Baby Steps to Care: extra prenatal support after an ER visit
Baby Steps to Care - Improving Access to Prenatal Care From the Emergency Department
This study will test whether giving pregnant people a 'care box' either during an ER visit or two weeks later helps them connect with prenatal care and feel more knowledgeable and confident about their pregnancy.
Quick facts
| Phase | Not applicable |
|---|---|
| Study type | Interventional |
| Enrollment | 50 (estimated) |
| Ages | 18 Years to 50 Years |
| Sex | Female |
| Sponsor | University Hospitals Cleveland Medical Center Academic / other |
| Locations | 1 site (Cleveland, Ohio) |
| Trial ID | NCT07499648 on ClinicalTrials.gov |
What this trial studies
Participants who are found to be pregnant in the University Hospitals Cleveland Medical Center emergency department and who consent will receive standard care and be randomized to get a prenatal 'care box' either at the visit or two weeks later. The intervention group and delayed group will both be followed with a survey about subsequent engagement with prenatal services, pregnancy knowledge, confidence, and the perceived usefulness of the resources. The study collects self-reported measures and does not require extra clinic visits beyond usual care. Results will compare timing of resource delivery to see if immediate provision improves follow-up and patient-reported outcomes.
Who should consider this trial
Good fit: Ideal candidates are pregnant people diagnosed in the University Hospitals Cleveland Medical Center ED who can give verbal consent, are Ohio residents, and are not critically ill or incarcerated.
Not a fit: People who are critically ill requiring urgent hospitalization, incarcerated individuals, or non-Ohio residents are excluded and would not receive the intervention or its potential benefit.
Why it matters
Potential benefit: If successful, providing a care box at the ER visit could increase timely engagement with prenatal care and improve pregnancy knowledge and confidence.
How similar studies have performed: Some prior point-of-care informational or resource interventions have produced modest gains in follow-up and knowledge, but using a prenatal care box delivered in the ED is a relatively novel application.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: * Found to be pregnant in the CMC Emergency Department through serum or urine pregnancy testing (hcg) or point of care (POC) urine testing * Ability to provide verbal consent to this study Exclusion Criteria: * Prisoners * Non-Ohio residents * Serious medical conditions (severe cardiovascular disease, infections, trauma) or critical illness requiring urgent hospitalization * Nonpregnant persons including men
Where this trial is running
Cleveland, Ohio
- University University Cleveland Medical Center — Cleveland, Ohio, United States (Recruiting)
Study contacts
- Principal investigator: Kiran Faryar, MD, MPH — University Hospitals Cleveland Medical Center
- Study coordinator: Andie Moore, MS
- Email: andie.moore@uhhospitals.org
- Phone: (216) 286 - 7239
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.