{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T11:03:13Z","timestamp":1790766193026,"version":"4.1.0"},"reference-count":29,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,6,19]],"date-time":"2026-06-19T00:00:00Z","timestamp":1781827200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,6,19]],"date-time":"2026-06-19T00:00:00Z","timestamp":1781827200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pregnancy"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Pregnant individuals with cardiometabolic conditions\u2014including diabetes, hypertensive disorders, and obesity\u2014are at elevated risk for postpartum complications. Timely postpartum care is critical for mitigating postpartum risks, yet postpartum visit attendance remains suboptimal, and few evidence\u2010based interventions exist, especially among those receiving care in safety\u2010net health systems. We aimed to evaluate whether a patient\u2010centered postpartum care planning intervention increases comprehensive postpartum visit attendance among obstetric patients with at least one cardiometabolic risk factor.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We conducted a single\u2010center, parallel group randomized control trial at a metropolitan safety\u2010net health system, enrolling pregnant individuals who were 20\u201334\u00a0weeks gestation, English or Spanish\u2010speaking, and had a diagnosis of diabetes mellitus, chronic hypertension, gestational diabetes, gestational hypertension or preeclampsia, and\/or pre\u2010pregnancy obesity. Participants were randomized 1:1 to receive standard obstetric care (control) or standard obstetric care plus prenatal education and co\u2010creation of a postpartum care plan (intervention). The primary outcome was attendance at a comprehensive postpartum visit between 4 and 12\u00a0weeks postpartum. We used generalized linear models to estimate risk ratios (RRs) and 95% confidence intervals (CIs) for the intervention using an intent\u2010to\u2010treat approach, stratified by parity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      We randomized 159 participants to the intervention and 161 to the control arms (\n                      <jats:italic>N<\/jats:italic>\n                      \u00a0=\u00a0320). Overall, 52.8% and 55.3% of participants in the intervention and control arms, respectively, attended a comprehensive postpartum visit (\n                      <jats:italic>p\u00a0<\/jats:italic>\n                      =\u00a00.66). When stratified by parity, no differences were seen among primiparous participants (61.5%\u00a0vs. 50.0%; RR, 1.23; 95% CI, 0.82\u20131.85) or multiparous participants (48.6%\u00a0vs. 56.6%; RR, 0.86; 95% CI, 0.67\u20131.10). For multiparous participants, among those receiving one or no prenatal study visits with a research coordinator, only 29.6% attended a comprehensive postpartum visit, whereas 72.4% of those with \u22653 visits did so (\n                      <jats:italic>p\u00a0<\/jats:italic>\n                      =\u00a00.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The patient\u2010centered postpartum care planning intervention did not significantly improve postpartum visit attendance. However, attendance rates were higher among those with greater prenatal intervention exposure, suggesting that intensity and continuity of patient engagement may improve postpartum care utilization.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:label\/>\n                    <jats:p>\n                      <jats:bold>Trial registration<\/jats:bold>\n                      : Date of registration: June 20, 2022; date of initial participant enrollment: August 8, 2022; clinical trial identification number: NCT05430815; URL of the registration site:\n                      <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"https:\/\/clinicaltrials.gov\/study\/NCT05430815\">https:\/\/clinicaltrials.gov\/study\/NCT05430815<\/jats:ext-link>\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/pmf2.70346","type":"journal-article","created":{"date-parts":[[2026,6,19]],"date-time":"2026-06-19T12:12:36Z","timestamp":1781871156000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Effect of a patient\u2010centered planning intervention on postpartum visit attendance"],"prefix":"10.1002","volume":"2","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7638-7374","authenticated-orcid":false,"given":"Sheree L.","family":"Boulet","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology Boston University Chobanian &amp; Avedisian School of Medicine  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kaitlyn K.","family":"Stanhope","sequence":"additional","affiliation":[{"name":"Department of Epidemiology Emory University Rollins School of Public Health  Atlanta Georgia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ta\u00e9","family":"Stallworth","sequence":"additional","affiliation":[{"name":"Department of Gynecology and Obstetrics Emory University School of Medicine  Atlanta Georgia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gabriela","family":"Juarez","sequence":"additional","affiliation":[{"name":"Department of Gynecology and Obstetrics Emory University School of Medicine  Atlanta Georgia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marisela","family":"Lozada","sequence":"additional","affiliation":[{"name":"Department of Gynecology and Obstetrics Emory University School of Medicine  Atlanta Georgia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Franklyn","family":"Geary","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Morehouse School of Medicine  Atlanta Georgia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Victoria L.","family":"Green","sequence":"additional","affiliation":[{"name":"Department of Gynecology and Obstetrics Emory University School of Medicine  Atlanta Georgia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Taylore","family":"King","sequence":"additional","affiliation":[{"name":"Department of Gynecology and Obstetrics Emory University School of Medicine  Atlanta Georgia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lauren","family":"Furst","sequence":"additional","affiliation":[{"name":"Department of Gynecology and Obstetrics Emory University School of Medicine  Atlanta Georgia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Danielle","family":"Vuncannon","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology University of North Carolina at Chapel Hill School of Medicine Chapel Hill North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3152-9711","authenticated-orcid":false,"given":"Anna","family":"Newton\u2010Levinson","sequence":"additional","affiliation":[{"name":"Department of Gynecology and Obstetrics Emory University School of Medicine  Atlanta Georgia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Denise J.","family":"Jamieson","sequence":"additional","affiliation":[{"name":"Vice President for Medical Affairs &amp; the Tyrone D. Artz Dean, Carver College of Medicine University of Iowa Health Care Iowa City Iowa USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5092-8136","authenticated-orcid":false,"given":"Anne L.","family":"Dunlop","sequence":"additional","affiliation":[{"name":"Department of Gynecology and Obstetrics Emory University School of Medicine  Atlanta Georgia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,6,19]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000002633"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2017.03.032"},{"key":"e_1_2_10_4_1","unstructured":"Centers for Disease Control and Prevention.2024.Pregnancy\u2010Related Deaths: Data From Maternal Mortality Review Committees in 36 US States 2017\u20132019. 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