Clinical trial NCT03640663: Validation of a Midwifery Model in Palestine 2
Official title: The Palestinian Midwifery-led Continuity Model's Effect on Mothers' and Babies' Health Outcomes
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Prenatal Care
Keywords: Midwifery-led continuity of care
Birth complications
Lead sponsor: Oslo University Hospital
Sponsor class: OTHER
Collaborators: name: University of Oslo
First posted: 2018-08-21
Enrollment: 2199
Sex: FEMALE
Minimum age (years): 15
Maximum age (years): 44
Standard ages: CHILD
ADULT
Accepts healthy volunteers: no
Observational model: COHORT
Time perspective: PROSPECTIVE
Sampling method: NON_PROBABILITY_SAMPLE
Study population: Palestinian women With singleton pregnancies

Brief 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.

Detailed 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.

Eligibility criteria: 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

Primary outcomes:
measure: Emergency Caesarean section rate
timeFrame: 17 months
Secondary outcomes:
measure: Premature birth rate
timeFrame: 17 months
measure: Post partum anaemia in the mother
timeFrame: 17 months
measure: Induction of Labour rate
timeFrame: 17 months
measure: Birth weight
timeFrame: 17 months
measure: APGAR score 5 minutes post partum
timeFrame: 17 months
measure: Referral to neonatal intensive care
timeFrame: 17 months
measure: Blood transfusion rate post partum
timeFrame: 17 months
Other outcomes:
Locations:
city: Nablus
country: Palestinian Territory, occupied
facility: Palestinian Ministry of Health
state: West Bank
Study officials:
affiliation: Oslo University Hospital
name: Erik Fosse, Phd
role: PRINCIPAL_INVESTIGATOR
References: