吸引母亲和婴儿；重新构想每个人的产前护理 (EMBRACE) 研究 (EMBRACE)

有源比较器：辉光！团体产前护理

提供全方位服务的团体产前护理。

其他：辉光！团体产前护理

辉光！是一种增强的团体产前护理模式，提供由已建立的社区计划提供的共同定位的社会服务，这些计划具有针对低收入家庭的独立资金流。 光辉！团体产前护理模式将训练有素的协调员与实践场所的持牌产前护理从业者配对，为诊所自己的患者提供收费的产前护理。 在 8-10 节课程中，10-12 名孕龄在 6 周内的妇女接受产前医疗、风险评估和社会支持，并获得与怀孕、分娩和育儿相关的知识和技能。

有源比较器：个人产前护理 - CPSP

CPSP 承保的带有补充服务的个人产前护理。

其他：CPSP 的个人产前护理

综合围产期服务计划 (CPSP) 是一项由国家资助的计划，旨在帮助符合 Medi-Cal 资格的家庭获得更好的护理和服务协调。 被分配到 CPSP 个人护理的参与者可以在其产前护理站点与综合围产期卫生工作者一起参加 CPSP 评估，在那里将提供个人产前护理

患者健康调查问卷 (PHQ-9) 分数的变化

从基线到产后抑郁症状严重程度的变化。 使用患者健康问卷 (PHQ-9) 进行评估，在基线时亲自进行，并在产后三个月进行电话访谈。 总分范围为0-27，分数越高表明抑郁症越严重。

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.