Prevent Maternal Mortality Using Mobile Technology

Emory University

Status: Unknown

Conditions: Post-Partum

Treatments: Behavioral: Prevent Maternal Mortality using Mobile technology (PM3)

Study type: Interventional

Funder types: Other

Identifiers

NCT05339867

STUDY00003016

Details and patient eligibility

About

Black women who reside in a rural area are at highest risk for maternal morbidity and mortality due to a combination of social and structural causes. The postpartum period is the most critical yet most neglected phase for preventing suboptimal or fatal maternal health outcomes. The goal of this project is to use a mobile app to provide personalized support and improve the lives of women during the early postpartum period. The information the study team gathers will help educate women and all who support them about the need to seek postpartum care and the impact postpartum care can have on pregnancy-related complications. Participation in this research requires taking part in a focus group discussion which will allow participants to share or the person that supports the participant's story and experience with postpartum complications and willingness to use and desired features of a postpartum mobile app.

Full description

Black women in Georgia have the highest risk for adverse maternal outcomes, with a staggering 66.6 deaths per 100,000 live births, compared to 18.1 for Hispanic women and 43.2 for white women. In rural Georgia, these statistics are more profound, with Black women experiencing 126.7 deaths per 100,000 live births compared to 78.3 deaths for White women. These disparities have existed for centuries and have also widened significantly over the last several decades.

The proposed research aims to increase the effectiveness of postpartum discharge education and improve rural Black women's compliance with postpartum care recommendations by developing and testing a culturally-informed "mhealth intervention" entitled Prevent Maternal Mortality using Mobile technology (PM3).

Enrollment: 300 estimated patients

Sex: All

Ages: 18 to 45 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Participants self -identify as female
• Participants must self-identify as African American/Black
• Aged 18-45 years
• Can speak or read English
• Participants must be able to give consent.
• Own a smart phone
• Reside in or near Albany, LaGrange, or Waynesboro (within a 40 mile radius)
• Be in third trimester or recently had a baby (≤4 weeks postpartum)
• Can be contacted by phone or email after hospital discharge.

Exclusion criteria

• Women will be excluded if they have known unavailability to follow-up
• An active severe mental health condition, or developmental disability precluding informed consent

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Single Group Assignment

Masking: Single Blind

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300 participants in 2 patient groups

Mothers following Standard of Care

No Intervention group

Description:

Participants randomized to this group will receive standard of Care for Postpartum. The standard of care control condition will be what women would typically get at hospital discharge (typically an Electronic Medical Record (EMR) generated document; a non-standardized, generalized brief review of how to care for self and the baby).

Mother Using PM3 Intervention

Experimental group

Description:

Participants in this group will be using the PM3 intervention. PM3 is a maternal mortality prevention and optimal reproductive health promotion mobile app created based on formative work with Black women to ultimately increase postpartum comorbidity self-management, promote timely provider notification of postpartum-related complications, and ensure access to social support and community resources.

Treatment:

Behavioral: Prevent Maternal Mortality using Mobile technology (PM3)