Improving postpartum care for women at risk of complications
Enhancing Care and Outcomes for Patients with Hypertensive Disorders of Pregnancy and Diabetes During the First Postpartum Year: a Randomized Control Trial
This study is testing if having obstetric care providers offer ongoing support and care for women with high-risk conditions after childbirth can improve their health during the first year.
Quick facts
| Phase | Not applicable |
|---|---|
| Study type | Interventional |
| Enrollment | 100 (estimated) |
| Ages | 18 Years and up |
| Sex | Female |
| Sponsor | University of Maryland, Baltimore Academic / other |
| Locations | 1 site (Baltimore, Maryland) |
| Trial ID | NCT06615076 on ClinicalTrials.gov |
What this trial studies
This study aims to enhance care for women during the first year after childbirth, particularly those with hypertensive disorders of pregnancy and diabetes. It evaluates the effectiveness of obstetric care providers acting as primary care providers for these high-risk patients, addressing the significant maternal mortality and morbidity crisis in the U.S. The research focuses on providing ongoing, tailored postpartum care rather than a single follow-up visit, acknowledging the unmet medical needs during this critical period. The study is conducted at the University of Maryland Medical Center, targeting women who are planning to deliver there and have specific health conditions.
Who should consider this trial
Good fit: Ideal candidates include pregnant individuals aged 18 or older with a diagnosis of hypertensive disorders of pregnancy or diabetes who plan to deliver at the University of Maryland Medical Center and have Medicaid insurance.
Not a fit: Patients who do not have a diagnosis of hypertensive disorders or diabetes, or those under 18 years of age, may not benefit from this study.
Why it matters
Potential benefit: If successful, this approach could significantly reduce maternal mortality and improve health outcomes for women during the postpartum period.
How similar studies have performed: While there is ongoing research into postpartum care, this specific approach of using obstetric providers as primary care for high-risk postpartum patients is relatively novel.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: * Age 18 or older * Pregnant individuals * Planning to deliver and continue postpartum care at the University of Maryland Medical Center * Diagnosis of HDP or diabetes (pre-gestational or gestational) before discharge from admission for delivery * Medicaid insurance coverage Exclusion Criteria: * Less than 18 years of age * Fetal demise * No diagnosis of HDP and/or diabetes (pre-gestational or gestational) * Non-Medicaid insurance coverage
Where this trial is running
Baltimore, Maryland
- University of Maryland, Baltimore — Baltimore, Maryland, United States (Recruiting)
Study contacts
- Principal investigator: Jenifer Fahey, CNM, PhD — University of Maryland, Baltimore
- Study coordinator: Jenifer Fahey, CNM, PhD
- Email: jfahey@som.umaryland.edu
- Phone: 667-214-1310
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.