Pregnancy
Conditions
Keywords
Prenatal Care, Obstetrics
Brief summary
The study defines a new model of prenatal care called OB Nest which will be compared to the traditional model of prenatal care. OB nest is intended to create an experience for patients that feels more connected and patient-centered, allowing the patient to visit the clinic less frequently while offering increased communication with the OB nurses and providers through new tools provided to the patient. The goal of the project is to promote patient-centered care through a new prenatal care program based on constant and direct support from a nursing team, meeting the on-demand needs of expecting mothers as they rise, and as thus, redesigning the need and timing of on-site appointment with providers. Pregnant women randomized to the OB Nest cohort will see the number of pre-planned visits with their providers decreased and replaced with more direct and constant support and interaction with an assigned nursing team.
Detailed description
OB Nest is a model designed to promote increased patient-centered care during pregnancy. OB Nest care will allow for more flexibility, decrease interruptions to your productivity, while continuing to maintain safety for you and your infant. This model of care is anticipated to allow you more access to your health care team during your pregnancy. This study will compare OB Nest, a new model of prenatal care, to the existing traditional model of prenatal care. The plan is to have about 300 low-risk mothers take part in this study. Eligible patients will be randomized to one of two groups; The Traditional Prenatal care Group or the OB Nest Group. Mothers will have an equal chance of being assigned to the OB Nest group. Mothers randomized to the OB Nest intervention will be assigned to a nursing care team comprised of one to three nurses and see their initial eleven planned appointments with their provider reduced to six. Mothers will still be able to request additional in-office visits with their provider and/or the provider require additional in-office visits to monitor mother and infants safety/care.
Interventions
OTHEROB Nest
* Reduction in the number of clinic office visits * Assignment to a specific nursing care team * Support and direct interaction available through tools which supports mom's empowerment to address her concerns, care for herself and connect with OB as necessary between clinic visits. * Empower and enable mothers to complete at home measurements for fetal heart rate, weight, and blood pressures. * Augmentation of in-person visits between care providers and patients with video conversations. * Maternal outcomes will be monitored through surveys and questionnaires.
Sponsors
Mayo Clinic
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Masking
NONE
Eligibility
Sex/Gender
FEMALE
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* 18+ years of age * Documented gestational age less than 13 weeks. * Pregnancy documented as low risk (See high risk
Exclusion criteria
below) * Able to read and understand English * Able to provide informed consent (i.e. no impairments or barriers)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Expectant mothers satisfaction of prenatal care | 36 weeks | At 36 weeks the expectant mother will complete a survey that assessed their satisfaction of the prenatal care received using a validated scale. |
Countries
United States
Outcome results
None listed