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Enriched Holistic Care to Eradicate Disparities in Maternal Morbidity
Sponsor: University of Pennsylvania
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.
Official title: The ENHANCED Trial: Enriched Holistic Care to Eradicate Disparities in Maternal Morbidity
Key Details
Gender
FEMALE
Age Range
16 Years - 55 Years
Study Type
INTERVENTIONAL
Enrollment
2300
Start Date
2024-01-30
Completion Date
2028-01-31
Last Updated
2025-04-13
Healthy Volunteers
Yes
Conditions
Interventions
Maternity care home model (MCHM)
The maternity care home model is defined as office based prenatal care integrated with comprehensive social services.
Locations (2)
Hospital of the University of Pennsylvania
Phialdelphia, Pennsylvania, United States
Pennsylvania Hospital
Philadelphia, Pennsylvania, United States