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Completed

NCT Number: NCT03863600

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

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Key information

Conditions

Maternal Behavior

Age range

16 year–50 year

Sex eligibility

Female

Study type

Observational

Primary location

Palestinian Ministry of Health

Nablus, West Bank, Palestinian Territories

About this study

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.

Who can participate

Only the study team can determine whether someone qualifies for participation.

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

Treatment and study plan

Midwife-led continuity of care

Behavioral

Midwives from governmental hospitals provide antenatal and postnatal case-load-care in rural villages governmental clinics

Primary outcomes

  1. 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

Secondary outcomes

  1. 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

  2. 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

  3. 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

  4. 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

Sponsors and collaborators

Lead sponsor

Oslo University Hospital

Other

Collaborators

  • The Research Council of Norway

Registry information

Official study title

Validation of a Midwifery Model in Palestine

Important dates

Study start
2017
Primary completion
2018
Study completion
2019
First posted
Mar 5, 2019
Registry last updated
Jun 11, 2019

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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