Impact of Earlier Postpartum Contact on Postpartum Visit Compliance and Maternal Wellbeing

Study Overview
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Brief Summary
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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.

Official Title
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Re-imagining the Postpartum Process: The Impact of Earlier Postpartum Contact on Attendance at Postpartum Visits and Maternal Wellbeing

Conditions
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Postpartum Care

Intervention / Treatment
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* Other: Early Postpartum Phone Call


Participation Criteria
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Eligibility Criteria
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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

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Health Services Research
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Early Postpartum Contact<br>Patient receive a phone call from research staff 2-3 weeks after giving birth in addition to routine postpartum visit | Other: Early Postpartum Phone Call<br>* 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.<br>|
| No Intervention: Routine Postpartum Care<br>Patient receives routine postpartum visit only | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Attendance at comprehensive postpartum care visit | Percentage of women attending comprehensive postpartum visit | 12 weeks postpartum | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Breastfeeding rates at 6 months | Percentage of women exclusively breastfeeding, using combined breastfeeding and formula feeding or exclusively using formula. | 6 months postpartum | 
| Need for family planning met | Percentage of women who want to be using a birth control method who are using one | 6 months postpartum | 
| Social work referral | Percentage of women who attend a social work appointment | 6 months postpartum | 
| Repeat pregnancy within 6 months of delivery | Percentage of women with a positive pregnancy test since delivery | 6 months postpartum | 
| Readmission to the hospital | Percentage of women admitted to any Montefiore hospital | 6 months postpartum | 
| Acceptability of early visit | Percentage of women who were Very Satisfied or Satisfied with the early phone call | 6 months postpartum | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Postpartum Care, Visit Attendance