Prenatal Care Clinical Trial
Official title:
Comparison of Prenatal Care With Group Guidance to Routine Care for Pregnant Women at Low Risk in Maternal and Child Health Clinics
NCT number | NCT02476214 |
Other study ID # | 006/2015? |
Secondary ID | |
Status | Completed |
Phase | N/A |
First received | |
Last updated | |
Start date | July 2015 |
Est. completion date | March 2018 |
Verified date | March 2019 |
Source | Meir Medical Center |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
Prenatal care is defined as pregnancy-related health care services provided to a women
between conception and delivery. Early, comprehensive prenatal care can promote healthier
pregnancies and can reduce the risk of some adverse birth outcomes by detecting and managing
preexisting medical conditions, by providing health behavior advice, and by offering a
gateway into the health care system for socially disadvantaged women . The customary approach
for prenatal care includes routine individual care, which is provided by nurses and
physicians in healthcare clinics and hospitals. Since 1995, citizens of Israel, have been
entitled to health care services according to the National Health Insurance Law . Israeli
citizens are covered by National Health Insurance, and get maternal and child preventive
services including prenatal care by local Mother and Child Health Clinics . The prenatal care
is individual. A nurse meets with every registered pregnant women, assess the medical and
emotional condition and provide guidance related to the pregnancy week of the woman.
Since the 70, a number of group prenatal care intervention programs are described in the
literature. Group prenatal care is designed to answer the recommended content for prenatal
care for improving the quality of care and resulting in improved pregnancy outcome . The
group prenatal care includes three important components: risk assessment. Guidance and
support and combines them into the prenatal care22. Creation of the group provides a meeting
place for pregnant women. A safe place for sharing and learning from each other and to build
a community for mutual support .
The investigators hypothesize that, relative to women who receive standard individual
prenatal care, the women who receive group prenatal care will be more likely to:
1. Report higher levels of satisfaction. The investigators also anticipate higher levels of
staff satisfaction within the intervention group medical staff.
2. Higher levels of knowledge about pregnancy related issues (e.g., health behaviors during
pregnancy, tests during pregnancy).
3. Higher levels of compliance for recommended prenatal care screening tests (e.g., GCT,
first and second trimester screening, US)
4. have better perinatal outcomes: better health behaviors during pregnancy (e.g.,
nutrition, physical activity ext.'), better birth outcomes (e.g., preterm labor, low
birthweight,), and better postpartum indicators (e.g., increased breastfeeding);
Status | Completed |
Enrollment | 126 |
Est. completion date | March 2018 |
Est. primary completion date | August 2017 |
Accepts healthy volunteers | Accepts Healthy Volunteers |
Gender | Female |
Age group | 18 Years and older |
Eligibility |
Inclusion Criteria: - Women undergoing prenatal care in Maternal and Child Clinics that are a part of the trial - Age 18+ - Women who speak and understand Hebrew Exclusion Criteria: - High risk pregnancies by criteria of Israeli Ministry of Health guidelines |
Country | Name | City | State |
---|---|---|---|
Israel | Clalit Health service | Beer-Sheva |
Lead Sponsor | Collaborator |
---|---|
Meir Medical Center |
Israel,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Care satisfaction | satisfaction form centering care within staff will be assessed by a questionnaire (scale from 1 to 5). | 9 months | |
Primary | Care satisfaction | satisfaction form centering care within participants, will be assessed by a questionnaire (scale from 1 to 5). | 9 months | |
Primary | Knowledge | - Levels of knowledge about pregnancy related issues (e.g., health behaviors during pregnancy, tests during pregnancy). will be assessed by a questionnaire (percentage of correct answers). | 9 months | |
Primary | Adherence to medical recommendations | compliance for recommended prenatal care screening tests | 9 months | |
Primary | Breastfeeding rates | initiation and duration of breastfeeding (within first 6 weeks after delivery) | 9 months | |
Primary | Readiness for labor and delivery questionnaire | women's feeling of readiness for delivery | 9 months | |
Secondary | Birth weight | infant weight (in grams) at birth | 9 months | |
Secondary | Birth week | gestational age at birth | 9 months | |
Secondary | Health behaviors during pregnancy | nutrition, physical activity thru the pregnancy, will be assessed by a questionnaire collecting information about behaviors. | 9 months |
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