Clinical trial NCT03863600: Midwife-led Continuity and Satisfaction With Care - an Observational Case-Control Study in Palestine
Official title: Validation of a Midwifery Model in Palestine
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Maternal Behavior
Keywords: Satisfaction with care
Low-middle income country
Continuity of care
Maternal care
Lead sponsor: Oslo University Hospital
Sponsor class: OTHER
Collaborators: name: The Research Council of Norway
First posted: 2019-03-05
Enrollment: 200
Sex: FEMALE
Minimum age (years): 16
Maximum age (years): 50
Standard ages: CHILD
ADULT
Observational model: CASE_CONTROL
Time perspective: CROSS_SECTIONAL
Sampling method: PROBABILITY_SAMPLE
Study population: Rural women in the West Bank, occupied Palestine

Brief 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.

Detailed 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.

Eligibility criteria: 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

Primary outcomes:
measure: Mean sum-score satisfaction with care during the continuum of pregnancy,intrapartum and postnatal period
timeFrame: One to six months after birth
Secondary outcomes:
measure: Mean sum-score satisfaction with care during pregnancy
timeFrame: One to six months after birth
measure: Mean sum-score satisfaction with care during Labour and birth
timeFrame: One to six months after birth
measure: Mean sum-score satisfaction with care during postnatal period
timeFrame: One to six month after birth
measure: Duration of exclusive breastfeeding
timeFrame: One to six month after birth
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, MD, Phd
role: PRINCIPAL_INVESTIGATOR
References:
citation: Mortensen B, Diep LM, Lukasse M, Lieng M, Dwekat I, Elias D, Fosse E. Women's satisfaction with midwife-led continuity of care: an observational study in Palestine. BMJ Open. 2019 Nov 3;9(11):e030324. doi: 10.1136/bmjopen-2019-030324.