Stillbirth Clinical Trial
— PartoMaOfficial title:
The PartoMa Project for Saving Lives at Birth - An Intervention Based Study to Strengthen the Quality of Monitoring, Action and Triage During Labour at an East African Referral Hospital
Verified date | September 2019 |
Source | University of Copenhagen |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
OVERALL OBJECTIVE In an East African referral hospital, to develop and analyze the effect of
locally agreed and achievable guidelines and a continual in-house training program for
strengthening partogram-based monitoring-to-action during labour.
INTERVENTION Paper partograms (WHO), locally developed labour management guidelines (the
PartoMa guidelines) and continual in-house education.
OVERALL DESIGN A quasi-experimental pre-post-study (The PartoMa study).
SETTING Department of Obstetrics and Gynaecology, Mnazi Mmoja Hospital, Zanzibar.
POPULATION Labouring women delivering at the study site from October 2014 to January 2016 and
their offspring, as well as health providers. Women and their offspring will be enrolled
at/after unset of labour and followed until discharge.
ENDPOINTS The primary composite endpoint is stillbirths and birth asphyxia. For further
description and secondary outcomes, please see below.
STUDY TIME Data collection from October 2014 to January 2016, supplemented by a post-exit
collection of case file data from October 2016 - January 2017.
Status | Completed |
Enrollment | 3087 |
Est. completion date | July 1, 2018 |
Est. primary completion date | March 1, 2016 |
Accepts healthy volunteers | No |
Gender | All |
Age group | N/A and older |
Eligibility |
Inclusion Criteria: - All women in labour delivering at the study site and their outcome, October 2014 - January 2015 and October 2015 - January 2016 - All health care providers at the department during the baseline and intervention period, October 2014 - January 2016 For the different substudies, sub-groups are selected (please see the secondary outcomes for a description). |
Country | Name | City | State |
---|---|---|---|
Tanzania | Dept. Obstetrics and Gynaecology, Mnazi Mmoja Hospital | Zanzibar City | Zanzibar |
Lead Sponsor | Collaborator |
---|---|
Ib Christian Bygbjerg | Free University Medical Center, Laerdal Foundation, Lundbeck Foundation, Mnazi Mmoja Hospital, Rigshospitalet, Denmark, University of Copenhagen |
Tanzania,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Composite outcome of stillbirths and birth asphyxia | Stillbirths (=late foetal deaths >=1000g), subdivided into pre- and intra-hospital stillbirths (with/without positive foetal heart rate on admission). Birth asphyxia was defined as newborns with a 5-minutes Apgar score < 6. | A comparison of the baseline (Oct. 14 - Jan. '15) with 9th-12th month of the intervention (Oct. '15 - Jan. '16). | |
Secondary | Maternal death | Deaths of women at the study site while pregnant or within 42 days postpartum, from any cause related to or aggravated by pregnancy or its management. | A comparison of the baseline (Oct. 14 - Jan. '15) with 9th-12th month of the intervention (Oct. '15 - Jan. '16). | |
Secondary | Cesarean sections and vacuum extractions | A comparison of the baseline (Oct. 14 - Jan. '15) with 9th-12th month of the intervention (Oct. '15 - Jan. '16). | ||
Secondary | Process indicators of quality of intrapartum labour care | This includes partogram use, timely surveillance (of foetal heart rate, labour progress, and maternal vital signs), and oxytocin use for labour augmentation. Management is compared to pre-selected audit criteria. | A comparison of the baseline (Oct. 14 - Jan. '15) with 9th-12th month of the intervention (Oct. '15 - Jan. '16). | |
Secondary | Health providers' perception of their work situation in the labour and delivery rooms | Participant observations and in-depth interviews. | This is assessed at multiple time points throughout the study period and more in-depth after 2 years of the intervention. | |
Secondary | The women's experience of care received during delivery. | By focus group discussions. | This is assessed through community visits in January - March 2016. | |
Secondary | HALE | Cost of healthy life years gained /1,000 population /year | This will be evaluated economically after finalizing the study period. |
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