Postpartum Care Timing: A Randomized Trial
| Status: | Recruiting |
|---|---|
| Conditions: | Women's Studies |
| Therapuetic Areas: | Reproductive |
| Healthy: | No |
| Age Range: | 18 - 50 |
| Updated: | 11/9/2018 |
| Start Date: | October 31, 2018 |
| End Date: | April 2020 |
| Contact: | Ilina Datkhaeva, MD |
| Email: | idatkhaeva@mednet.ucla.edu |
| Phone: | (310) 206-6558 |
Randomized Control Trial of Postpartum Visits at Two or Six Weeks to Evaluate Clinic Attendance and Emergency Department Usage
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.
from six weeks to two weeks can improve clinic visit attendance and decrease usage of the
emergency department.
Postpartum care is an integral component to completing the maternal peripartum experience and
transitioning the patient to well-women care. The American Congress of Obstetrics and
Gynecology has recently highlighted the importance of this "fourth stage" of pregnancy
suggesting earlier and more comprehensive visits compared to the standard 6-week postpartum
visit. Specifically they describe that "all women should ideally have contact with a maternal
care provider within the first three weeks postpartum" however this is largely derived from
expect opinion and retrospective data. The current rate of postpartum visit attendance is as
low as 66%, especially in women with scant prenatal care. In the investigators
government-funded clinic, the postpartum clinic attendance in 2017 was 69% and many of the
patients have co-morbidities, notably a 25% rate of psychiatric illness. Additionally, in
this population, the investigators have identified a high rate of Emergency Department (ED)
usage (8.7%) within 30 days of delivery suggesting that perhaps an earlier routine visit is
ideal and can prevent the use of the ED. The aim therefore is to evaluate the utility of an
early postpartum visit at two weeks in addition to a standard six-week visit with a
randomized control trial.
transitioning the patient to well-women care. The American Congress of Obstetrics and
Gynecology has recently highlighted the importance of this "fourth stage" of pregnancy
suggesting earlier and more comprehensive visits compared to the standard 6-week postpartum
visit. Specifically they describe that "all women should ideally have contact with a maternal
care provider within the first three weeks postpartum" however this is largely derived from
expect opinion and retrospective data. The current rate of postpartum visit attendance is as
low as 66%, especially in women with scant prenatal care. In the investigators
government-funded clinic, the postpartum clinic attendance in 2017 was 69% and many of the
patients have co-morbidities, notably a 25% rate of psychiatric illness. Additionally, in
this population, the investigators have identified a high rate of Emergency Department (ED)
usage (8.7%) within 30 days of delivery suggesting that perhaps an earlier routine visit is
ideal and can prevent the use of the ED. The aim therefore is to evaluate the utility of an
early postpartum visit at two weeks in addition to a standard six-week visit with a
randomized control trial.
Inclusion Criteria:
- 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
Exclusion Criteria:
- Cognitive impairment, psychiatric instability, or language barriers that limit her
ability to provide informed consent
- Plans to received postpartum care at other institution
We found this trial at
1
site
Los Angeles, California 90095
310-825-4321
Phone: 310-206-6558
University of California at Los Angeles The University of California, Los Angeles (UCLA) is an...
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