Validation of a Midwifery Model in Palestine 2

NCT ID: NCT03640663

Last Updated: 2019-02-28

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

Total Enrollment

2199 participants

Study Classification

OBSERVATIONAL

Study Start Date

2016-01-01

Study Completion Date

2018-08-30

Brief Summary

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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

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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.

Conditions

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Prenatal Care

Keywords

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Midwifery-led continuity of care Birth complications

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Midwife led continuity model of care

Women who received antenatal care from midwives from the hospital reaching out to the rural villages

Midwife led continuity model of care

Intervention Type OTHER

Midwives from the hospitals provided outreaching caseload ante- and postnatal care to women in rural villages clinics and homes

Regular care group

Women who received care from doctors, nurses or midwives employed at primary Health care centres in rural villages

No interventions assigned to this group

Interventions

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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

Intervention Type OTHER

Eligibility Criteria

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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
Minimum Eligible Age

15 Years

Maximum Eligible Age

44 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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University of Oslo

OTHER

Sponsor Role collaborator

Oslo University Hospital

OTHER

Sponsor Role lead

Responsible Party

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Erik Fosse

Professor, Head of Department

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Erik Fosse, Phd

Role: PRINCIPAL_INVESTIGATOR

Oslo University Hospital

Locations

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Palestinian Ministry of Health

Nablus, West Bank, Palestinian Territories

Site Status

Countries

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Palestinian Territories

Other Identifiers

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Midwif2

Identifier Type: -

Identifier Source: org_study_id