Postpartum Care
Conditions
Keywords
Postpartum Care, Visit Attendance
Brief summary
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.
Interventions
OTHEREarly Postpartum Phone Call
Participants receive a phone call 2-3 weeks after birth asking about overall wellbeing, screening for complications and postpartum depression and referring to lactation or WIC as needed.
Sponsors
Montefiore Medical Center
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Eligibility
Sex/Gender
FEMALE
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* 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
Exclusion criteria
\- Fetal or neonatal death or demise
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Attendance at comprehensive postpartum care visit | 12 weeks postpartum | Percentage of women attending comprehensive postpartum visit |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Need for family planning met | 6 months postpartum | Percentage of women who want to be using a birth control method who are using one |
| Social work referral | 6 months postpartum | Percentage of women who attend a social work appointment |
| Breastfeeding rates at 6 months | 6 months postpartum | Percentage of women exclusively breastfeeding, using combined breastfeeding and formula feeding or exclusively using formula. |
| Readmission to the hospital | 6 months postpartum | Percentage of women admitted to any Montefiore hospital |
| Acceptability of early visit | 6 months postpartum | Percentage of women who were Very Satisfied or Satisfied with the early phone call |
| Repeat pregnancy within 6 months of delivery | 6 months postpartum | Percentage of women with a positive pregnancy test since delivery |
Countries
United States
Outcome results
None listed