MultIple Long-term Conditions in Pregnancy and Experiences of Midwifery Care

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

NOT_YET_RECRUITING

Total Enrollment

80 participants

Study Classification

OBSERVATIONAL

Study Start Date

2025-10-31

Study Completion Date

2027-04-30

Brief Summary

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This is a qualitative study using in-depth semi-structured interviews. This study will explore pregnant women with two or more long-term health condition's (MLTC) experience of midwifery care and midwives and health professionals experience of providing midwifery care and multidisciplinary maternity care. This will be considered in relation to Treatment Burden and Minimally Disruptive Healthcare theories. This will be followed by co-design of guidance for midwifery care of pregnant women with MLTC. The aim is to develop a rich understanding of the topic and participant's lived experiences, to enable development of a resource which is meaningful to the key stakeholders. The study is part of a wider mixed methods study.

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Detailed Description

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Conditions

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How Pregnant and Postnatal Women With Two or More Long-term Health Conditions Experience Midwifery Care as Part of Multi-disciplinary Maternity Care

Study Design

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Observational Model Type

OTHER

Study Time Perspective

OTHER

Study Groups

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Interview participants

Up to 20 women or birthing people who are pregnant or have experienced pregnancy with two or more long-term health conditions in the last two years.

Up to 20 midwives who provide care or manage services for women with two or more long-term health conditions or healthcare professionals who collaborate with midwives

No interventions assigned to this group

Co-design workshop participants

Up to 40 co-design participants including women and birthing people with two or more long-term health conditions who are pregnant or postnatal or have given birth in the last 3 years; partners/supporters/significant others of women with two or more long-term health conditions who are pregnant or postnatal or have given birth in the last 3 years; National Health Service maternity staff including midwives and healthcare professionals who provide care or manage services for women with two or more long-term health conditions; members of the Patient and Public Involvement and Engagement Group and Project Advisory Group; representatives from the study third sector Patient and Public Involvement and Engagement partners (Maternal Mental Health Alliance, Action on Pre-eclampsia and Social Action for Health); representatives from other relevant third sector organisations; health policy makers and commissioners

No interventions assigned to this group

Eligibility Criteria

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Inclusion Criteria

Interviews

Women and birthing people

* Women and birthing people with two or more pre-existing long-term health conditions (see appendix one) who are pregnant or postnatal or have given birth in the last 2 years
* Able to provide consent
* Able to participate in English or through an interpreter
* Age 18 or over Midwives and maternity health care professionals NHS maternity staff including midwives and healthcare professionals who provide or manage care for women with two or more long-term health conditions e.g., obstetricians, obstetric physicians, medicine, perinatal mental health, and primary care.

Co-design meetings

* Women and birthing people with two or more long-term health conditions who are pregnant or postnatal or have given birth in the last 3 years (to include those who have given birth in the last 2 years at the beginning of the study who participated in an interview
* Partners/supporters/significant others of women with two or more long-term health conditions who are pregnant or postnatal or have given birth in the last 3 years
* Able to provide consent
* Able to participate in English or through an interpreter
* Age 18 or over
* NHS maternity staff including midwives and healthcare professionals who provide care or manage services for women with two or more long-term health conditions
* Members of the Patient and Public Involvement and Engagement Group and Project Advisory Group
* Representatives from the study third sector partners (Maternal Mental Health Alliance, Action on Pre-eclampsia and Social Action for Health)
* Representatives from other relevant third sector organisations
* Health policy makers and commissioners

Exclusion Criteria

Interviews Women and birthing people

* Women and birthing people without two or more pre-existing long-term health conditions
* Those who are not pregnant or have not given birth in the last two years
* Those who refuse or are unable to give consent
* Age under 18
* Age over 60

Midwives and maternity health care professionals NHS maternity staff including midwives and healthcare professionals who do not provide or manage care for women with two or more pre-existing long-term health conditions Co-design meetings

* Those who refuse or are unable to give consent
* Age under 18

Minimum Eligible Age

18 Years

Maximum Eligible Age

69 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No