Midwife-led Continuity and Satisfaction With Care - an Observational Case-Control Study in Palestine

June 8, 2019 updated by: Erik Fosse, Oslo University Hospital

Validation of a Midwifery Model in Palestine

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.

Study Overview

Status

Completed

Conditions

Intervention / Treatment

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.

Study Type

Observational

Enrollment (Actual)

200

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

16 years to 50 years (Child, Adult)

Accepts Healthy Volunteers

N/A

Genders Eligible for Study

Female

Sampling Method

Probability Sample

Study Population

Rural women in the West Bank, occupied Palestine

Description

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

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

Cohorts and Interventions

Group / Cohort
Intervention / Treatment
Midwife-led continuity of care
Women receiving midwife-led model of care though the continuum of pregnancy, birth and postnatal period, and who registered at the governmental clinic in a rural village.
Behavioral: Midwife-led continuity of care
Midwives from governmental hospitals provide antenatal and postnatal case-load-care in rural villages governmental clinics
Regular care
Women receiving regular maternal care through the continuum of pregnancy, birth and postnatal period, and who registered at the governmental clinic in a rural village.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Mean sum-score satisfaction with care during the continuum of pregnancy,intrapartum and postnatal period
Time Frame: One to six months after birth
Summarising mean score in all questions measuring satisfaction and dividing on number of questions included
One to six months after birth

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Mean sum-score satisfaction with care during pregnancy
Time Frame: One to six months after birth
Summarising the mean score of the questions measuring satisfaction with care during pregnancy and dividing on number of questions included
One to six months after birth
Mean sum-score satisfaction with care during Labour and birth
Time Frame: One to six months after birth
Summarising mean score of questions measuring satisfaction with care during Labour and birth, dividing on number of questions included
One to six months after birth
Mean sum-score satisfaction with care during postnatal period
Time Frame: One to six month after birth
Summarising mean scores of questions measuring satisfaction with care during postnatal period, and dividing on number of questions included
One to six month after birth
Duration of exclusive breastfeeding
Time Frame: One to six month after birth
The proportion of women who were still exclusive breastfeeding at the timepoint of interview, adjusted with number of weeks since birth
One to six month after birth

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Oslo University Hospital

Collaborators

The Research Council of Norway

Investigators

  • Principal Investigator: Erik Fosse, MD, Phd, Oslo University Hospital

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

General Publications

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

May 1, 2017

Primary Completion (Actual)

May 31, 2018

Study Completion (Actual)

March 1, 2019

Study Registration Dates

First Submitted

February 26, 2019

First Submitted That Met QC Criteria

March 3, 2019

First Posted (Actual)

March 5, 2019

Study Record Updates

Last Update Posted (Actual)

June 11, 2019

Last Update Submitted That Met QC Criteria

June 8, 2019

Last Verified

June 1, 2019

More Information

Terms related to this study

Keywords

Other Study ID Numbers

  • Midwif 3

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

UNDECIDED

IPD Plan Description

The anonymous IPD might be provided upon request

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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