Summary

for females ages 18-50 (full criteria)
healthy people welcome
at UCLA
study started
estimated completion:
Ilina Datkhaeva (ucla)

Description

Summary

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.

Official Title

Randomized Control Trial of Postpartum Visits at Two or Six Weeks to Evaluate Clinic Attendance and Emergency Department Usage

Details

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.

Keywords

Postpartum Pregnancy Related Breastfeeding Contraception Emergency Department Postpartum Visit at 6 Weeks Postpartum Visit at 2 Weeks Postpartum Visit 6 Weeks Postpartum Visit 2 and 6 Weeks

Eligibility

You can join if…

Open to females ages 18-50

  • 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

You CAN'T join if...

  • Cognitive impairment, psychiatric instability, or language barriers that limit her ability to provide informed consent
  • Plans to received postpartum care at other institution

Location

  • University of California Los Angeles accepting new patients
    Los Angeles California 90095 United States

Lead Scientist

Details

Status
accepting new patients
Start Date
Completion Date
(estimated)
Sponsor
University of California, Los Angeles
ID
NCT03733405
Study Type
Interventional
Last Updated