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This pilot study will explore feasibility of routine implementation of the recommended blood-based screening of DHA status in early pregnancy in routine clinical care.
This pilot study will be conducted within the Atrium Health Wake Forest Baptist general academic obstetric practice that serves patients in six clinic locations in the Winston-Salem area. The study will train clinical staff on the prenatal omega-3 evidence; work with Epic IT to add the DHA blood test to the early prenatal lab order set; provide screening results with interpretation to patients and clinicians via Epic; monitor uptake of screening and viewing of results; and review screening results and characteristics of screened patients. This pilot data will inform the design of a cluster randomized trial to compare DHA blood screening with US usual care on preterm birth outcomes.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| DHA blood screening | Experimental | Measurement of DHA as percent of total fatty acids in red blood cells |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| DHA blood screening | Other | Measure of DHA as percent of total fatty acids in red blood cells |
|
| Measure | Description | Time Frame |
|---|---|---|
| Screening uptake percentage | Percent of eligible patients who receive DHA screening | First 20 weeks of pregnancy |
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| Measure | Description | Time Frame |
|---|---|---|
| Clinical staff training percentage | Percent of eligible clinical staff completing training | 60 days from activation |
| Docosahexaenoic Acid (DHA) status | Percent of screened patients with low DHA (<5% of total fatty acids) |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Katherine Sauder, PhD | Wake Forest University Health Sciences | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Wake Forest University Health Sciences | Winston-Salem | North Carolina | 27157 | United States |
Sharing data is outside the scope of this pilot study.
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| up to week 20 gestation |