Melanated Group Midwifery Care (MGMC)

Last updated: July 1, 2024
Sponsor: University of Illinois at Chicago
Overall Status: Active - Recruiting

Phase

N/A

Condition

Pregnancy Complications

Treatment

Melanated Group Midwifery Care

Clinical Study ID

NCT05365815
CHAIRb 21120101
AD-2020C3-21229
  • Ages 15-49
  • Female
  • Accepts Healthy Volunteers

Study Summary

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.

Eligibility Criteria

Inclusion

Inclusion criteria for patients:

  • pregnant women who self-identify as Black on a standard prenatal intake form

  • less than 20 weeks pregnant

  • 15 years old or older

  • present to the general obstetrics group at the University of Chicago Medical Center for their new prenatal visit

  • speak and understand English

Inclusion criteria for providers:

• All black midwives, care coordinators, and community postpartum doulas at the University of Chicago are eligible to participate.

Exclusion criteria for patients:

  • having a condition for which they present to a higher level of obstetrics care (e.g., maternal fetal medicine) for their new prenatal visit

  • having a cognitive issue that impairs their ability to give informed consent.

Study Design

Total Participants: 432
Treatment Group(s): 1
Primary Treatment: Melanated Group Midwifery Care
Phase:
Study Start date:
June 08, 2022
Estimated Completion Date:
February 01, 2027

Study Description

Low-risk pregnant participants will be randomized into Melanated Group Midwifery Care or usual individualized obstetric care. In Melanated Group Midwifery Care (MGMC), Black women will receive prenatal care from a Black midwife in groups with the same 8-10 other Black women throughout pregnancy. In pregnancy and into the first year postpartum, MGMC patients will stay connected to the health system through a proactive care coordinator, who is a Black licensed nurse. For the first year after giving birth, patients in MGMC will also be supported by a trained postpartum doula.

All participants (intervention and usual care groups) will complete study measures that include validated surveys on patient trust, respect and engagement at 6 time points:

  • 3 time points in pregnancy [baseline (<20 weeks), 26-28 weeks, and 35- 37 weeks] and

  • 3 in the postpartum at 2-, 6-, and 12-months

  • Additional qualitative interviews will be done to track the care received by medically and socially complex patients, including all who experience a severe maternal morbidity.

The investigators will also document how MGMC gets embedded in practice through a qualitative process evaluation.

Connect with a study center

  • University of Illinois at Chicago

    Chicago, Illinois 60612-7316
    United States

    Active - Recruiting

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