NCT03922334: NNM2

Navigating New Motherhood 2

Completed NA Last updated 29 January 2026

What this trial tests

NA trial testing Patient Navigation Program in Postpartum Health in 405 participants. Completed in 31 December 2024.

Timeline

21 January 2020

Primary endpoint
31 December 2024

31 December 2024

Quick facts

Lead sponsor	Northwestern University
Phase	NA
Status	Completed
Study type	INTERVENTIONAL
Allocation	randomized
Design	parallel
Masking	none
Primary purpose	supportive care
Enrollment	405
Start date	21 January 2020
Primary completion	31 December 2024
Estimated completion	31 December 2024
Sites	1 location across United States

Drugs / interventions tested

• Patient Navigation Program

Conditions studied

• Postpartum Health — all drugs for Postpartum Health →
• Breastfeeding — all drugs for Breastfeeding →
• Contraception — all drugs for Contraception →
• Preventive Care / Anticipatory Guidance — all drugs for Preventive Care / Anticipatory Guidance →

Sponsor

Northwestern University

Who can join

Adults 16 to 50, female only, with Postpartum Health or Breastfeeding. Patients with the condition only — healthy volunteers not accepted.

Sponsor's own description

The primary aim of this study is to determine whether implementation of a postpartum patient navigation program improves health outcomes among low-income women. Patient navigation is a barrier focused, long-term patient-centered intervention that offers support for a defined set of health services. The intervention under investigation is a comprehensive postpartum patient navigator program. Women who are randomized to receive patient navigation will be compared to women who are randomized to receive usual care. Navigators will support women through one year postpartum. The NNM2 program will be grounded in understanding and addressing social determinants of health in order to promote self-efficacy, enhance access, and sustain long-term engagement. Participants will undergo surveys, interviews, and medical record review at 4-12 weeks and 11-13 months postpartum. The investigators will additionally conduct focus groups and surveys with clinical providers.

Publications & conference data

8 peer-reviewed publications reference this trial (live from Europe PMC):

1. Provider Perspectives on Barriers and Facilitators to Postpartum Care for Low-Income Individuals.
   Ruderman RS, Dahl EC, Williams BR, Davis K, et al · · 2021 · cited 47× · PMID 34318295 · DOI 10.1089/whr.2021.0009
2. Bridging the postpartum gap: best practices for training of obstetrical patient navigators.
   Yee LM, Williams B, Green HM, Carmona-Barrera V, et al · · 2021 · cited 29× · PMID 33812809 · DOI 10.1016/j.ajog.2021.03.038
3. Implementation of postpartum navigation for low-income individuals at an urban academic medical center.
   Green HM, Carmona-Barrera V, Diaz L, Yeh C, et al · · 2023 · cited 17× · PMID 36821597 · DOI 10.1371/journal.pone.0282048
4. Postpartum during a pandemic: Challenges of low-income individuals with healthcare interactions during COVID-19.
   Gomez-Roas MV, Davis KM, Leziak K, Jackson J, et al · · 2022 · cited 15× · PMID 35609090 · DOI 10.1371/journal.pone.0268698
5. Primary Care Clinician Perspectives on Patient Navigation to Improve Postpartum Care for Patients with Low Income.
   Filicko A, Huennekens K, Davis K, Dolan BM, et al · · 2022 · cited 9× · PMID 36636317 · DOI 10.1089/whr.2022.0064
6. The Stress of Parenting in the Postpartum Period During the COVID-19 Pandemic.
   Davis KM, Lu L, Williams B, Roas-Gomez MV, et al · · 2022 · cited 4× · PMID 36479375 · DOI 10.1089/whr.2022.0029
7. Mapping the Postpartum Experience Through Obstetric Patient Navigation for Low-Income Individuals.
   Green HM, Diaz L, Carmona-Barrera V, Grobman WA, et al · · 2024 · cited 3× · PMID 38265478 · DOI 10.1089/jwh.2023.0459
8. Breastfeeding interventions for preventing postpartum depression.
   Lenells M, Uphoff E, Marshall D, Wilson E, et al · · 2025 · cited 1× · PMID 39963955 · DOI 10.1002/14651858.cd014833.pub2