: Control
    No deviation from standard discharge education

Recruiting Locations

Washington Hospital Center
Washington, District of Columbia 20010
Contact:
Rosanna Sobota, MD
202-877-8305
rosanna.sobota@medstar.net

More Details

Status
Recruiting
Sponsor
Medstar Health Research Institute

Study Contact

Rosanna Sobota
2028778035
rosanna.sobota@medstar.net