Enhancing Care & Outcomes for Patients During the First Postpartum Year

Description

The United States is in the midst of a maternal mortality and morbidity crisis, with more than half of maternal deaths occurring within the first postpartum year. Patients with hypertensive disorders of pregnancy (HDP) and diabetes have been found to be particularly high-risk, as they have a significantly increased risk for the development of cardiovascular disease in the long-term postpartum period. Traditionally, postpartum care has consisted of a single office visit at six weeks postpartum. Recent research has suggested that postpartum care should be an ongoing process, tailored to each woman's specifics needs. The purpose of this research study is to evaluate the effectiveness of obstetric care providers as primary care providers for patients at increased risk of maternal morbidity and mortality in the full first postpartum year.

Conditions

Postpartum Period, Pregnancy, Hypertension, Pregnancy Induced

Study Overview

Study Details

Study overview

The United States is in the midst of a maternal mortality and morbidity crisis, with more than half of maternal deaths occurring within the first postpartum year. Patients with hypertensive disorders of pregnancy (HDP) and diabetes have been found to be particularly high-risk, as they have a significantly increased risk for the development of cardiovascular disease in the long-term postpartum period. Traditionally, postpartum care has consisted of a single office visit at six weeks postpartum. Recent research has suggested that postpartum care should be an ongoing process, tailored to each woman's specifics needs. The purpose of this research study is to evaluate the effectiveness of obstetric care providers as primary care providers for patients at increased risk of maternal morbidity and mortality in the full first postpartum year.

Enhancing Care and Outcomes for Patients with Hypertensive Disorders of Pregnancy and Diabetes During the First Postpartum Year: a Randomized Control Trial

Enhancing Care & Outcomes for Patients During the First Postpartum Year

Condition
Postpartum Period
Intervention / Treatment

-

Contacts and Locations

Baltimore

University of Maryland, Baltimore, Baltimore, Maryland, United States, 21201

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

For general information about clinical research, read Learn About Studies.

Eligibility 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
  • * Less than 18 years of age
  • * Fetal demise
  • * No diagnosis of HDP and/or diabetes (pre-gestational or gestational)
  • * Non-Medicaid insurance coverage

Ages Eligible for Study

18 Years to

Sexes Eligible for Study

FEMALE

Accepts Healthy Volunteers

No

Collaborators and Investigators

University of Maryland, Baltimore,

Jenifer Fahey, CNM, PhD, PRINCIPAL_INVESTIGATOR, University of Maryland, Baltimore

Study Record Dates

2026-12