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Table 3 Comparison of visit schedule by week of gestation, usual care and OB Nest groups

From: Implementation of a new prenatal care model to reduce office visits and increase connectivity and continuity of care: protocol for a mixed-methods study

Week

Usual care group

OB nest group

Care provided (both groups)

1-7

Drop-in pregnancy education

Drop-in pregnancy education

Interactive self-education

8

New OB office visit with registered nurse/CNM

New OB office visit with registered nurse/CNM

Individualized pregnancy education, bedside ultrasound, history, lab ordering, discuss genetic options

12

New OB office visit with physician/CNM

New OB office visit with physician

Physical exam including pap if needed and review plan of care

16

 

Connected care visit with registered nursea

Education and review of care

18

Ultrasound, registered nurse visit

Ultrasound, registered nurse visit

Ultrasound; mid-pregnancy education

24

Routine OB office visit with physician/CNM

Connected care visit with registered nursea

Routineb

28

Routine OB office visit with physician/CNM

Routine OB office visit with physician/CNM

Routineb (lab ordering)

33

Routine OB office visit with physician/CNM

Connected care visit with registered nursea

Routineb

36

Routine OB office visit with physician/CNM

Routine OB office visit with physician/CNM

Routineb (lab ordering)

38

Routine OB office visit with physician/CNM

Connected care visit with registered nursea

Routineb

39

Routine OB office visit with physician/CNM

Routine OB office visit with physician/CNM

Routineb

40

Routine OB office visit with physician/CNM

Connected care visit with registered nursea

Routineb

41

Routine OB office visit with physician/CNM; registered nurse visit; ultrasound

Routine OB office visit with physician/CNM; nurse visit; ultrasound

Over 40 weeks bi-weekly monitoring

1 week Postpartum

 

Connected care visit with registered nursea

Education and review of care

8 weeks Postpartum

Routine OB visit with physician/CNM

Routine OB Office visit with physician/CNM

 

Total visits to clinic

12

8

 
  1. Abbr: CNM = Certified Nurse Midwife
  2. aConnected care visits with nurses are scheduled contacts by phone or online patient portal
  3. bRoutine = Check maternal blood pressure, maternal weight, and fetal heart rate, and provide education
  4. Compared to usual care, OB Nest patients will have 4 fewer office visits. However, total scheduled contacts during pregnancy are greater in the OB Nest group. In addition to changing provider office visits with nurse virtual connected care visits, there are additional nurse contacts at 16 weeks and one week postpartum