Mobile App for Prenatal Care to Reduce Visits and Improve Satisfaction Study

This is a protocol for a multi-center quasi-randomized controlled trial to compare an
intervention group receiving a prenatal care app, to a control group receiving usual care.
The trial is being conducted at two diverse outpatient obstetric practices that are part of a
single academic department of obstetrics in Washington, DC. Women who are between 18 and 40,
who are visiting their OB for a first trimester routine visit, who have a confirmed desired
pregnancy, who are not considered "high-risk," and who have an IOS, Android or Windows-based
smart phone that they use regularly will be eligible for enrollment. The Investigators will
measure the effect of a mobile app for prenatal care on:

1. the number of in-person OB visits during pregnancy;

2. patient satisfaction with prenatal care;

3. gestational weight gain;

4. maternal and fetal outcomes; and

5. clinician satisfaction.

To capture these outcomes, the investigators will administer patient surveys via telephone
every 4 weeks during gestation and the immediate post-partum period, review the electronic
medical record, and conduct in-depth interviews with a representative subset of patients
after delivery.

Inclusion Criteria:

- Eligible participants will be women who are between 18 than 40-years-old, who are
visiting the OB for a first-trimester verification of pregnancy visit, new OB visit or
follow-up OB visit, who are low-risk per treating OB, who regularly use a smart-phone,
who can understand and consent to English-written consent form.

- Eligible clinicians will be attending obstetric physicians who refer the patient to
the research assistant for informed consent and full eligibility assessment.

Exclusion Criteria:

- High-risk obstetrical condition*

- Intends midwifery care

- Intends to terminate

- Not Local resident

- Non--English speaker