Evaluation of a postpartum education and support program for rural women

Evaluation of a Health System Integrated Model for Postpartum Education and Support in Rural Populations - NEST-Rural

NA · Wake Forest University Health Sciences · NCT06682520

This study is testing a new support program for new moms in rural North Carolina to see if it helps them stay healthier and reduces hospital visits compared to regular care.

Quick facts

PhaseNA
Study typeInterventional
Enrollment1300 (estimated)
Ages18 Years and up
SexFemale
SponsorWake Forest University Health Sciences (other)
Locations1 site (Winston-Salem, North Carolina)
Trial IDNCT06682520 on ClinicalTrials.gov

What this trial studies

This study evaluates the Nurse Education and Support Team (NEST) Program aimed at improving postpartum care for women in five rural counties in North Carolina. It is a randomized control trial comparing the NEST-Rural care model with usual postpartum care. The program focuses on coordinated care addressing social, mental, and physical health needs, with features like remote blood pressure monitoring and multiple nurse encounters. The goal is to reduce hospital readmissions and emergency department visits while improving adherence to preventive care guidelines.

Who should consider this trial

Good fit: Ideal candidates are postpartum women aged 18 and older who deliver at the Atrium Health Wake Forest Baptist and reside in the specified rural counties.

Not a fit: Patients who deliver outside of the designated healthcare facility or reside outside the specified counties may not benefit from this study.

Why it matters

Potential benefit: If successful, this program could lead to improved health outcomes for postpartum women and their infants in rural areas.

How similar studies have performed: Other studies have shown success with integrated postpartum care models, suggesting potential for positive outcomes in this approach.

Eligibility criteria

Show full inclusion / exclusion criteria
Inclusion Criteria:

1. Women that deliver an infant(s) at The Birth Center at Atrium Health Wake Forest Baptist and currently reside in Davidson, Davie, Stokes, Wilkes or Yadkin County in North Carolina
2. Women that delivered an infant(s) at home, were transported to Atrium Health Wake Forest Baptist and received postpartum care at The Birth Center and currently reside in Davidson, Davie, Stokes, Wilkes or Yadkin County in North Carolina
3. Ages 18 years or older

Exclusion Criteria:

1. Women that delivered an infant(s) and did not receive postpartum care at The Birth Center at Atrium Health Wake Forest Baptist.
2. Women that currently reside outside of Davidson, Davie, Stokes, Wilkes or Yadkin County in North Carolina
3. Under 18 years of age

Where this trial is running

Winston-Salem, North Carolina

Study contacts

How to participate

  1. Review the eligibility criteria above with your treating physician.
  2. Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
  3. Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.

View on ClinicalTrials.gov →

Conditions: Health Care Utilization, Remote blood pressure monitoring, Postpartum Nurse home visiting, Postpartum Health Care Services, Postpartum Hospital Program Service Model, Maternal Health, Newborn Health

Last reviewed 2026-05-15 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.