Effectiveness of a Midwife Led Continuity of Antenatal care caseload model on preterm birth and maternal satisfaction among women in Malawi

Not Applicable

Recruiting

• Conditions: Preterm birth; Reproductive Health and Childbirth - Antenatal care; Public Health - Health service research

• Registration Number: ACTRN12621000008820
• Lead Sponsor: Barbara Debra Zileni

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Study Start: 2021-01-08
• Last Update Posted: 5 December 2022

Recruitment & Eligibility

• Status: Recruiting
• Sex: Female
• Target Recruitment: 1206

Inclusion Criteria

Pregnant women aged 18 years and above; Able to speak the local language Chichewa; Planning to give birth at the study site; Commencing initial antenatal care at a gestation of below 20 weeks

Exclusion Criteria

Pregnant women younger than 18 years; Not able to speak Chichewa; Not planning to give birth at the study site; Initiating first antenatal care contact at a gestation of 20 weeks and above; History of one or more caesarean births; Medical and obstetric complications such as severe anaemia, cardiac disease, chronic hypertension, type 1 diabetes mellitus, multiple pregnancy and planned caesarean birth.

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Proportion of participants with a preterm birth (<37 weeks gestation) data derived from medical and maternity records (birth register book). <br>[At birth];Proportion of women with a satisfaction of antenatal care score of 6 and above. Data derived from a questionnaire named: End-line survey on satisfaction with antenatal care. The survey questionnaire has been adapted from a previously validated survey tool from studies on midwife led continuity of care models conducted in Australia, COSMOS randomised controlled trial by Forster et al., 2016 and Palestine by Mortensen, Lieng, et al., 2019. <br>[At the last antenatal care contact]