Enhancing Care & Outcomes for Patients During the First Postpartum Year

Summary

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.

Eligibility

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

Conditions4

Locations1 site

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