This is a randomized comparative effectiveness study of two forms of enhanced prenatal care among 657 Medi-Cal eligible pregnant individuals in Fresno, California. The goal is to see whether group prenatal care with wrap around services versus individual prenatal care supplemented by services covered by the California Department of Public Health Comprehensive Perinatal Services Program (CPSP) results in less depression and anxiety, and more respectful, more person-centered maternity care and lower rates of preterm birth.
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Changes in Patient Health Questionnaire (PHQ-9) Score
Timeframe: Collected from study enrollment to three months postpartum
Person-centered prenatal care
Timeframe: Collected during third trimester
Preterm birth
Timeframe: 0-12 weeks after delivery