Postpartum Care Timing: A Randomized Trial

Randomized Control Trial of Postpartum Visits at Two or Six Weeks to Evaluate Clinic Attendance and Emergency Department Usage

Patrocinadores

Patrocinador principal: University of California, Los Angeles

Fuente University of California, Los Angeles
Resumen breve

The purpose of this study is to determine if shortening the time to initial postpartum visit from six weeks to two weeks can improve clinic visit attendance and decrease usage of the emergency department.

Descripción detallada

Postpartum care is an integral component to completing the maternal peripartum experience and transitioning the patient to well-women care. The American Congress of Obstetrics and Gynecology has recently highlighted the importance of this "fourth stage" of pregnancy suggesting earlier and more comprehensive visits compared to the standard 6-week postpartum visit. Specifically they describe that "all women should ideally have contact with a maternal care provider within the first three weeks postpartum" however this is largely derived from expect opinion and retrospective data. The current rate of postpartum visit attendance is as low as 66%, especially in women with scant prenatal care. In the investigators government-funded clinic, the postpartum clinic attendance in 2017 was 69% and many of the patients have co-morbidities, notably a 25% rate of psychiatric illness. Additionally, in this population, the investigators have identified a high rate of Emergency Department (ED) usage (8.7%) within 30 days of delivery suggesting that perhaps an earlier routine visit is ideal and can prevent the use of the ED. The aim therefore is to evaluate the utility of an early postpartum visit at two weeks in addition to a standard six-week visit with a randomized control trial.

Estado general Active, not recruiting
Fecha de inicio October 31, 2018
Fecha de Terminación August 2020
Fecha de finalización primaria June 2020
Fase N/A
Tipo de estudio Interventional
Resultado primario
Medida Periodo de tiempo
Attendance at one or more routine postpartum visits 8 weeks postpartum
Resultado secundario
Medida Periodo de tiempo
Rate of Emergency Department usage within 30 days of delivery 30 days postpartum
Inscripción 256
Condición
Intervención

Tipo de intervención: Behavioral

Nombre de intervención: Postpartum Visit at 6 Weeks

Descripción: The patient will be scheduled for a routine postpartum visit at the standard time interval. Each postpartum visit will consist of the standard interview and physical examination. The purpose of this visit is for routine postpartum care. If she has a medical complication during delivery, she may be recommended to schedule an additional earlier visit.

Tipo de intervención: Behavioral

Nombre de intervención: Postpartum Visit at 2 Weeks

Descripción: The patient will be scheduled for an earlier postpartum visit in addition to the standard time interval. Each postpartum visit will consist of the standard interview and physical examination. The purpose of this visit is for routine postpartum care. If she has a medical complication during delivery, she may be recommended to schedule an additional earlier visit.

Etiqueta de grupo de brazo: Postpartum Visit 2 and 6 Weeks

Elegibilidad

Criterios:

Inclusion Criteria:

- At least 18 years of age

- Receives antepartum, intrapartum and postpartum care at UCLA

- Speaks English or Spanish

- Provides informed consent for study participation

- Vaginal, cesarean delivery or operative vaginal delivery

Exclusion Criteria:

- Cognitive impairment, psychiatric instability, or language barriers that limit her ability to provide informed consent

- Plans to received postpartum care at other institution

Género: Female

Edad mínima: 18 Years

Edad máxima: 50 Years

Voluntarios Saludables: Accepts Healthy Volunteers

Oficial general
Apellido Papel Afiliación
Ilina Datkhaeva, MD Study Director University of California, Los Angeles
Ubicación
Instalaciones: University of California Los Angeles
Ubicacion Paises

United States

Fecha de verificación

March 2020

Fiesta responsable

Tipo: Principal Investigator

Afiliación del investigador: University of California, Los Angeles

Nombre completo del investigador: Ilina Datkhaeva

Título del investigador: Co-principal investigator

Palabras clave
Tiene acceso ampliado No
Número de brazos 2
Grupo de brazo

Etiqueta: Postpartum Visit 6 Weeks

Tipo: Experimental

Descripción: Participants will have a postpartum visit scheduled 6 weeks after birth

Etiqueta: Postpartum Visit 2 and 6 Weeks

Tipo: Experimental

Descripción: Participants will have postpartum visits scheduled 2 and 6 weeks after birth

Acrónimo PUnCTuAL
Datos del paciente Undecided
Información de diseño del estudio

Asignación: Randomized

Modelo de intervención: Parallel Assignment

Propósito primario: Prevention

Enmascaramiento: None (Open Label)

Fuente: ClinicalTrials.gov