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

Completed

• Conditions: Maternal Behavior
• Interventions: Behavioral: Midwife-led continuity of care

• Registration Number: NCT03863600
• Lead Sponsor: Oslo University Hospital

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.

Study Timeline

• Study Start: 2017-05-01
• Primary Completion: 2018-05-31
• Study First Submitted: 2019-02-26
• Study Completion: 2019-03-01
• Study First Submitted QC: 2019-03-03
• Study First Posted: 2019-03-05
• Status Verified: 2019-06
• Last Update Submitted: 2019-06-08
• Last Update Posted: 2019-06-11

Recruitment & Eligibility

• Status: COMPLETED
• Sex: Female
• Target Recruitment: 200

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 & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
Midwife-led continuity of care	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.

Primary Outcome Measures

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

Secondary Outcome Measures

Name	Time	Method
Mean sum-score satisfaction with care during pregnancy	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
Mean sum-score satisfaction with care during Labour and birth	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
Duration of exclusive breastfeeding	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
Mean sum-score satisfaction with care during postnatal period	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

Trial Locations

Locations (1)

Palestinian Ministry of Health; 🇵🇸 Nablus, West Bank, Palestinian Territory, occupied