Cervical Dysplasia, Gestational Diabetes, Hypertension in Pregnancy
Conditions
Keywords
Postpartum followup, hypertensive disorders of pregnancy, eclampsia, pre-eclampsia, pap smear, gestational diabetes
Brief summary
The aim of this study is to evaluate the impact of personalized postpartum follow-up cards on completion of postpartum health related tasks. The intervention will consist of a card given to patients at time of discharge. One side of the card will list the patient's name and a list of recommended postpartum follow-up appointments based on their diagnoses at the time of discharge. Participants will be randomized to this intervention or the control group, which will consist of standard education routinely given at discharge. The primary endpoint will be the rate of completion of a postpartum blood pressure check or two hour glucose tolerance test, or both, depending on the patient's discharge diagnosis within the first year after discharge. The secondary endpoints will include establishing care with a primary care provider within the first year after delivery, or completion of postpartum pap smear or colposcopy, as indicated.
Interventions
BEHAVIORALPostpartum follow up card
The intervention will consist of a card given to patients at time of discharge. One side of the card will list the patient's name and a list of recommended postpartum follow-up appointments based on their diagnoses at the time of discharge. The back of the card will list relevant phone numbers to assist patients with scheduling.
OTHERControl
No deviation from standard discharge education
Sponsors
Medstar Health Research Institute
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE
Eligibility
Sex/Gender
FEMALE
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* Subjects \>=18 years of age * Ability to read English or Spanish * Delivered via vaginal delivery or c-section within the past 48 hours * Able to consent for themselves
Exclusion criteria
* Received antepartum care at a facility outside of the Medstar system or plans to continue care with a facility outside of the Medstar system
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Blood pressure check | 6 months | Rate of attendance at a blood pressure check one week postpartum |
| Two hour glucose tolerance test | 6 months | Rate of completion of two hour glucose tolerance test at six weeks postpartum |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Cervical cancer screening | 6 months | Rate of completion of postpartum pap smear or colposcopy as indication |
| Primary care | 6 months | Rate of attendance at visit with primary care provider for annual exam |
Countries
United States
Outcome results
None listed