Evidence map›Paper›PMID 38838985›Full record

ArticleContemporary clinical trials2024

Planning for the forgotten fourth trimester of pregnancy: A parallel group randomized control trial to test a postpartum planning intervention vs. standard prenatal care.

Kaitlyn K Stanhope, Taé Stallworth, Alexandra D Forrest, Danielle Vuncannon, Gabriela Juarez, Sheree L Boulet, Franklyn Geary, Anne L Dunlop, Sarah C Blake, Victoria L Green and 1 more

Registry-linked trialAbstract readClinical Trial Protocol
In one paragraph

Article in Contemporary clinical trials, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05430815 (Minding the Gap), which is not on this map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05430815 nacompletednot on this map

Minding the Gap: Improving Women's Health Through Coordinated Postpartum Planning

TypeinterventionalSponsorEmory UniversityRan2022 to 2025Enrolled320ConditionsMaternal Death, Maternal MorbidityArmsEnhanced Postpartum Care System
3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Trial
  2. Beyond Deterministic Fetal Programming: Intrauterine Exposures and the Multifactorial Origins of Adiposity.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2026
    Review
  3. Article
  4. Article
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Kaitlyn K StanhopeEmory University School of Medicine, Department of Gynecology and Obstetrics, Atlanta, Georgia, United States; Emory University Rollins School of Public Health, Department of Epidemiology, 1518 Clifton Road NE Office 3023, Atlanta, Georgia, United States. Electronic address: kaitlyn.keirsey.stanhope@emory.edu.
Taé StallworthEmory University School of Medicine, Department of Gynecology and Obstetrics, Atlanta, Georgia, United States.
Alexandra D ForrestEmory University School of Medicine, Department of Gynecology and Obstetrics, Atlanta, Georgia, United States.
Danielle VuncannonEmory University School of Medicine, Department of Gynecology and Obstetrics, Atlanta, Georgia, United States.
Gabriela JuarezEmory University School of Medicine, Department of Gynecology and Obstetrics, Atlanta, Georgia, United States.
Sheree L BouletEmory University School of Medicine, Department of Gynecology and Obstetrics, Atlanta, Georgia, United States.
Franklyn GearyMorehouse School of Medicine, Department of Obstetrics and Gynecology, Atlanta, Georgia, United States.
Anne L DunlopEmory University School of Medicine, Department of Gynecology and Obstetrics, Atlanta, Georgia, United States.
Sarah C BlakeEmory University Rollins School of Public Health, Department of Health Policy and Management, Atlanta, Georgia, United States.
Victoria L GreenEmory University School of Medicine, Department of Gynecology and Obstetrics, Atlanta, Georgia, United States.
Denise J JamiesonEmory University School of Medicine, Department of Gynecology and Obstetrics, Atlanta, Georgia, United States; University of Iowa, School of Medicine, Johnson County, Iowa, United States.

Funding

Minding the gap: a multidisciplinary approach to reducing maternal health disparities in GeorgiaR01MD016031 · NIMHD · EMORY UNIVERSITY · PI ADAMS, ESTHER KATHLEEN, DUNLOP, ANNE LANG · 2020 to 2024
$3.9M
NIMHD NIH HHS R01 MD016031
6 · The paper itself

Abstract

backgroundBlack and brown birthing people experience persistent disparities in adverse maternal health outcomes, partially due to inadequate perinatal care. The goal of this study is to design and evaluate a patient-centered intervention for obstetric patients with one or more cardiometabolic risk factors for severe maternal morbidity [gestational diabetes, diabetes mellitus, hypertensive disorders of pregnancy (chronic hypertension, preeclampsia, eclampsia, or gestational hypertension), or preconception obesity (BMI > 30)] to promote postpartum visit attendance.

methodsTo address identified unmet needs for postpartum support and barriers to postpartum care, we developed 20 thematic postpartum planning modules, each with corresponding patient educational materials, community resources, care coordination protocols, and clinician support tools (decision aids, electronic medical record prompts and fields). During prenatal care encounters, a research coordinator delivers the educational content (in English or Spanish), facilitates the participant's planning and shared decision-making, provides the participant with resources, and documents decisions in the electronic medical record. We will randomize 320 eligible patients with a 1:1 ratio to the intervention or standard prenatal care and evaluate the impact on postpartum visit attendance at 4-12 weeks and secondary outcomes (postpartum mental health, perceived future maternal and cardiometabolic risk, contraceptive use, primary care use, readmission, and patient satisfaction with care). DISCUSSION: Through engagement with patients and community stakeholders, we developed a guideline-based, locally tailored intervention to address drivers of engagement with postpartum care for high-risk obstetric patients. If demonstrated to be effective, the educational materials and electronic medical record based-tool can be adapted to other settings.

trial registrationThis trial was registered on ClinicalTrials.gov (NCT05430815) on June 23, 2022.

Indexed as

Prenatal CareAdultDecision Making, SharedFemaleHumansPatient Education as TopicPostnatal CarePostpartum PeriodPregnancyPregnancy ComplicationsRandomized Controlled Trials as TopicPatient navigationPostnatal carePostpartum periodPre-eclampsiaPregnancySocial determinants of health

Identifiers

PMID38838985
PMCPMC11283948

What Socratic holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.