Pregnancy, Weight Gain
Conditions
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.
Interventions
OTHEREMR Intervention
Electronic medical record flag/notification in the patient's chart
Sponsors
Loyola University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
FEMALE
Age
18 Years to No maximum
Healthy volunteers
Yes
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
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| 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
| Measure | Time frame | Description |
|---|---|---|
| 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 |
Countries
United States
Outcome results
None listed