A tool to help women with substance use disorders make reproductive decisions after childbirth

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This study evaluates the effectiveness of MyPath, a patient-centered decision support tool designed to improve postpartum contraceptive decision-making among women with substance use disorders (SUDs). The research addresses the high rates of unintended pregnancies in this population by providing tailored reproductive planning support during a critical period of increased healthcare access. Participants will receive either the MyPath intervention or usual care, with the goal of enhancing their contraceptive choices and aligning them with their reproductive goals. The study aims to fill a significant gap in postpartum care for women with SUDs, who often face barriers to effective contraceptive use.

Why it matters

Who can join: the full rules

Inclusion Criteria

Prenatal Cohort:

* Be greater than or equal to 18 years of age.
* Be pregnant with an EGA of 22 to 37 weeks at enrollment.
* Plan to deliver at research site.
* Meet DSM-5 criteria for a SUD (i.e., opioid, stimulant or other use disorder) and/or have a diagnosis code for a substance use disorder in their medical record.

Postpartum Cohort:

* Be greater than or equal to 18 years of age.
* Be 0-9 days postpartum at enrollment.
* Have delivered at research site.
* Meet DSM-5 criteria for a SUD (i.e., opioid, stimulant or other use disorder) and/or have a diagnosis code for a substance use disorder in their medical record.

Exclusion Criteria:

* Have had a fetal or neonatal death with their current pregnancy.
* Be currently in jail or prison as required by court of law. Persons on probation or in residential facilities do not need to be excluded.
* Have any other condition (social or medical) which, in the opinion of the Investigator, would make study participation unsafe, make study participation difficult, and/or complicate data interpretation.
* PPC ONLY: Documented tubal ligation or hysterectomy procedures at time of delivery hospitalization

Where it's running

• Magee Womens Hospital of UPMC
  Pittsburgh, Pennsylvania, United States Recruiting

Study contacts

• Principal investigator: Elizabeth Krans, MD — University of Pittsburgh
• Study coordinator: Elizabeth Krans, MD
• Email: kransee@upmc.edu
• Phone: (412) 641-3532

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

• Interprofessional Training to Improve Care for Peri-Delivery Patients with Substance Use Disorder

  This program tests INSPIRE, a set of online and in-person trainings for healthcare teams to reduce stigma and improve care for people with substance use disorder around labor, delivery, and postpartum at the University of Utah.

  Recruiting University of Utah · Salt Lake City, Utah · NCT07707115

• Helping mothers with substance use issues during pregnancy

  This study is trying out a program to help mothers who have used drugs or alcohol during pregnancy get support and resources to build healthier lives for themselves and their children.

  Recruiting at 2 sites University of Oklahoma · Oklahoma City, Oklahoma and 1 other locations · NCT05534568

• Prenatal education to reduce environmental exposures during pregnancy

  Aimed at pregnant people, this program tests whether a classroom-style education can help reduce exposure to harmful pollutants from seafood and nearby pollution sources.

  Recruiting at 2 sites The University of Texas Medical Branch, Galveston · Galveston, Texas and 1 other locations · NCT07758114

• Effects of comorbidity on people with severe mental illness

  This study tests how having both alcohol/substance use and a severe mental illness affects hospitalizations, medications, and social participation among adults followed at a mental health center.

  Recruiting Abant Izzet Baysal University · Bolu, Bolu · NCT07692984

• Lower-extremity blood pressure monitoring during cesarean under spinal anesthesia

  This study tests whether noninvasive blood pressure monitoring from the toe is better than the arm at predicting neonatal outcomes during cesarean delivery with spinal anesthesia.

  Recruiting Ohio State University · Columbus, Ohio · NCT07685730

• Care4mommies: a compassion-based approach to support moms-to-be

  A compassion-based program with pregnancy-specific content is being tested to see if it helps pregnant people build self-compassion and strengthen the bond with their baby.

  Recruiting Portucalense University · Porto, Porto District · NCT07611175

How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.