Betrokken moeders en baby's; Onderzoek naar prenatale zorg voor iedereen (EMBRACE). (EMBRACE)

Actieve vergelijker: Gloed! Prenatale zorg in groep

Groepsprenatale zorg met omhullende diensten.

Ander: Gloed! Prenatale zorg in groep

Gloed! is een verbeterd prenataal zorgmodel voor groepen dat sociale diensten op dezelfde locatie biedt die worden geleverd door gevestigde gemeenschapsprogramma's met onafhankelijke financieringsstromen die gericht zijn op gezinnen met lage inkomens. De gloed! Het model voor prenatale zorg in groepen koppelt een getrainde facilitator aan een gediplomeerde prenatale zorgverlener van een praktijklocatie om declarabele prenatale zorg te bieden aan de eigen patiënten van de praktijk. In de loop van 8-10 sessies krijgen 10-12 vrouwen (binnen een zwangerschapsduur van 6 weken) prenatale medische zorg, risicobeoordelingen en sociale ondersteuning, en doen ze kennis en vaardigheden op met betrekking tot zwangerschap, geboorte en ouderschap.

Actieve vergelijker: Individuele prenatale zorg - CPSP

Individuele prenatale zorg met aanvullende diensten gedekt door CPSP.

Ander: Individuele prenatale zorg met CPSP

Comprehensive Perinatal Services Program (CPSP) is een door de staat gefinancierd programma voor gezinnen die in aanmerking komen voor Medi-Cal om verbeterde zorg en servicecoördinatie te ontvangen. Deelnemers die zijn toegewezen aan individuele CPSP-zorg kunnen deelnemen aan de CPSP-beoordelingen met een uitgebreide perinatale gezondheidswerker op hun locatie voor prenatale zorg, waar individuele prenatale zorg zal worden verleend

Veranderingen in de score van de patiëntengezondheidsvragenlijst (PHQ-9).

Veranderingen in de ernst van depressieve symptomen vanaf de uitgangssituatie tot postpartum. Beoordeeld met behulp van de Patient Health Questionnaire (PHQ-9), persoonlijk afgenomen bij aanvang en tijdens een telefonisch interview drie maanden na de bevalling. De totale score varieert van 0-27, waarbij hogere scores duiden op een ernstigere depressie.

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.