An interventional study of Early postpartum visit and Standard postpartum visit in Postpartum Disorder, Postpartum Depression and Postpartum Weight Retention, sponsored by Women and Infants Hospital of Rhode Island. Completed at 1 site in United States. Open to female participants aged 13 Years to 50 Years. Per ClinicalTrials.gov, last updated 2023-08-02.
Sponsored by Women and Infants Hospital of Rhode Island · Not applicable, Interventional, and Prevention
The objective of this study is to assess if the addition of an early postpartum visit improves attendance at postpartum visits. We seek to evaluate if an additional early postpartum visit improves patient education, satisfaction, or trust in the clinicians during the postpartum period; all of which may ultimately facilitate improved outcomes. Additionally, we seek to explore patient preferences for postpartum care delivery.
Maternal mortality in the United States is currently at a record high of 17 deaths per 100,000 live births and the majority of pregnancy related deaths occur in the postpartum period due to complications from chronic disease exacerbation, pregnancy-related hypertension, or psychiatric conditions that lead to suicide. Optimal postpartum care would reduce mortality risk, but numerous studies have demonstrated current care is inadequate. Up to 40% of women do not attend their postpartum visit at 4-6 weeks after delivery and the 15-minute visit is too short to achieve the comprehensive goals that the American College of Obstetricians and Gynecologists (ACOG) sets for this visit: a full assessment of physical, social, and psychological well-being. In addressing the current gap between optimal and actual care, ACOG recently recommended that practitioners shift from the standard, single six-week postpartum visit to two postpartum visits, the first within three weeks of delivery. While this change is intended to address current sub-optimal outcomes, the effects of this change are entirely unknown.
The long term goal of our program is to improve postpartum care for women in Rhode Island. The primary objective of this project is to determine if the ACOG proposed additional postpartum visit within three weeks of delivery improves attendance to postpartum appointments compared to routine postpartum care. Additionally, we intend to examine whether having two scheduled postpartum visits (one within three weeks and the other at the standard 4-6 week postpartum time point) which we describe as "early and often" postpartum care-improves patient knowledge, satisfaction and trust in clinicians compared to routine care as well as explore patient preferences for postpartum care. Our central hypothesis is that early and often postpartum care will lead to improved patient visit attendance compared to routine care.
569 studies on the registry are indexed under Depression, Postpartum; 134 are open to participants now.
This study's enrollment of 162 is above the median of 104 across 454 interventional studies indexed under Depression, Postpartum.
Browse Depression, Postpartum studies →Women and Infants Hospital of Rhode Island is the lead sponsor of 93 studies on the registry; 25 are open to participants now.
Compared within Depression, Postpartum, this study's primary condition as ClinicalTrials.gg classifies it; the registry's first condition term is Puerperal Disorders. The counts are of registry records indexed under each term, refreshed daily. How we classify →
Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.
Exclusion Criteria:
High risk pregnancy defined as one or more of the following:
Visit at 2-3 and 6 weeks postpartum.
Behavioral: Early postpartum visit · Behavioral: Standard postpartum visit
Visit at 6 weeks postpartum.
Behavioral: Standard postpartum visit
The early postpartum visit will be an in-person visit with a medical provider at 14-21 days postpartum.
The standard postpartum visit will occur at 35 to 56 days postpartum.
Number of postpartum visits attended
The number of times a patient attends a postpartum visit in the first 12 weeks postpartum will be counted
Time frame: 3 months
Number of recommended items covered during postpartum care
Patients will complete a survey (created for this study) and identify how many key postpartum items were discussed during their postpartum care.
Time frame: 3 months
Trust in physician scale
The Trust in Physicians scale is a reliable and valid measure of a patients trust in their clinician and has been shown to be distinct from patient satisfaction
Time frame: 3 months
Short Assessment of Patient Satisfaction
The Short Assessment of Patient Satisfaction (SAPS) is a short, reliable, valid, seven item scale to assess patients satisfaction with medical treatment and care
Time frame: 3 months
Number of emergency room visits
Emergency room utilization will be determined via the electronic medical record. The number of visits in the first 3 months postpartum will be recorded.
Time frame: 3 months
Plan to share: No
No publications or documents are linked to this record.
This study is completed, as verified in Jul 2023. You cannot join it, but the record below documents what was studied.
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Women and Infants Hospital of Rhode Island