Reshaping Postpartum Follow-up

NCT06054841 | Completed

• 1 other identifier: STUDY00006037
• Study Type: interventional
• Target: 157
• Locations: 1 country
• Sites: 1

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.

Conditions

Hypertension in Pregnancy; Gestational Diabetes; Cervical Dysplasia

Keywords

Postpartum followup; hypertensive disorders of pregnancy; eclampsia; pre-eclampsia; pap smear; gestational diabetes

Outcome Measures

Primary Outcomes (2)

• Blood pressure check

  Rate of attendance at a blood pressure check one week postpartum

  6 months

• Two hour glucose tolerance test

  Rate of completion of two hour glucose tolerance test at six weeks postpartum

  6 months

Secondary Outcomes (2)

• Cervical cancer screening

  6 months

• Primary care

  6 months

Study Arms (2)

Follow up cards

EXPERIMENTAL

Subjects will receive a personalized postpartum health card with recommendations for follow up based on their comorbid conditions in pregnancy. They will receive education about these comorbid conditions when they receive their cards.

Behavioral: Postpartum follow up card

Standard education

PLACEBO COMPARATOR

Subjects will receive standard postpartum education as it is routinely performed by nurses prior to discharge.

Other: Control

Interventions

Postpartum follow up card BEHAVIORAL

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.

Follow up cards

Control OTHER

No deviation from standard discharge education

Standard education

Eligibility Criteria

• Age: 18 Years+
• Sex: female
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• 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

You may not qualify if:

• Received antepartum care at a facility outside of the Medstar system or plans to continue care with a facility outside of the Medstar system

Sponsors & Collaborators

• Medstar Health Research Institute: lead

Study Sites (1)

Washington Hospital Center

Washington D.C., District of Columbia, 20010, United States

Location

MeSH Terms

Conditions

Hypertension, Pregnancy-Induced; Diabetes, Gestational; Uterine Cervical Dysplasia; Eclampsia; Pre-Eclampsia

Condition Hierarchy (Ancestors)

Pregnancy Complications; Female Urogenital Diseases and Pregnancy Complications; Urogenital Diseases; Hypertension; Vascular Diseases; Cardiovascular Diseases; Diabetes Mellitus; Glucose Metabolism Disorders; Metabolic Diseases; Nutritional and Metabolic Diseases; Endocrine System Diseases; Precancerous Conditions; Neoplasms; Uterine Cervical Diseases; Uterine Diseases; Genital Diseases, Female; Female Urogenital Diseases; Genital Diseases

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: May 22, 2023
• First Posted: September 26, 2023
• Study Start: May 22, 2023
• Primary Completion: August 1, 2024
• Study Completion: March 1, 2025
• Last Updated: June 29, 2025

Record last verified: 2025-06

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)