Melanated Group Midwifery Care (MGMC)

Part of paid clinical trials in Chicago, Illinois.

Sponsor
University of Illinois at Chicago
Study ID
NCT05365815
Status
Recruiting

Conditions

  • Maternal Care Patterns
  • Patient Engagement
  • Pregnancy Complications

Eligibility Criteria

Sex
FEMALE
Age
15 Years - 49 Years
Healthy Volunteers
Accepted

Interventions

  • Melanated Group Midwifery Care — BEHAVIORAL
    Racially concordant maternity care Group prenatal care Racially concordant nursing care coordination Postpartum doula support

Study Details

This study is being conducted to determine if a multi-level intervention for delivering maternity care can improve patient trust and engagement among Black birthing people.

Key Dates

Start date
Jun 8, 2022
Status verified
Jul 2024
Primary completion
May 15, 2026
Completion
Feb 1, 2027

Study Design

Enrollment
432 participants (estimated)
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH

Arms

  • Experimental: MGMC Intervention Group
    In the MGMC (intervention) group, pregnant women will participate in group prenatal care and have \~2-hour visits with the same two co-facilitators, a Black midwife and a Black care coordinator, along with 8-12 other Black women at a similar stage of pregnancy, for all prenatal and one postnatal care visits. The care coordinator will proactively engage with women throughout pregnancy and up to 12 months postpartum. The care coordinator helps women make appointments, sends reminders, and follows-up to ensure care was received, understood, and was appropriate. In the 3rd trimester, women in MGMC will be introduced to a community-based postpartum doula. The doula will make home visits once before birth and within the first 2 weeks postpartum; they will have approximately 50 contact hours available for 12 months postpartum for primarily in-person support, but they will be available by phone and text.
  • No Intervention: Usual Care
    In the usual care (comparator) group, pregnant women attend individually scheduled visits with a midwife or obstetrician for a physical assessment and counseling. Although this can vary by provider, continuity of care is rare and racial concordance is not a consideration. Referrals for medical or social services are given to the patient to complete in both prenatal and postnatal care.

Primary Outcome Measure

Patient Engagement-Prenatal Adequacy [ Time Frame: Birth (T3) ]

Central Contacts

Locations (1)

FacilityCityStateZIPSite coordinators
University of Illinois at ChicagoChicagoIllinois60612-7316
Kylea L Liese, PhD
312-996-1867
Stacie Geller, PhD

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