The purpose of this study is to find out if people who are at high risk for having a preterm birth (a baby born too early) have better pregnancy outcomes when they receive extra support through a personalized prenatal care program, called PTBCARE+, compared to those who do not get this extra support. Participants have a 2 in 3 chance (better odds than flipping a coin) of being in the PTBCARE+ group. There won't be any additional clinic or hospital visits required just for the study. The information and samples we collect will help us learn more about conditions like preterm birth and preeclampsia, and other important pregnancy outcomes. These samples and information will be stored in a repository, where they can be used in future research on pregnancy and other health conditions that affect pregnant individuals and their babies.
* Random Assignment: You will be randomly assigned (like a coin flip) to either receive extra support through the PTBCARE+ program or continue with traditional prenatal care. Neither you nor the researcher will choose your assigned group. * Surveys: You'll complete surveys either on a tablet device, paper, or your own device at two points during pregnancy and once after delivery. * Measurements: At two points during pregnancy, we'll measure your body composition (similar to using a scale) and heart rate variability (using a small clip on your ear or finger) * Samples: You'll provide an extra blood and urine sample twice during pregnancy, often collected with your regular clinical lab work. * PTBCARE+ Program Support (if assigned): (a) Online Modules: Access resources to help lower stress and improve overall well-being; (b) Support Messages: Receive text, email, or MyChart messages from the study team; (c) Additional Resources: Get access to a stress reduction toolkit, electronic massage at prenatal visits, and specialized PTBCARE+ Care Coordination. * Optional Postpartum Activities: You can choose to participate in follow-up measurements, including body composition, blood and urine sample, and heart rate variability after delivery.
At least $50 in gift cards or baby care items ($20 after Visit 1, $20 after Visit 2, and $10 after postpartum study activities). Those randomly assigned to the PTBCARE+ program have the potential to received additional compensation., Participants randomly assigned to the PTBCARE+ program will receive additional resources including a stress reduction toolkit, support gifts, access to an electronic massage at their prenatal visits, PTBCARE+ Care Coordination, and more.
OB/GYN Clinic
UNC Health at Weaver Crossing
1181 Weaver Dairy Rd, Chapel Hill, NC 27514, USA
UNC Maternal-Fetal Medicine at Vilcom Center
55 Vilcom Center Dr Ste 300, Chapel Hill, NC 27514, USA
Tracy Manuck
Obstetrics and Gynecology-Maternal Fetal Medicine
Behavioral or Social
Interventional
Mental and Emotional Health
Minority Health
Pregnancy
Sleep
Wellness and Lifestyle
Women's Health
23-1779
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