Engaging Mothers & Babies; Reimagining Antenatal Care for Everyone (EMBRACE) Study

University of California San Francisco (UCSF)

Status: Completed

Conditions: Health Problems in Pregnancy; Prenatal Stress; Depression, Anxiety; Depression, Postpartum; Pregnancy Preterm; Satisfaction, Patient; Premature Birth

Treatments: Other: Individual Prenatal Care with CPSP; Other: Glow! Group Prenatal Care

Study type: Interventional

Funder types: Other

Identifiers

NCT04154423

AD-2018C2-13227

Details and patient eligibility

About

This is a randomized comparative effectiveness study of two forms of enhanced prenatal care among 657 Medi-Cal eligible pregnant individuals in Fresno, California. The goal is to see whether group prenatal care with wrap around services versus individual prenatal care supplemented by services covered by the California Department of Public Health Comprehensive Perinatal Services Program (CPSP) results in less depression and anxiety, and more respectful, more person-centered maternity care and lower rates of preterm birth.

Enrollment: 674 patients

Sex: Female

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Between 8 and 24 weeks gestation at enrollment
• Eligible for Medi-Cal (at or below 213% of the federal poverty level)
• Speak English or Spanish

Exclusion criteria

• Unavailable to attend group prenatal care sessions
• Not planning to continue prenatal care with site provider
• Cannot legally consent to participate in the study

Trial design

Primary purpose: Health Services Research

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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674 participants in 2 patient groups

Glow! Group Prenatal Care

Active Comparator group

Description:

Group prenatal care with wrap around services.

Treatment:

Other: Glow! Group Prenatal Care

Individual Prenatal Care- CPSP

Active Comparator group

Description:

Individual prenatal care with supplemental services covered by CPSP.

Treatment:

Other: Individual Prenatal Care with CPSP