Black Midwives for Black Women: Maternity Care to Improve Trust and Attenuate Structural Racism
University of Illinois at Chicago
Summary
This study is being conducted to determine if a multi-level intervention for delivering maternity care can improve patient trust and engagement among Black birthing people.
Description
Low-risk pregnant participants will be randomized into Melanated Group Midwifery Care or usual individualized obstetric care. In Melanated Group Midwifery Care (MGMC), Black women will receive prenatal care from a Black midwife in groups with the same 8-10 other Black women throughout pregnancy. In pregnancy and into the first year postpartum, MGMC patients will stay connected to the health system through a proactive care coordinator, who is a Black licensed nurse. For the first year after giving birth, patients in MGMC will also be supported by a trained postpartum doula. All participants (i…
Eligibility
- Age range
- 15–49 years
- Sex
- Female
- Healthy volunteers
- Yes
Inclusion criteria for patients: * 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 Inclusion criteria for providers: • All black midwives, care coordinators, and community postpartum doulas at the University of Chicago are eligible to participate. Exclusion criteria for patients: * having a condition for which they present to a higher level of obstetrics care (e.g…
Interventions
- BehavioralMelanated Group Midwifery Care
Racially concordant maternity care Group prenatal care Racially concordant nursing care coordination Postpartum doula support
Location
- University of Illinois at ChicagoChicago, Illinois