NCT04154423

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

Comparing Approaches to Enhanced Prenatal Care to Improve Maternal and Child Health in Central CA

• Status: Completed
• Phase: N/A
• Study type: Interventional
• Enrollment: 674 (actual)
• Sponsor: University of California, San Francisco · Academic / Other
• Sex: Female
• Age: —
• Healthy volunteers: Accepted

Summary

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.

Conditions

• Premature Birth
• Pregnancy Preterm
• Prenatal Stress
• Depression, Anxiety
• Depression, Postpartum
• Satisfaction, Patient
• Health Problems in Pregnancy

Interventions

Type	Name	Description
OTHER	Glow! Group Prenatal Care	Glow! is an enhanced group prenatal care model that offers co-located social services provided by established community programs with independent funding streams targeting low-income families. The Glow! group prenatal care model pairs a trained facilitator with a licensed prenatal care practitioner from a practice site to provide billable prenatal care to the practice's own patients. Over the course of 8-10 sessions, 10-12 women (within a 6- week gestational age range) receive prenatal medical care, risk assessments, and social support, and gain knowledge and skills related to pregnancy, birth, and parenting.
OTHER	Individual Prenatal Care with CPSP	Comprehensive Perinatal Services Program (CPSP) is a state-funded program for Medi-Cal eligible families to receive enhanced care and service coordination. Participants assigned to CPSP individual care may participate in the CPSP assessments with a Comprehensive Perinatal Health Worker at their prenatal care site, where individual prenatal care will be provided

Timeline

• Start date: 2019-11-07
• Primary completion: 2024-12-23
• Completion: 2024-12-23
• First posted: 2019-11-06
• Last updated: 2025-05-22

Locations

2 sites across 1 country: United States