Actively Recruiting
Black Midwives for Black Women: Maternity Care to Improve Trust and Attenuate Structural Racism
Led by University of Illinois at Chicago · Updated on 2024-07-03
432
Participants Needed
1
Research Sites
37 weeks
Total Duration
On this page
Sponsors
U
University of Illinois at Chicago
Lead Sponsor
P
Patient-Centered Outcomes Research Institute
Collaborating Sponsor
AI-Summary
What this Trial Is About
Researchers are evaluating if a group-based maternity care approach can improve trust and engagement among Black pregnant individuals. This study compares Melanated Group Midwifery Care (MGMC), a culturally focused group prenatal care program led by Black midwives and supported by Black care coordinators and postpartum doulas, with usual individualized obstetric care. The trial aims to address structural racism in maternity care and enhance patient experiences for Black birthing people. Participants will be randomly assigned to either MGMC or usual care. In MGMC, groups of 8-12 Black pregnant women meet regularly with the same Black midwife and care coordinator for prenatal and one postnatal visit. A care coordinator supports patients proactively throughout pregnancy and up to one year postpartum. Postpartum doulas provide support through home visits and ongoing contact for the first year after birth. The usual care group receives standard individual prenatal visits with midwives or obstetricians without guaranteed continuity or racial concordance. All participants will complete surveys measuring patient trust, respect, engagement, and mental wellbeing at six time points: three during pregnancy and three up to 12 months postpartum. Additional interviews will explore experiences of medically and socially complex patients. Researchers will monitor how MGMC integrates into practice and assess patient engagement and satisfaction outcomes. The study will continue until February 2027, involving ongoing follow-up and data collection throughout pregnancy and postpartum periods.
CONDITIONS
Brief Title
Melanated Group Midwifery Care (MGMC)
Who Can Participate
Eligibility Criteria
You may qualify if you...
- 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
- All Black midwives, care coordinators, and community postpartum doulas at the University of Chicago are eligible to participate
You will not qualify if you...
- Having a condition requiring care at a higher level of obstetrics (e.g., maternal fetal medicine) for the new prenatal visit
- Having a cognitive issue that impairs the ability to give informed consent
AI-Screening
AI-Powered Screening
Complete this quick 3-step screening to check your eligibility
Your Study Journey
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Duration - From enrollment until birth (approximately up to 40 weeks of pregnancy)
Participants receive prenatal care through either Melanated Group Midwifery Care with group visits and coordinated support or usual individualized obstetric care.
Prenatal visits in groups approximately every few weeks with the same midwife and care coordinator; usual care participants attend individually scheduled prenatal visits
Duration - Up to 12 months postpartum
For participants in the Melanated Group Midwifery Care group, postpartum support is provided by a trained postpartum doula with home visits and ongoing contact. All participants complete postpartum assessments.
Postpartum home visits and contacts by doula for MGMC participants; postpartum assessments at 2, 6, and 12 months for all participants
Trial Site Locations
Total: 1 location
1
University of Illinois at Chicago
Chicago, Illinois, United States, 60612-7316
Actively Recruiting
Research Team
K
Kylea L Liese, PhD
How is the study designed?
Study Type
INTERVENTIONAL
Masking
DOUBLE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
HEALTH_SERVICES_RESEARCH
Number of Arms
2
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