Enriched Holistic Care to Eradicate Disparities in Maternal Morbidity

Description

The goal of this randomized controlled intervention trial is to evaluate an integrated, interdisciplinary, multi-level maternity care home model (MCHM) aimed at reducing severe maternal morbidity (SMM) among a group of Black indigenous and people of color (BIPOC) patients. The main question it aims to answer is whether a patient-centered MCHM will address the gap in social, structural, and health system factors that contribute to disparities for the most vulnerable patients, thereby reducing SMM. Participants will be randomized to a MCHM (office-based prenatal care that is integrated with social services within the MCHM) or standard of care (office-based prenatal care with individually outsourced social services referrals) and followed during pregnancy through 1 year postpartum.

Conditions

Morbidity;Perinatal

Talk to us

Study Overview

On this page

Study Details

Study overview

The goal of this randomized controlled intervention trial is to evaluate an integrated, interdisciplinary, multi-level maternity care home model (MCHM) aimed at reducing severe maternal morbidity (SMM) among a group of Black indigenous and people of color (BIPOC) patients. The main question it aims to answer is whether a patient-centered MCHM will address the gap in social, structural, and health system factors that contribute to disparities for the most vulnerable patients, thereby reducing SMM. Participants will be randomized to a MCHM (office-based prenatal care that is integrated with social services within the MCHM) or standard of care (office-based prenatal care with individually outsourced social services referrals) and followed during pregnancy through 1 year postpartum.

The ENHANCED Trial: Enriched Holistic Care to Eradicate Disparities in Maternal Morbidity

Enriched Holistic Care to Eradicate Disparities in Maternal Morbidity

Condition
Morbidity;Perinatal
Intervention / Treatment

-

Contacts and Locations

Phialdelphia

Hospital of the University of Pennsylvania, Phialdelphia, Pennsylvania, United States, 19104

Philadelphia

Pennsylvania Hospital, Philadelphia, Pennsylvania, United States, 19107

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

For general information about clinical research, read Learn About Studies.

Eligibility Criteria

  • * Pregnant patients who self-identify as Black, Indigenous, Asian, or Latina (BIPOC)
  • * Ages 16-55
  • * Presentation to the hospital in pregnancy - this includes prenatal care or the emergency department
  • * Plan to deliver at the 2 Penn hospital sites
  • * Patients must be able to read and understand English or Spanish
  • * Participants must be willing and able to sign the informed consent form
  • * Unable to provide written consent by being unable to read or sign informed consent.
  • * Enrolled in ENHANCED Trial in a prior pregnancy
  • * Already participating in Maternity Care Home Model (MCHM)

Ages Eligible for Study

16 Years to 55 Years

Sexes Eligible for Study

FEMALE

Accepts Healthy Volunteers

Yes

Collaborators and Investigators

University of Pennsylvania,

Sindhu K Srinivas, MD, MSCE, PRINCIPAL_INVESTIGATOR, University of Pennsylvania

Study Record Dates

2028-01-31