Mobile CenteringPregnancy for Prenatal Care
What You Need to Know Before You Apply
What is the purpose of this trial?
This trial tests a new method of providing prenatal care for Marshallese women using a group model called Mobile CenteringPregnancy. The goal is to determine if this approach can improve birth outcomes, such as reducing preterm births and low birth weight, by offering prenatal care directly in the community. Pregnant women (12-14 weeks along) who identify as Marshallese may be suitable for this trial. The study aims to find effective methods to support better health for both mothers and babies, ultimately reducing the risk of childhood obesity. As an unphased trial, participants contribute to pioneering research that may enhance prenatal care for their community.
Will I have to stop taking my current medications?
If you are taking medications that can affect fetal growth, like glucocorticoids, insulin, or thyroid hormones, you may not be eligible for this trial. It's best to discuss your current medications with the trial team to see if you can participate.
What prior data suggests that the Mobile CenteringPregnancy program is safe for prenatal care?
Research has shown that group prenatal care, such as the Mobile CenteringPregnancy model, is generally well-received. Women participating in this type of care often experience fewer early births and have healthier babies. One study found that women in group prenatal care were less likely to have premature births. Another study demonstrated that these group sessions improve mothers' health and foster trust and confidence among families.
Overall, strong evidence indicates that group prenatal care is safe and beneficial for both mothers and their babies.12345Why are researchers excited about this trial?
Researchers are excited about Mobile CenteringPregnancy because it offers a fresh take on prenatal care through group sessions rather than traditional one-on-one visits. This method brings together pregnant women with similar due dates to share their experiences, providing emotional support and fostering a sense of community. Studies have shown that this group approach can lead to healthier outcomes, such as reduced rates of preterm births and low birth weight, as well as improved maternal mental health and satisfaction. By incorporating mobile health clinics, this approach also makes accessing care more convenient, especially for those in underserved areas.
What evidence suggests that Mobile CenteringPregnancy is effective for improving prenatal care outcomes for Pacific Islanders?
Research has shown that CenteringPregnancy, a group prenatal care model, effectively lowers the chances of early births and underweight babies. In a large study, this care reduced the risk of early birth by 33%. It also improves mothers' mental health, increases breastfeeding rates, and supports healthy weight gain during pregnancy. These benefits lead to better health for both mothers and babies. In this trial, participants will receive group prenatal care through mobile health clinics, aiming to bring these positive effects directly to communities in need, such as the Marshallese community.36789
Are You a Good Fit for This Trial?
This trial is for Marshallese women in Arkansas who are at least 18 years old and pregnant (12-14 weeks gestation confirmed with ultrasound). It aims to improve maternal and infant health outcomes, particularly addressing high rates of preterm birth and low birthweight among this community.Inclusion Criteria
Exclusion Criteria
Timeline for a Trial Participant
Screening
Participants are screened for eligibility to participate in the trial
Prenatal Care
Participants attend routine one-on-one prenatal appointments prior to the intervention
Group Prenatal Care
Participants engage in group prenatal care sessions from week 14 of pregnancy through birth
Follow-up
Participants are monitored for preterm birth and maternal health outcomes
What Are the Treatments Tested in This Trial?
Interventions
- Mobile CenteringPregnancy
Trial Overview
The study tests the effectiveness of Mobile CenteringPregnancy, a group prenatal care model delivered via mobile health clinics. This approach challenges standard one-on-one counseling by providing direct services to communities facing transportation barriers.
How Is the Trial Designed?
. CenteringPregnancy, a group prenatal care model, is a promising alternative that challenges the standard model of one-on-one prenatal counseling. Previous research has documented that group prenatal care is associated with a lower prevalence of preterm birth and low birth weight infants. 18,39 Group prenatal care also has been associated with improved maternal mental health, breastfeeding, optimal pregnancy weight gain, improved postpartum weight loss, better birth spacing, and higher patient satisfaction. 18,39 All participants will attend routine one-on-one prenatal appointments prior to the intervention. The sessions occur from week 14 of pregnancy through birth with women of similar gestational age, following the same schedule as standard care. Once the groups of women are formed (5 per group), the participants attend all appointments together for the duration of their pregnancies. Mobile health clinic located at FBOs will provide a location for providers to provide brief one-on
Find a Clinic Near You
Who Is Running the Clinical Trial?
University of Arkansas
Lead Sponsor
National Institutes of Health (NIH)
Collaborator
National Institute of General Medical Sciences (NIGMS)
Collaborator
Citations
Group Multimodal Prenatal Care and Postpartum Outcomes
This cohort study compares postpartum psychosocial outcomes and perceived quality of prenatal care associated with group prenatal care ...
Group Prenatal Care: Model Fidelity and Outcomes - PMC
In a large multi-site randomized controlled trial, CenteringPregnancy group prenatal care reduced the likelihood of preterm birth by 33%, with an even greater ...
Determine the Preliminary Effectiveness of Mobile ...
The focus groups will focus on beliefs and experiences of individualized and group prenatal care, prenatal care satisfaction, and health ...
Women's experiences with Centering-Based Group Care in ...
A quasi-experimental study linked CBGC to positive outcomes for obese, unmarried, and low-income women [25]. Nevertheless, other studies showed divergent ...
Mobile Prenatal Education and Its Impact on Reducing ...
This study aims to develop and evaluate the effectiveness of a mobile-based prenatal education program in improving pregnancy outcomes.
Exploring the Group Prenatal Care Model: A Critical ...
(2007) found that women assigned to group prenatal care (CenteringPregnancy) were significantly less likely to experience a preterm birth than women in ...
7.
rutgers.edu
rutgers.edu/news/model-group-prenatal-care-bolsters-patient-satisfaction-support-and-trust-researchers-findModel for Group Prenatal Care Bolsters Patient Satisfaction ...
“The findings confirm that group prenatal care strengthens maternal health and builds trust, support, and confidence for families during one of ...
8.
bmcpregnancychildbirth.biomedcentral.com
bmcpregnancychildbirth.biomedcentral.com/articles/10.1186/s12884-017-1522-2A systematic overview of the literature regarding group ...
Attendance at prenatal visits was shown to increase among women in GPC in the following groups: Opioid Addiction, Adolescents, and Low-Income.
Impact of Group vs. Individual Prenatal Care Provision on ...
This study compares the level of knowledge on subjects pertaining to pregnancy and birth in low-risk pregnancies when delivered in group versus individual ...
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