Postpartum Care Timing: A Randomized Trial

NCT03733405 | Completed

• 1 other identifier: 18-001453
• Study Type: interventional
• Target: 256
• Locations: 1 country
• Sites: 1

Brief Summary

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.

Conditions

Postpartum; Pregnancy Related

Keywords

Breastfeeding; Contraception; Emergency; Department

Outcome Measures

Primary Outcomes (1)

• Attendance at one or more routine postpartum visits

  The primary outcome will be the attendance at one or more scheduled postpartum visits at the clinic where the patient received her prenatal care.

  8 weeks postpartum

Secondary Outcomes (1)

• Rate of Emergency Department usage within 30 days of delivery

  30 days postpartum

Study Arms (2)

Postpartum Visit 6 Weeks

EXPERIMENTAL

Participants will have a postpartum visit scheduled 6 weeks after birth

Behavioral: Postpartum Visit at 6 Weeks

Postpartum Visit 2 and 6 Weeks

EXPERIMENTAL

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

Behavioral: Postpartum Visit at 6 Weeks; Behavioral: Postpartum Visit at 2 Weeks

Interventions

Postpartum Visit at 6 Weeks BEHAVIORAL

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.

Postpartum Visit 2 and 6 Weeks; Postpartum Visit 6 Weeks

Postpartum Visit at 2 Weeks BEHAVIORAL

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.

Postpartum Visit 2 and 6 Weeks

Eligibility Criteria

• Age: 18 Years - 50 Years
• Sex: female
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• 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

You may not qualify if:

• Cognitive impairment, psychiatric instability, or language barriers that limit her ability to provide informed consent
• Plans to received postpartum care at other institution

Sponsors & Collaborators

• University of California, Los Angeles: lead

Study Sites (1)

University of California Los Angeles

Los Angeles, California, 90095, United States

Location

Related Publications (1)

• Pluym ID, Tandel MD, Kwan L, Mok T, Holliman K, Afshar Y, Rao R. Randomized control trial of postpartum visits at 2 and 6 weeks. Am J Obstet Gynecol MFM. 2021 Jul;3(4):100363. doi: 10.1016/j.ajogmf.2021.100363. Epub 2021 Mar 27.

  PMID: 33785465 DERIVED

MeSH Terms

Conditions

Breast Feeding; Emergencies

Condition Hierarchy (Ancestors)

Feeding Behavior; Behavior; Disease Attributes; Pathologic Processes; Pathological Conditions, Signs and Symptoms

Study Officials

• Ilina Datkhaeva, MD

  University of California, Los Angeles

  STUDY DIRECTOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Co-principal investigator

Study Record Dates

• First Submitted: November 5, 2018
• First Posted: November 7, 2018
• Study Start: October 31, 2018
• Primary Completion: July 1, 2020
• Study Completion: July 1, 2020
• Last Updated: November 4, 2020

Record last verified: 2020-11

Locations

US (1)