Re-imagining the Postpartum Process: The Impact of Earlier Postpartum Contact on Attendance at Postpartum Visits and Maternal Wellbeing
试验速览
- 阶段
- 不适用
- 状态
- 终止
- 入组人数
- 52
- 试验地点
- 1
- 主要终点
- Attendance at comprehensive postpartum care visit
研究概览
简要总结
The American College of Obstetricians and Gynecologists has recommended a paradigm shift in how postpartum care is instituted. They recommend that in addition to the normal 4-12 week postpartum visit, women receive contact with a provider within the first 3 weeks after giving birth. This RCT will randomize patients to routine care- 6-12 week postpartum visit alone- or enhanced care- routine care plus a phone call within the first 3 weeks postpartum. The patients will then be asked to complete a follow up survey at 6 months postpartum. The primary outcome measure would be rates of compliance with the 6-12 week postpartum visit. Secondary outcome measures will include breastfeeding rates, rates of postpartum depression, hospital readmission rates and met desire for contraception.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- Female
- 接受健康志愿者
- 否
入选标准
- •Had a vaginal or cesarean delivery at the Jack D. Weiler Hospital
- •Gestational age greater than or equal to 36 weeks
- •Received prenatal care at the Comprehensive Family Care Center (CFCC) clinic
排除标准
- •Fetal or neonatal death or demise
研究组 & 干预措施
Early Postpartum Contact
Patient receive a phone call from research staff 2-3 weeks after giving birth in addition to routine postpartum visit
干预措施: Early Postpartum Phone Call (Other)
Routine Postpartum Care
Patient receives routine postpartum visit only
结局指标
主要结局
Attendance at comprehensive postpartum care visit
时间窗: 12 weeks postpartum
Percentage of women attending comprehensive postpartum visit
次要结局
- Repeat pregnancy within 6 months of delivery(6 months postpartum)
- Readmission to the hospital(6 months postpartum)
- Breastfeeding rates at 6 months(6 months postpartum)
- Need for family planning met(6 months postpartum)
- Social work referral(6 months postpartum)
- Acceptability of early visit(6 months postpartum)
研究者
Talitha Bruney, MD
Assistant Professor of Obstetrics and Gynecology and Women's Health
Montefiore Medical Center