Impact of Earlier Postpartum Contact on Postpartum Visit Compliance and Maternal Wellbeing

Re-imagining the Postpartum Process: The Impact of Earlier Postpartum Contact on Attendance at Postpartum Visits and Maternal Wellbeing

The American College of Obstetricians and Gynecologists has recommended a paradigm shift in how postpartum care is instituted. They recommend that in addition to the normal 4-12 week postpartum visit, women receive contact with a provider within the first 3 weeks after giving birth. This RCT will randomize patients to routine care- 6-12 week postpartum visit alone- or enhanced care- routine care plus a phone call within the first 3 weeks postpartum. The patients will then be asked to complete a follow up survey at 6 months postpartum. The primary outcome measure would be rates of compliance with the 6-12 week postpartum visit. Secondary outcome measures will include breastfeeding rates, rates of postpartum depression, hospital readmission rates and met desire for contraception.

Inclusion Criteria:

• Had a vaginal or cesarean delivery at the Jack D. Weiler Hospital
• Gestational age greater than or equal to 36 weeks
• Received prenatal care at the Comprehensive Family Care Center (CFCC) clinic

Exclusion Criteria:

- Fetal or neonatal death or demise