Engager les mères et les bébés ; Étude Réinventer les soins prénatals pour tous (EMBRACE) (EMBRACE)

Comparateur actif: Briller! Soins prénatals de groupe

Soins prénatals de groupe avec services enveloppants.

Autre: Briller! Soins prénatals de groupe

Briller! est un modèle amélioré de soins prénataux de groupe qui offre des services sociaux colocalisés fournis par des programmes communautaires établis avec des sources de financement indépendantes ciblant les familles à faible revenu. La lueur ! Le modèle de soins prénatals de groupe associe une animatrice formée à un praticien agréé en soins prénatals d'un site de pratique pour fournir des soins prénatals facturables aux propres patientes de la pratique. Au cours de 8 à 10 séances, 10 à 12 femmes (dans une tranche d'âge gestationnel de 6 semaines) reçoivent des soins médicaux prénatals, des évaluations des risques et un soutien social, et acquièrent des connaissances et des compétences liées à la grossesse, à l'accouchement et à la parentalité.

Comparateur actif: Soins prénatals individuels - CPSP

Soins prénataux individuels avec services supplémentaires couverts par le CPSP.

Autre: Soins prénatals individuels avec le CPSP

Le programme complet de services périnatals (CPSP) est un programme financé par l'État pour les familles éligibles à Medi-Cal afin de recevoir une meilleure coordination des soins et des services. Les participants affectés aux soins individuels du PCSP peuvent participer aux évaluations du PCSP avec un agent de santé périnatale complet à leur site de soins prénataux, où des soins prénatals individuels seront fournis.

Modifications du score du questionnaire sur la santé des patients (PHQ-9)

Modifications de la gravité des symptômes dépressifs entre le départ et le post-partum. Évalué à l'aide du questionnaire sur la santé du patient (PHQ-9), administré en personne au départ et lors d'un entretien téléphonique trois mois après l'accouchement. Le score total varie de 0 à 27, les scores plus élevés indiquant une dépression plus grave.

Person-centered Prenatal Care

This outcome focuses on the extent to which the participants feels their prenatal care was person centered.

The title of the measure is Person Centered Prenatal Care (primary). This measurement tool is a questionnaire that includes series of items that were developed in collaboration with community members to measure their experience of care. In addition to the overall score, the scale includes three subscales identified as important by community members: dignity and respect, communication and autonomy, and responsive and supportive care. The measures have been validated in several languages.

The total scores range from 0-100 with higher scores indicating the receipt of more person centered care.

Preterm Birth

Whether the participant had a baby born less than 37 weeks gestation, as noted in the participant's medical record.

Changes in Anxiety Symptom Severity

Changes in anxiety symptom severity from baseline to postpartum. Assessed using the 7-item Generalized Anxiety Disorder (GAD-7) scale, administered in-person at baseline and during telephone interview at three months postpartum.

The total scores range from 0-21 with higher scores indicating more severe anxiety.

Perceptions of Respectful/Disrespectful Maternity Care

Extent to which the participant feels that the maternity care they received was respectful. Assessed using the Mothers on Respect Index (MORi), administered during telephone interview or in-person at three months postpartum.

The total scores range from 14-100 with higher scores indicating a higher level of respect.

Satisfaction With Prenatal Care

Extent to which the participant feels satisfied with the prenatal care they received. Assessed using the Prenatal Care Satisfaction Scale, administered during telephone interview or in-person interview at third trimester.

The total scores range from 0-100 with higher scores indicating higher levels of satisfaction.

Gestational Age at Delivery

The gestation age at which the baby was born (number of weeks), as noted in the participant's medical record.

Person Centered Maternity Care

Extent to which birthing person feels their prenatal and birthing experience was person centered, as measured by the Person-Centered Maternity Care scale.

This measure focuses on the extent to which the participants feels their prenatal and maternity/birthing care was person centered.

The title of the measure is Person Centered Maternity Care. This measurement tool is a questionnaire that includes series of items that were developed in collaboration with community members to measure their experience of care. In addition to the overall score, the scale includes three subscales identified as important by community members: dignity and respect, communication and autonomy, and responsive and supportive care. The measures have been validated in several languages.

The total scores range from 0-100 with higher scores indicating the receipt of more person centered care.