Prenatal Follow Up Care
Conditions
Keywords
Emergency Department Visit
Brief summary
The purpose of this research study is to understand if receipt of extra prenatal resources from the ED visit improves i) the patient's ability to engage in prenatal services after the ED visit, and ii) how it impacts the patient's pregnancy knowledge and confidence. If participant's consent to this study, the participants will receive standard of care and additionally be randomized, like flipping a coin, to receive either i) extra prenatal care resources in the form of a 'care box' during this ED visit, or ii) the extra prenatal care resources in the form of a 'care box" two weeks from today. All participants will also receive a follow-up survey asking about the patient's engagement in prenatal services following ED visit, perceptions of pregnancy knowledge and confidence, the usefulness of the resources received, and what additional resources might have been helpful during the early stages of pregnancy. Participation in this study will not require any additional clinic or hospital visits. The total time involved is approximately 20 minutes during the initial ED visit and less than 20 minutes to complete the follow-up survey. Investigators hope to enroll a total of 50 participants in this study.
Interventions
BEHAVIORALCare Box
The resources in the care box include a water bottle, pocket calendar (monthly planner) and pen, recorder in the shape of a heart, bus pass, mini stuffed animal, and a welcome insert (includes descriptions for the items and a QR code with additional resources) additionally, the QR code will be on the inside of the box's top as well as on the insert.
Sponsors
University Hospitals Cleveland Medical Center
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Eligibility
Sex/Gender
FEMALE
Age
18 Years to 50 Years
Healthy volunteers
Yes
Inclusion criteria
* Found to be pregnant in the CMC Emergency Department through serum or urine pregnancy testing (hcg) or point of care (POC) urine testing * Ability to provide verbal consent to this study
Exclusion criteria
* Prisoners * Non-Ohio residents * Serious medical conditions (severe cardiovascular disease, infections, trauma) or critical illness requiring urgent hospitalization * Nonpregnant persons including men
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Change in number of OBGYN follow up appointments as measured by medical record review | 1 week, 1 month, 3 months, 6 months, 9 months |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Number of participants with a pregnancy outcome of 1 as measured by medical record review | Up to 9 months | Pregnancy outcome of 1 is defined as full term live birth with healthy weight (\> 2500g) |
| Number of participants with a pregnancy outcome of 2 as measured by medical record review | Up to 9 months | Pregnancy outcome of 2 is defined as full term live birth with low birth weight (\< 2500g) |
| Number of participants with a pregnancy outcome of 3 as measured by medical record review | Up to 9 months | Pregnancy outcome of 3 is defined as pre-term live birth (\< 37 weeks) |
| Number of participants with a pregnancy outcome of 4 as measured by medical record review | Up to 9 months | Pregnancy outcome of 4 is defined as miscarriage/spontaneous abortion |
| Number of participants with a pregnancy outcome of 5 as measured by medical record review | Up to 9 months | Pregnancy outcome of 5 is defined as stillbirth (fetal death at/after 28 weeks) |
| Number of participants who affirmed the care box supported the pregnancy as measured by patient survey | Up to 1 week | — |
Countries
United States
Contacts
CONTACTAndie Moore, MS
PRINCIPAL_INVESTIGATORKiran Faryar, MD, MPH
University Hospitals Cleveland Medical Center
Outcome results
None listed