Helping Postpartum Patients With Chronic Conditions Connect to Primary Care
Tests a support program linking people with chronic conditions to primary care after childbirth.
Key facts
- Who runs it
- Massachusetts General Hospital
- Where
- Boston, United StatesSee the site
- Trial code
- Registry title
- Facilitated Transitions From Postpartum to Primary Care Coordination for People With Chronic Conditions
- Status
- Recruiting
- People taking part
- 1,320 people, planned
- Started
- 23 May 2025
- Expected to end
- 23 May 2028
- Type of study
- Interventional, 2 groupsOne group gets an existing treatment, for comparison.
- Treatments tested
- Facilitated Transition to Primary Care
- Record updated
- 13 July 2026
Who can take part
AI summary
From the trial's eligibility criteria. Machine-read from the registry text on this page, so it can be wrong. The registry text below and the trial team decide who can take part.
The trial is looking for adults who are pregnant or just gave birth and have high blood pressure, diabetes, class II obesity, depression or anxiety, and who are cared for at an MGH-affiliated obstetrics practice.
- Age
- 18 years or older
- Sex
- Female
- Disease stage
- Pregnant with a live fetus, or delivered a live-born baby at 24 weeks of pregnancy or later. At least one of these conditions is needed: chronic high blood pressure, high blood pressure caused by pregnancy, type 1 or 2 diabetes, gestational diabetes, class II obesity (BMI 35 kg/m2 or higher before pregnancy), depression or anxiety disorder.
Main reasons for not taking part
- Not receiving obstetric care at an MGH-affiliated obstetrics practice
- Receiving care at the MGH HOPE Clinic
- After the birth, the baby is not alive at enrolment
- No primary care clinician listed in the medical record
- Cannot read or speak English or Spanish
The registry criteria, word for word
Show all 9 criteriaShow less
Who can take part
- Receiving obstetric care at an MGH-affiliated obstetrics practice (except for the MGH HOPE Clinic, which has a unique care model that provides prenatal and postnatal care for individuals with substance use disorder, including the provision of primary care through 2+ years postpartum)
- Pregnant with a live fetus or delivered a live-born neonate ≥24 weeks of gestation, based on the clinical estimate of gestational age
- If postpartum, has a neonate that is currently living at the time of enrollment
- Has one or more of the following conditions listed in the "Problem List," "Medical History," or clinical notes during prenatal, intrapartum, or postpartum encounters in the EHR (or in the case of BMI, the patient's anthropometric measurements):; Chronic or essential hypertension; Hypertensive disorders related to pregnancy (e.g., pre-eclampsia); Type 1 or 2 diabetes (i.e., pre-existing diabetes); Gestational diabetes; Class II Obesity (pre-pregnancy body mass index ≥35 kg/m2; or if pre-pregnancy body mass index is not known, a first trimester BMI of ≥35 kg/m2); Depression or anxiety disorder
- Has a primary care clinician listed in the patient's medical record
- Has access to or agrees to be enrolled in the electronic health record patient portal and consents to be contacted via these modalities
- Able to read/speak English or Spanish language
- Is age ≥18 years old
Who cannot take part
- Any individual not meeting all inclusion criteria
Where in United States
- Massachusetts General HospitalBoston, United StatesContact: Mark A Clapp, MD, MPHTaking people
About the trial
What the trial wants to find out
The lack of postpartum primary care coordination is a missed opportunity to increase primary care engagement and manage chronic conditions early in life, especially for the >30% of pregnant people who have or are at risk for these conditions. This study aims to increase postpartum primary care engagement, quality, and experience by strengthening postpartum transitions to primary care using a behavioral economics-informed, multi-component intervention integrated into usual inpatient postpartum care. Using a randomized controlled trial and repeated outcome assessments through administrative and survey data, this study will generate rigorous, actionable evidence to ensure primary care coordination becomes standard postpartum care practice, potentially catalyzing sustained primary care engagement throughout life.
The 2 groups in the trial
- Routine CareNo study treatment, for comparison
Routine postpartum care
- Facilitated Transition GroupExisting treatment, for comparison
The intervention is integrated into routine inpatient postpartum care and includes the following components: default PCP visit scheduling, tailored nudge messages to patients, ongoing care recommendations sent to the PCP, and a summary of recommendations after pregnancy given to the patient.
Treatment: Facilitated Transition to Primary Care
Questions to ask the study team
- How often do I need to come in, and for how long each time?
- Are travel costs paid?
- Can I keep my own doctor?
- What happens if I want to stop?
Contact the study team: see the registry record → Contacts and Locations
Print a page for my doctorData and sources
- Registry record
- Listed on ClinicalTrials.gov.
- Official title
- Bridges to Primary Care: Transforming Postpartum Primary Care Coordination for People With Chronic Conditions
- Plain-language title
- Helping Postpartum Patients With Chronic Conditions Connect to Primary CareGenerated from the registry record. The registry title is the official one.
- AI summary
- From the trial's eligibility criteria. Read by machine on 12 November 2026.
- Record updated
- 13 July 2026