Validation of a Midwifery Model in Palestine 2

Prenatal Care Clinical Trial

Official title:

The Palestinian Midwifery-led Continuity Model's Effect on Mothers' and Babies' Health Outcomes

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT03640663
• Other study ID #: Midwif2
• Status: Completed
• Start date: January 1, 2016
• Est. completion date: August 30, 2018

Study information

• Verified date: February 2019
• Source: Oslo University Hospital
• Contact: n/a
• Is FDA regulated: No
• Study type: Observational [Patient Registry]

Clinical Trial Summary

A midwife-led continuity model of care was implemented in governmental maternal facilities in Palestine. Midwives from the hospitals provided outreaching caseload ante- and postnatal care to women in rural villages clinics and homes. This study investigated if the model had impact on important maternal and neonatal health outcomes. A retrospective cohort design was used.

Description:

Background: A midwife-led continuity model of care was implemented in governmental maternal facilities in Palestine. Midwives from the hospitals provided outreaching caseload ante- and postnatal care to women in rural villages clinics and homes. This study investigated if the model had impact on important maternal and neonatal health outcomes.

Method: A retrospective cohort design was used. Nablus governmental hospital, Rafidia's medical records were reviewed and data extracted involving 2199 women with singleton pregnancies, residing in rural villages, and their new-born babies born between January 2016 and February 2017. Outcomes were limited to the available information in the hospital`s birth registry. Important maternal outcomes were postpartum anaemia (Hb <11), mode of delivery and induction of labour. Important outcomes for new-borns were premature delivery < 37 weeks, birth weight < 2500g and 1500g and referral to neonatal intensive care unit. Outcomes were compared between women receiving the midwife-led continuity model of antenatal care and women receiving regular care.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 2199
• Est. completion date: August 30, 2018
• Est. primary completion date: February 28, 2017
• Accepts healthy volunteers: No
• Gender: Female
• Age group: 15 Years to 44 Years

Eligibility

Inclusion Criteria:

• Women with singleton pregnancies residing in rural areas giving birth at Nablus governmental hospital, Palestine

Exclusion Criteria:

• Multiple pregnancies

• Women residing in urban areas

Related Conditions & MeSH terms

• Prenatal Care

Intervention

Other:
• Midwife led continuity model of care
Midwives from the hospitals provided outreaching caseload ante- and postnatal care to women in rural villages clinics and homes

Locations

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

Sponsors (2)

Lead Sponsor	Collaborator
Oslo University Hospital	University of Oslo

Country where clinical trial is conducted

Palestinian Territory, occupied, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Emergency Caesarean section rate	Percentage of women undergoing emergency Caesarean section	17 months
Secondary	Premature birth rate	Babies born before 37 weeks gestational age	17 months
Secondary	Post partum anaemia in the mother	Low Hb Level at discharge from hospital	17 months
Secondary	Induction of Labour rate	The rate of women in each group who received induction of labour	17 months
Secondary	Birth weight	Weight immediately post partum: Low (<2500g) Very low (<1500)	17 months
Secondary	APGAR score 5 minutes post partum	APGAR score	17 months
Secondary	Referral to neonatal intensive care	Rate of babies that were referred to neonatal intensive care during hospital stay	17 months
Secondary	Blood transfusion rate post partum	Rate of women receiving blood tranfusion during the hospital stay	17 months