Journal article
Planning for the forgotten fourth trimester of pregnancy: A parallel group randomized control trial to test a postpartum planning intervention vs. standard prenatal care
Contemporary clinical trials, Vol.143, 107586
08/2024
DOI: 10.1016/j.cct.2024.107586
PMCID: PMC11283948
PMID: 38838985
Abstract
Black and brown birthing people experience persistent disparities in adverse maternal health outcomes, partially due to inadequate perinatal care. The goal of this study is to design and evaluate a patient-centered intervention for obstetric patients with one or more cardiometabolic risk factors for severe maternal morbidity [gestational diabetes, diabetes mellitus, hypertensive disorders of pregnancy (chronic hypertension, preeclampsia, eclampsia, or gestational hypertension), or preconception obesity (BMI > 30)] to promote postpartum visit attendance.
To address identified unmet needs for postpartum support and barriers to postpartum care, we developed 20 thematic postpartum planning modules, each with corresponding patient educational materials, community resources, care coordination protocols, and clinician support tools (decision aids, electronic medical record prompts and fields). During prenatal care encounters, a research coordinator delivers the educational content (in English or Spanish), facilitates the participant's planning and shared decision-making, provides the participant with resources, and documents decisions in the electronic medical record. We will randomize 320 eligible patients with a 1:1 ratio to the intervention or standard prenatal care and evaluate the impact on postpartum visit attendance at 4–12 weeks and secondary outcomes (postpartum mental health, perceived future maternal and cardiometabolic risk, contraceptive use, primary care use, readmission, and patient satisfaction with care).
Through engagement with patients and community stakeholders, we developed a guideline-based, locally tailored intervention to address drivers of engagement with postpartum care for high-risk obstetric patients. If demonstrated to be effective, the educational materials and electronic medical record based-tool can be adapted to other settings.
This trial was registered on ClinicalTrials.gov (NCT05430815) on June 23, 2022.
Details
- Title: Subtitle
- Planning for the forgotten fourth trimester of pregnancy: A parallel group randomized control trial to test a postpartum planning intervention vs. standard prenatal care
- Creators
- Kaitlyn K. Stanhope - Emory UniversityTaé Stallworth - Emory UniversityAlexandra D. Forest - Emory UniversityDanielle Vuncannon - Emory UniversityGabriela Juarez - Emory UniversitySheree L. Boulet - Emory UniversityFranklyn Geary - Morehouse School of MedicineAnne L. Dunlop - Emory UniversitySarah C. Blake - Emory UniversityVictoria L. Green - Emory UniversityDenise J. Jamieson - University of Iowa
- Resource Type
- Journal article
- Publication Details
- Contemporary clinical trials, Vol.143, 107586
- Publisher
- Elsevier Inc
- DOI
- 10.1016/j.cct.2024.107586
- PMID
- 38838985
- PMCID
- PMC11283948
- ISSN
- 1551-7144
- eISSN
- 1559-2030
- Language
- English
- Date published
- 08/2024
- Academic Unit
- Obstetrics and Gynecology; VPMA - Administration
- Record Identifier
- 9984641660202771
Metrics
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