Reshaping Postpartum Follow-up

The aim of this study is to evaluate the impact of personalized postpartum follow-up cards on completion of postpartum health related tasks. The intervention will consist of a card given to patients at time of discharge. One side of the card will list the patient's name and a list of recommended postpartum follow-up appointments based on their diagnoses at the time of discharge. Participants will be randomized to this intervention or the control group, which will consist of standard education routinely given at discharge. The primary endpoint will be the rate of completion of a postpartum blood pressure check or two hour glucose tolerance test, or both, depending on the patient's discharge diagnosis within the first year after discharge. The secondary endpoints will include establishing care with a primary care provider within the first year after delivery, or completion of postpartum pap smear or colposcopy, as indicated.

Postpartum followup, hypertensive disorders of pregnancy, eclampsia, pre-eclampsia, pap smear, gestational diabetes

Subjects will receive a personalized postpartum health card with recommendations for follow up based on their comorbid conditions in pregnancy. They will receive education about these comorbid conditions when they receive their cards.

Subjects will receive standard postpartum education as it is routinely performed by nurses prior to discharge.

The intervention will consist of a card given to patients at time of discharge. One side of the card will list the patient's name and a list of recommended postpartum follow-up appointments based on their diagnoses at the time of discharge. The back of the card will list relevant phone numbers to assist patients with scheduling.

Inclusion Criteria: Subjects >=18 years of age Ability to read English or Spanish Delivered via vaginal delivery or c-section within the past 48 hours Able to consent for themselves Exclusion Criteria: Received antepartum care at a facility outside of the Medstar system or plans to continue care with a facility outside of the Medstar system