PRONTO: Obstetric and Neonatal Emergency Training Program: A Cluster-Randomized Trial to Measure Impact
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 24
- 主要终点
- Perinatal mortality
研究概览
简要总结
Rates and causes of maternal mortality in Mexico have dropped only slightly; thus, reaching the internationally established Millennium Development Milestones (MDM) is still a distant goal. A fundamental part of reducing maternal and infant mortality is ensuring an adequate and timely response to obstetric emergencies. PRONTO2: Obstetric and Neonatal Emergency Training Program is an innovative training strategy based on simulations designed to train hospital personnel to respond to obstetric emergencies. The objective of this study is to implement PRONTO2 in selected hospitals to measure the effectiveness of the intervention in influencing key behaviors in hospital practices, as well as measuring maternal and neonatal outcomes in intervention versus control hospitals.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- Single (Outcomes Assessor)
入排标准
- 接受健康志愿者
- 否
入选标准
- •Hospitals must be located in Guerrero, Chiapas, or Mexico states
- •Number of deliveries and cesareans was between 500 and 3000 in 2009
排除标准
- •Inaccessible by car
研究组 & 干预措施
Control
Hospitals randomized to the control arm do not receive any intervention.
PRONTO training
PRONTO training is delivered to medical teams at hospitals randomized to this arm.
干预措施: PRONTO training (Other)
结局指标
主要结局
Perinatal mortality
时间窗: 12 months
Assess perinatal mortality over the 12 month period following the training intervention
次要结局
- Death rate from preeclampsia/eclampsia(12 months)
- Serious maternal complications(12 months)
- Death rate from obstetric hemorrhage(12 months)
研究者
Dilys Walker
Profesora Asociada C
Instituto Nacional de Salud Publica, Mexico