View clinical trials related to Maternal Health.
Filter by:Detailed Description The doula-led intervention developed during the first phase of this project will be pilot tested for feasibility. Following the recruitment procedures described in the recruitment and retention plan, approximately 75 participants will be enrolled into the study. Twenty-five of the participants will receive regular doula care and 25 of the participants will receive care from a doula trained in the PMAD doula training throughout their pregnancy, childbirth, and postpartum time period, following the intervention procedures developed in Aim 2 of this study. Twenty-five women will not receive care from a doula and will receive perinatal care as usual. Women in all groups will take surveys via REDCap during their enrollment in the intervention, at 1 month postpartum, 3 months, and 6 months postpartum (at the conclusion of the intervention). All participants who receive the PMAD doula intervention will complete checklists after each session with their doula, to assess fidelity to the intervention. Participant communication with their doula via patient notebook will also be assessed for fidelity to the intervention.
Community education and demand generation activities by involving family members, traditional and religious leaders in maternal health behaviours are potential solutions. Knowledge about maternal and neonatal health service utilization can be increased through community-based structures, such as religious organizations.
The goal of this cluster randomized controlled trial is to study the effect of a mobile-phone based application used by pregnant women on maternal and newborn health indicators. The main objective is to compare the rates of institutional deliveries in the intervention and control arms. Ancillary objectives are to compare the birth-preparedness and complication readiness parameters, severe maternal morbidity rates and neonatal adverse outcomes rates in the two arms. The participants are pregnant women. In the intervention arm pregnant women will be given a smart mobile phone with an application that they will use to input information related to their health. This information can be shared with their healthcare workers. The healthcare workers will also be able to access all the health-related details of the pregnant women and mothers under their care by accessing this app in their mobile phones and be in touch with their patients through the mobile phone application. The control arm will adhere to existing practices of pregnant woman and health worker communication without the use of a smart mobile phone with an existing application. Records related to the pregnant woman will be kept in paper-based forms as is the usual norm. The investigators will compare the intervention arm and the control arm to see if there are differences in the rates of the outcomes.
The purpose of this study is to examine the intervention effectiveness and dissemination of digital health care delivery models for improving selected health outcomes in the Medicaid population.
This project-also known as "Accountability for Care through Undoing Racism & Equity for Moms" or ACURE4Moms-aims to reduce Black-White maternal health disparities using multi-level interventions designed to decrease bias in prenatal care, improve care coordination, and increase social support. ACURE4Moms is a pragmatic 4-arm cluster randomized controlled trial conducted with 40 prenatal practices across North Carolina. Practices will be randomly assigned to receive either: Arm 1 (Standard Care): North Carolina Medicaid Care management for high-risk pregnancies; Arm 2 (Data Accountability and Transparency): North Carolina Medicaid Care Management + Practice-level Data Accountability interventions; Arm 3 (Community-Based Doula Support): North Carolina Medicaid Care Management + Community-Based Doula support intervention for high-risk patients during pregnancy and postpartum; or Arm 4 (Data Accountability and Transparency + Community-Based Doula Support): North Carolina Medicaid Care Management + Both Arms 2 and 3 interventions. During each practice's 2-year intervention period, the practice will initiate prenatal care for ~750 patients (30,000 patients total), whose outcomes the investigators will follow and compare between arms until all these patients have reached 1-year post-delivery.
