Enriched Holistic Care to Eradicate Disparities in Maternal Morbidity
The ENHANCED Trial: Enriched Holistic Care to Eradicate Disparities in Maternal Morbidity
University of Pennsylvania
2,300 participants
Jan 30, 2024
INTERVENTIONAL
Conditions
Summary
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.
Eligibility
Inclusion Criteria6
- 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
Exclusion Criteria3
- 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)
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Interventions
The maternity care home model is defined as office based prenatal care integrated with comprehensive social services.
Locations(2)
View Full Details on ClinicalTrials.gov
For the most up-to-date information, visit the official listing.
NCT06245057