Adapting Prenatal Care Innovations for Average-Risk and Marginalized Patients: a Mixed Methods Study of the Plan for Appropriate Tailored Healthcare in Pregnancy – UROP Spring Symposium 2025

Adapting Prenatal Care Innovations for Average-Risk and Marginalized Patients: a Mixed Methods Study of the Plan for Appropriate Tailored Healthcare in Pregnancy

Kyla Wellington

Research Mentor(s): Alex Peahl
Mentor Department: Dept Ob/Gyn, IHPI
Authors: Kyla Wellington
Session: Session 1 (9:00am – 9:50am)
Presentation Type: Poster 33

Abstract

Current statistics show the vast inequities in prenatal care for different groups of birthing people in America. Historically marginalized communities show greater risk before, during, and after pregnancy compared to populations of white women. Major changes in healthcare need to be made to achieve equity in the healthcare of women of all types, regardless of race, income, or location. This study includes 30 interviews with providers and 40 interviews with patients detailing their experiences with prenatal care. In 2020, telemedicine prenatal visits were adapted to accommodate the pandemic. The research focuses on tailoring prenatal care by analyzing the experiences of patients and providers. The goal is to understand how hybrid and targeted prenatal care is received by patients and their providers, and how it can be better to accommodate patients’ needs. The study partners with UPMC and IU patients and providers to get diverse responses. The groups we identify are multiparous patients and nulliparous patients with other factors considered (self-identifying all) Black race, low SES(Medicaid), and living in rural areas. The data pulled from this study analyzes overarching themes or conclusions from these groups. Our goal is to understand which changes can be made to current prenatal care plans to ensure that all patients receive the care they need to facilitate a safe and successful pregnancy.

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