Midwife-led Continuity and Satisfaction With Care - an Observational Case-Control Study in Palestine

Maternal Behavior Clinical Trial

Official title:

Validation of a Midwifery Model in Palestine

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT03863600
• Other study ID #: Midwif 3
• Status: Completed
• Start date: May 1, 2017
• Est. completion date: March 1, 2019

Study information

• Verified date: June 2019
• Source: Oslo University Hospital
• Contact: n/a
• Is FDA regulated: No
• Study type: Observational

Clinical Trial Summary

This study investigate if a midwife-led continuity model of care in Palestine, had impact on rural women's satisfaction with care through the continuum of antenatal, intrapartum and postnatal period.

Description:

Between 2013 and 2016 a midwife-led continuity model of care was implemented in parts of the Palestinian governmental health system, to improve maternal services to women in rural areas on the occupied West Bank. This study investigated if and how the model influenced women`s satisfaction with care, through the continuum of the antenatal-, intrapartum- and postnatal period.

Using an observational case-control design to compare the midwife-led continuity model of care with regular maternity care. Women with singleton pregnancies, who had registered for antenatal care at a rural governmental clinic, were during the first six months after birth invited to answer a questionnaire containing 60 questions with a 7-points Likert scale, rating different aspects of satisfaction with care.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 200
• Est. completion date: March 1, 2019
• Est. primary completion date: May 31, 2018
• Gender: Female
• Age group: 16 Years to 50 Years

Eligibility

Inclusion Criteria:

• Residing in rural village

• Registered for pregnancy care at the villages governmental clinic

• With singleton pregnancy

• Gave birth the last one to six month

Exclusion Criteria:

• Residing in urban areas

• With multiple pregnancy

• Not registered for antenatal care at the local governmental clinic

Related Conditions & MeSH terms

• Maternal Behavior

Intervention

Behavioral:
• Midwife-led continuity of care
Midwives from governmental hospitals provide antenatal and postnatal case-load-care in rural villages governmental clinics

Locations

Country	Name	City	State
Palestinian Territory, occupied	Palestinian Ministry of Health	Nablus	West Bank

Sponsors (2)

Lead Sponsor	Collaborator
Oslo University Hospital	The Research Council of Norway

Country where clinical trial is conducted

Palestinian Territory, occupied, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Mean sum-score satisfaction with care during the continuum of pregnancy,intrapartum and postnatal period	Summarising mean score in all questions measuring satisfaction and dividing on number of questions included	One to six months after birth
Secondary	Mean sum-score satisfaction with care during pregnancy	Summarising the mean score of the questions measuring satisfaction with care during pregnancy and dividing on number of questions included	One to six months after birth
Secondary	Mean sum-score satisfaction with care during Labour and birth	Summarising mean score of questions measuring satisfaction with care during Labour and birth, dividing on number of questions included	One to six months after birth
Secondary	Mean sum-score satisfaction with care during postnatal period	Summarising mean scores of questions measuring satisfaction with care during postnatal period, and dividing on number of questions included	One to six month after birth
Secondary	Duration of exclusive breastfeeding	The proportion of women who were still exclusive breastfeeding at the timepoint of interview, adjusted with number of weeks since birth	One to six month after birth