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The Association of Moms2B, a Community-Based Interdisciplinary Intervention Program, and Pregnancy and Infant Outcomes among Women Residing in Neighborhoods with a High Rate of Infant Mortality

Abstract

Objectives

We evaluated the effectiveness of Moms2B, a community-based group pregnancy and parenting program, in an effort to assess whether the program improved pregnancy and infant outcomes.

Methods

We conducted a retrospective matched exposure cohort study comparing women exposed to the Moms2B program during pregnancy (two or more prenatal visits) who delivered a singleton live birth or stillbirth (≥ 20 weeks gestation) from 2011–2017 to a closely matched group of women not exposed to the program. Primary outcomes were preterm birth and low birth weight. Propensity score methods were used to provide strong control for confounders.

Results

The final analytic file comprised 675 exposed pregnancies and a propensity score-matched group of 1336 unexposed pregnancies. Most of the women were non-Hispanic Black. We found evidence of better outcomes among pregnancies exposed to Moms2B versus unexposed pregnancies, particularly for the primary outcome of low birth weight [9.45% versus 12.00%, respectively, risk difference (RD) = −2.55, 95% confidence interval (CI) = (−5.44, 0.34)]. Point estimates for all adverse pregnancy outcomes uniformly favored exposure to Moms2B.

Conclusions for Practice

Our findings suggest that participation in the Moms2B program improves pregnancy and infant outcomes. The program offers an innovative group model of pregnancy and parenting support for women, especially in non-Hispanic Black women with high-risk pregnancies.

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Acknowledgements

The authors wish to acknowledge CelebrateOne, the Greater Columbus Infant Mortality reduction initiative, and the following current and former Moms2B staff for their contributions to the program over the last 9 years as well as their assistance in assembling the data for this program evaluation, including: Twinkle F. Schottke, Director Moms2B; Brooke Garafalo; Kathryn Calhoun; Jamie Sager; and Taylor Ollis.

Funding

This work was funded, in part, by a research grant from AMAG Pharmaceuticals and by The Ohio State University Center for Clinical and Translational Science grant support (National Center for Advancing Translational Sciences (NCATS), Grant UL1TR002733).

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Correspondence to Courtney D. Lynch.

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Hade, E.M., Lynch, C.D., Benedict, J.A. et al. The Association of Moms2B, a Community-Based Interdisciplinary Intervention Program, and Pregnancy and Infant Outcomes among Women Residing in Neighborhoods with a High Rate of Infant Mortality. Matern Child Health J (2021). https://doi.org/10.1007/s10995-020-03109-9

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Keywords

  • Group prenatal care
  • Preterm birth
  • Infant mortality
  • Community-based intervention