M-O-M-S on the Bayou: Implementation of an Intervention for Mental Health in Pregnancy

Recruiting now · Not applicable

Conditions studied: Anxiety, Depression

In brief

Disasters have negative effects in the short term (physical trauma, adverse environmental exposures, and unstable housing) and the long term (relocation, changes in family functioning, and negative economic effects), which interact with social determinants to worsen health among the most vulnerable women, infants, and communities. Trauma and severe stress are directly linked to pregnancy complications, and raise blood pressure during pregnancy, alter stress hormones, and increase vulnerability to infection, all of which predispose to reduced fetal growth and preterm birth. Disasters also worsen mental health, and depression during pregnancy and postpartum, for instance, is associated with worse physical health during pregnancy, maternal impairment, poorer quality parenting, negative child behavior, and poorer infant cognitive development.The goal of this intervention is to improve mental health in pregnant women living in a disaster-affected region. The main questions this intervention aims to answer are: * Assess the implementation outcomes (acceptability, adaptation, adoption, feasibility, fidelity, and sustainability) of a pilot intervention in a disaster recovery environment. * Assess the effectiveness of the M-O-M-S pilot intervention in a disaster recovery environment. The study will recruit pregnant women in areas that have experienced a natural disaster. Women will be recruited in early pregnancy and attend a series of classes on the cognitive and relationship changes of pregnancy and motherhood, and mental preparation for labor, led by a "mentor," a mother who has experienced pregnancy, labor, and motherhood.

Key facts

Study ID

NCT05838404

Run by

Tulane University

People needed

240

Starts

2023-11-01

Expected to finish

2025-11-30

Last updated by the study team

2025-09-24

Who can join

Age: 18 and older. Sex: female. Healthy volunteers: accepted.

You may qualify if…

• Pregnant
• Below 20 weeks' gestation
• Enrolled in prenatal care

You may not qualify if…

• Not pregnant
• Under age 18
• Does not speak English or Spanish
• Does not plan to carry to term
• Does not plan to remain in the study area through pregnancy
• Fetal defects likely to lead to death or extensive hospitalization postpartum

Where it is running

• Tulane University — New Orleans, Louisiana, United States (enrolling)

Full record on ClinicalTrials.gov

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