Some of the challenges Pakistan faces in priority areas of national relevance include absence of social policy to improve innovative governance and reform of the primary healthcare system, especially for maternal and child health. One integral tool for development of social policy in a country is the integration of the social work profession at primary level. Developed countries have progressed by strengthening the primary workforce with social workers, who have contributed by developing a social policy protection floor for mother and child in primary level communities through: (i) assessment of community needs (e.g. for housing, health, education, and employment), (ii) robust data collection, (iii) political advocacy, and (iv) supporting literacy and counseling . In this way, there is potential to fill a gap by adding Social Workers to the primary health force team in Pakistan to investigate the following research questions: 1. Can a robust, objective, third-party Community Needs Assessment Report (by Social Workers) help to mobilize governments and policy-makers for improve planning and protective policies for disadvantaged communities? 2. Can a more comprehensive health electronic database be developed with both health and social variables to better plan policy development and develop a much-needed regional Index for Maternal Health and Wellbeing? 3. Can maternal and health outcomes be impacted positively by the following intervention this project plans to deliver: (i) Reproductive and Child Health; (ii) Hygiene and Sanitation & Nutrition and Immunity Building; (iii) Health-Risk Behavior Modification; and (iv) Psychosocial Needs Assessment and Mental Health Awareness? 4. Can primary healthcare services become more efficient and effective (in teamwork and improved care plans for client) through interprofessional health workforce collaboration and supplementation of social workers to the team? The proposed project, lasting 24 months, will aid socio-economic development of the country by improving primary healthcare services, improving maternal and child health outcomes, improving preventive behavior overall in families, and strengthening the health workforce team. Improving preventive health also reduces national health costs in the long-run at an estimated USD 45 billion. Building an electronic database with both health and social indicators is integral for the planning of a more effective social and health policy in the future. Integrating social workers at primary level will create thousands of jobs per year for Pakistan and help develop the educations sector as well and provide opportunities for more health workforce development, like public health officers. The activities that will be undertaken to achieve the project goals include: 1. Development of a digital app and finalization of an Index for Maternal Health and Wellbeing 2. Preparation of a Community Assessment Needs Report for mobilization of social protection floor 3. A Pre-Post Test Survey to measure changes caused by intervention for: (i) Basic Clinical Health Indicators, (ii) Reproductive and Child Health, (iii) Hygiene and Sanitation & Nutrition and Immunity Building, (iv) Health-Risk Behavior Modification; and (v) Psychosocial Assessment and Therapy needs. 4. Dissemination of findings to government bodies, policy-makers, scholars, and researchers to mobilize social policy support and improved governance at primary level through the project pilot model. An interdisciplinary team of social policy analyst, economist, physician, comprise the main investigators who have developed the proposal and will oversee the study. They will be supported by a clinical psychologist, biostatistician, and a social statistician for assistance in technical psychosocial assessment and advance data analysis for Pre-Post Test design. Officers from Forman Christian College University will support the project in areas of senior consultancy, IT support and digital app development, and budgeting and audit. Senior consultancy and support for recruitment and training for social workers as data collectors and intervention facilitators will be provided by the University of the Punjab. The sectoral collaborators and technical consultations, including gaining necessary permissions for data collection in primary settings, will be provided by The Primary & Secondary Healthcare Department, Punjab, Office of the Director General Health Services, Policy & strategic Planning unit (PSPU), development partners (UNICEF, WHO, BMGF), Academia (KEMU) and planning & development department Punjab.
The overarching goal of the ARCH Survey is to establish a prospective longitudinal pregnancy surveillance study in Lusaka, Zambia, to precisely characterize the pregnancy rate and outcomes of women of reproductive age prior to, during, and following pregnancy and to investigate the structural, sociodemographic, and clinical covariates that contribute to adverse outcomes in each reproductive epoch.
The IMiC Consortium will analyze milk from 1000 mother-infant dyads across 4 diverse settings (Tanzania, Pakistan, Burkina Faso and Canada). Samples will be stored centrally at the Manitoba Interdisciplinary Lactation Centre (MILC) biorepository and distributed to multiple laboratories for analysis of macronutrients, micronutrients, oligosaccharides, growth factors, immunoglobulins, cytokines, metabolites and microbes. Data will be harmonized and stored in a central database, and diverse statistical methods will be applied for data integration and analysis.
The activities described in this proposal are aimed at addressing health care provider stress and unconscious bias to improve quality of maternal health care, particularly related to the person-centered dimensions of care-i.e. care that is respectful and responsive to women's needs, preferences, and values. The investigators focus on health provider stress and unconscious bias because they are key drivers of poor-quality care that are often not addressed in interventions designed to improve quality of maternal health care. The investigators plan to (1) design an intervention that enables providers to identify and manage their stress and unconscious bias; (2) pilot the intervention to assess its feasibility and acceptability; and (3) assess preliminary effect of the intervention on: (a) provider knowledge, attitudes, and behaviors related to stress and unconscious bias; and (b) provider stress levels.
In this proposed study, the investigators hope to assess the quality of recovery after delivery in a local population that would take into account physiological and psychological parameters to better understand the recovery process after delivery. The investigators will identify risk factors, especially those that are modifiable and associated with a poorer ObsQoR score and hence a poor quality of recovery after delivery. This data may then be used to educate women and manage expectations in the postpartum period, and help develop potential therapeutic interventions.