Exploring the Feasibility of Centering Pregnancy With Care Navigation

Number of participants with infants that are preterm.,Number of participants with infants with low birthweight,Number of participants with a caesarean delivery.

Pacific Islanders residing in the United States (US) have disproportionally high rates of
 preterm birth (37 weeks) and low birthweight infants (2,500 grams). They are also more
 likely to experience preeclampsia, primary cesarean birth, excessive gestational weight gain,
 and gestational diabetes mellitus (GDM) compared to other racial/ethnic minorities. These
 maternal health factors serve as precursors to maternal and infant morbidity and mortality.
 Pacific Islanders have almost twice the infant mortality rate, per 1,000 live births, as
 compared to non-Hispanic whites and have a higher maternal mortality rate compared to the
 same group (13.5 verse 12.7). Early and consistent supportive care throughout the pregnancy
 continuum is strongly associated with positive birth outcomes, including infant and maternal
 morbidity and mortality, and is a US health priority.
 
 Emerging literature suggests that group-based prenatal programs, like Centering Pregnancy,
 coupled with care navigation, can mitigate precursors to severe morbidity and mortality. The
 proposed study will determine the feasibility of Centering Pregnancy with care navigation and
 the preliminary effectiveness to improve: prenatal and postpartum care appointment
 attendance, preterm birth, low-birth weight infants, cesarean deliveries, emergency
 department visits, and access to social support services. Investigators will use a
 mixed-method approach with two groups of Marshallese participants (propensity score matched
 on relevant covariates such as maternal age, parity, and sociodemographics), one group in
 Centering Pregnancy with care navigation and one group from standard prenatal care.