Support Services for Pregnancy

(RICOMSS Trial)

This trial aims to improve the health of mothers and babies in Rhode Island by connecting them with community-based maternal support services during and after pregnancy. Hospitals, doulas, and community organizations collaborate to address issues like access to food, housing, and transportation. The trial will compare health outcomes before and after these services to determine if they reduce negative health events and racial disparities. Anyone receiving prenatal or postpartum care at Women and Infants Hospital and its clinics might be a good fit. As an unphased trial, this study offers a unique opportunity to contribute to community health improvements and potentially benefit from enhanced support services.

The trial information does not specify whether you need to stop taking your current medications.

Previous studies have shown promising safety results for community-based support services for mothers. Nearly all mothers reported feeling significantly less stressed after joining these programs, and most felt safer. Community health workers and doulas (trained birthing helpers) have improved mothers' physical, mental, and emotional health. These findings suggest that the services are well-received and can enhance the overall health experience for expecting mothers. While more research is always beneficial, existing data provides a strong indication of safety.¹²³⁴⁵

Researchers are excited about the Community-based Maternal Support Services (COMSS) model because it offers a personalized approach to maternal care. Unlike typical prenatal care that may not address social determinants of health, substance use, or mental health, this model screens for these risk factors and actively connects patients with community resources. By utilizing care managers and community health workers for ongoing support and follow-up, the COMSS model aims to improve perinatal outcomes through continuous, tailored care and support throughout pregnancy and postpartum.

Research has shown that community-based support services for mothers, such as the COMSS model tested in this trial, can improve health outcomes for both mothers and babies. Participants in this trial may receive the COMSS model, which involves community health workers and doulas to enhance care and reduce risks during pregnancy. One report highlighted that these services can address critical social issues, such as access to food and housing, which are crucial for healthy pregnancies. Another study found that these models help more women access essential health services. Overall, evidence suggests that community-based support can significantly improve maternal health and help reduce inequalities.²⁶⁷⁸⁹