Direct Digital Referrals From Prenatal Care and WIC Enrollment Among Pregnant Individuals: A Randomized - Report - MDSpire

Direct Digital Referrals From Prenatal Care and WIC Enrollment Among Pregnant Individuals: A Randomized

  • By

  • Lisa Bailey-Davis

  • A. Dhanya Mackeen

  • Kirstie M. Herb Neff

  • Kelsey Brandt

  • Angela Ditchey

  • Shawnee Lutcher

  • Kyle A. Marshall

  • Nicole Matrey

  • Christopher J. Seiler

  • Adam Cook

  • Maria Welch

  • G. Craig Wood

  • Lyndell Wright

  • Alexander R. Chang

  • June 26, 2026

  • 0 min

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Clinical Report: Digital Referral Pathways from Prenatal Care and WIC Participation

Overview

This randomized clinical trial evaluated the impact of direct digital referrals from prenatal care on WIC enrollment among expectant mothers.

Background

Maternal and perinatal health issues, such as gestational diabetes and preterm birth, are rising, particularly among publicly insured women. Enrollment in the WIC program has been shown to reduce risks associated with these conditions, yet participation rates are declining. Addressing barriers to WIC enrollment is critical for improving maternal and infant health outcomes.

Data Highlights

No numerical data or trial results were provided in the source material.

Key Findings

  • The trial utilized a 2 × 2 factorial design to assess the effectiveness of digital referrals on WIC enrollment.
  • Participants were recruited through an integrated health system in Pennsylvania, with a focus on those with public or no insurance.
  • Barriers to WIC enrollment included limited awareness and administrative burdens.
  • Previous studies indicated that integrated Medicaid-WIC coenrollment could achieve high enrollment rates by reducing administrative challenges.
  • Direct digital referrals were hypothesized to significantly increase WIC enrollment compared to information-only models.

Clinical Implications

Understanding the effectiveness of direct digital referrals in this context could inform future maternal health interventions.

Conclusion

This study seeks to provide insights into improving WIC enrollment through innovative referral pathways.

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  3. BMC Pregnancy and Childbirth, 2026 -- Lessons learned from a sustained mobile prenatal care delivery program: results from a mixed-methods evaluation to understand appointment attendance and patient satisfaction
  4. Vital Statistics Rapid Release: Births: Provisional Data for 2024
  5. Addressing Social and Structural Determinants of Health in the Delivery of Reproductive Health Care | ACOG
  6. BMJ Paediatrics Open — Global Study on Newborn HOspitalization and Parental Experiences (HOPE): rationale and design of a multinational cross-sectional mixed-methods online survey
  7. FY 2023 Hospital Inpatient Prospective Payment System (IPPS) and Long-Term Care Hospital Prospective Payment System (LTCH PPS) Final Rule | CMS
  8. Final Rule: Revisions in the WIC Food Packages (2024) | Food and Nutrition Administration
  9. Vital Statistics Rapid Release: Births: Provisional Data for 2024
  10. Addressing Social and Structural Determinants of Health in the Delivery of Reproductive Health Care | ACOG
  11. Results - Maternal and Child Outcomes Associated With the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) - NCBI Bookshelf
  12. Gestational Weight Gain Management in Underserved Mothers - A State-Wide Randomized Controlled Trial in Louisiana WIC | medRxiv
  13. An Electronic Health Record-Based Platform for Social Needs Assessment and Navigation Services: Preliminary Results of an RCT - PubMed
  14. Comparing models that integrate obstetric care and WIC on improved program enrollment during pregnancy: a protocol for a randomized controlled trial - PMC

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