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Cluster-randomized Trial Measuring Integration of Professional Midwives and Obstetric Nurses in Rural Clinics in Mexico

NCT ID: NCT01477541

Last Updated: 2011-11-22

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

27 participants

Study Classification

INTERVENTIONAL

Study Start Date

2007-11-30

Brief Summary

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Rates and causes of maternal mortality in Mexico have dropped only slightly; thus, reaching the internationally established Millennium Development Milestones (MDM) is still a distant goal. A fundamental part of reducing maternal and infant mortality is ensuring skilled attendance during pregnancy and delivery. This project uses an innovative strategy of integrating professional midwives and licensed obstetric nurses into rural medical centers in the states of Guerrero and Oaxaca, Mexico, to provide prenatal care, delivery services, and puerperium care. The goal of the research is to increase use of best practices in intake, labor, delivery, and puerperium care; decrease the use of unnecessary or harmful care; and improve maternal and neonatal outcomes. We posited that medical centers receiving the intervention would provide better care and have better maternal and neonatal outcomes than those that did not receive the intervention.

Detailed Description

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Conditions

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Pregnancy

Keywords

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Prenatal care Maternal mortality Perinatal mortality Perinatal Puerperium Puerperium care Midwives Midwife Obstetric Nurse Integration Alternative personnel Skilled attendant Birth attendant Delivery Delivery services Best practices Rural

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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PM/ON integration arm

Health centers where professional midwives or obstetric nurses are integrated into clinic staff and delivering services.

Group Type EXPERIMENTAL

PM/ON integration

Intervention Type OTHER

Professional midwives or obstetric nurses are integrated into clinic staff and delivering services.

Control

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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PM/ON integration

Professional midwives or obstetric nurses are integrated into clinic staff and delivering services.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Clinics containing one medical team only (1 doctor and accompanying staff)
* Clinics less than 2 hours away from a referral hospital
* Clinics where at least 25 deliveries took place in the previous year

Exclusion Criteria

* Clinics inaccessible by car
* Clinics undergoing remodeling
Eligible Sex

Accepts Healthy Volunteers

No

Sponsors

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Mexican National Institute for Women

UNKNOWN

Sponsor Role collaborator

Mexican Center for Gender Equity and Reproductive Health

UNKNOWN

Sponsor Role collaborator

Secretary of Health, Guerrero state

UNKNOWN

Sponsor Role collaborator

Secretary of Health, Oaxaca state

UNKNOWN

Sponsor Role collaborator

Instituto Nacional de Salud Publica, Mexico

OTHER

Sponsor Role lead

Responsible Party

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Dilys Walker

Investidadora Asociada C

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Dilys Walker, MD

Role: PRINCIPAL_INVESTIGATOR

Instituto Nacional de Salud Publica, Mexico

Other Identifiers

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104-6466

Identifier Type: -

Identifier Source: org_study_id