Gestational Weight Gain and the Electronic Medical Record

Not Applicable

Completed

• Conditions: Pregnancy; Weight Gain
• Interventions: Other: EMR Intervention

• Registration Number: NCT01987141
• Lead Sponsor: Loyola University

Brief Summary

Less than one third of pregnant women actually achieve the Institute of Medicine's (IOM) recommended weight gain. To date, there are no randomized controlled trials studying the use of the electronic medical record to alert providers to initiate the counseling of patients on the IOM gestational weight gain recommendations.

In the investigator's planned study intervention, using the EPIC EMR system, an electronic alert (Best Practice Advisory) will appear for providers at each prenatal care visit. This alert will remind providers to counsel patients on the recommendations for gestational weight gain. The control group will receive standard prenatal care, without electronic alerts generated regarding BMI and gestational weight gain.

The investigators hypothesize that a higher percentage of patients who receive the intervention will meet the IOM guidelines for weight gain.

Detailed Description

Not available

Study Timeline

• Study Start: 2013-10
• Study First Submitted: 2013-10-29
• Study First Submitted QC: 2013-11-12
• Study First Posted: 2013-11-19
• Primary Completion: 2014-10
• Status Verified: 2016-05
• Study Completion: 2016-05
• Last Update Submitted: 2016-05-10
• Last Update Posted: 2016-05-12

Recruitment & Eligibility

• Status: COMPLETED
• Sex: Female
• Target Recruitment: 150

Inclusion Criteria

• Pregnant with a single intrauterine gestation
• Present for new OB visit up to 13 weeks and 6 days gestation

Exclusion Criteria

• They have a multiple gestation pregnancy
• They are under the age of 18
• They do not speak English

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
EMR intervention	EMR Intervention	Patients will have an electronic medical record popup/highlight in their chart, displaying the recommended guidelines for weight gain in pregnancy.

Primary Outcome Measures

Name	Time	Method
Weight gain	At delivery, average of 40 weeks from enrollment	Primary outcome will be measured as the percent of patients who achieve their recommended weight gain goal in pregnancy (IOM guidelines)

Secondary Outcome Measures

Name	Time	Method
Patient perception	At end of pregnancy, average of 40 weeks from enrollment	Survey to patients at the end of pregnancy regarding how patients perceive and are influenced by EMR notifications and counseling

Trial Locations

Locations (1)

Loyola University Medical Center; 🇺🇸 Maywood, Illinois, United States