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NCT Number: NCT07207759

MultIple Long-term Conditions in Pregnancy and Experiences of Midwifery Care

This is a qualitative study using in-depth semi-structured interviews. This study will explore pregnant women with two or more long-term health condition's (MLTC) experience of midwifery care and midwives and health professionals experience of providing midwifery care and multidisciplinary maternity care. This will be considered in relation to Treatment Burden and Minimally Disruptive Healthcare theories. This will be followed by co-design of guidance for midwifery care of pregnant women with MLTC. The aim is to develop a rich understanding of the topic and participant's lived experiences, to enable development of a resource which is meaningful to the key stakeholders. The study is part of a wider mixed methods study.

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Key information

Conditions

How Pregnant and Postnatal Women With Two or More Long-term Health Conditions Experience Midwifery Care as Part of Multi-disciplinary Maternity Care

Age range

18 year–69 year

Sex eligibility

All sexes

Study type

Observational

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

Interviews

Women and birthing people

Women and birthing people with two or more pre-existing long-term health conditions (see appendix one) who are pregnant or postnatal or have given birth in the last 2 years
Able to provide consent
Able to participate in English or through an interpreter
Age 18 or over Midwives and maternity health care professionals NHS maternity staff including midwives and healthcare professionals who provide or manage care for women with two or more long-term health conditions e.g., obstetricians, obstetric physicians, medicine, perinatal mental health, and primary care.

Co-design meetings

Women and birthing people with two or more long-term health conditions who are pregnant or postnatal or have given birth in the last 3 years (to include those who have given birth in the last 2 years at the beginning of the study who participated in an interview
Partners/supporters/significant others of women with two or more long-term health conditions who are pregnant or postnatal or have given birth in the last 3 years
Able to provide consent
Able to participate in English or through an interpreter
Age 18 or over
NHS maternity staff including midwives and healthcare professionals who provide care or manage services for women with two or more long-term health conditions
Members of the Patient and Public Involvement and Engagement Group and Project Advisory Group
Representatives from the study third sector partners (Maternal Mental Health Alliance, Action on Pre-eclampsia and Social Action for Health)
Representatives from other relevant third sector organisations
Health policy makers and commissioners

Exclusion criteria

Interviews Women and birthing people

Women and birthing people without two or more pre-existing long-term health conditions
Those who are not pregnant or have not given birth in the last two years
Those who refuse or are unable to give consent
Age under 18
Age over 60

Midwives and maternity health care professionals NHS maternity staff including midwives and healthcare professionals who do not provide or manage care for women with two or more pre-existing long-term health conditions Co-design meetings

Those who refuse or are unable to give consent
Age under 18

Treatment and study plan

Primary outcomes

Experiences of care

Time frame: 2025-2027

Pregnant and postnatal women with two or more long-term health conditions experience of midwifery care, as part of multi-disciplinary maternity care

Secondary outcomes

Experiences of providing care

Time frame: 2025-2027

Midwives' experience of providing care for pregnant, birthing, and postnatal women with MLTC
Experiences of providing care

Time frame: 2025-2027

Health professionals experience of providing care for pregnant, birthing, and postnatal women with MLTC

Sponsors and collaborators

Lead sponsor

Guy's and St Thomas' NHS Foundation Trust

Other

Collaborators

Lancashire Teaching Hospitals NHS Foundation Trust
Newcastle-upon-Tyne Hospitals NHS Trust
The Whittington Hospital NHS Trust

Registry information

Official study title

MILLENIA: MultIpLe Long-tErm Conditions in Pregnancy aNd Experiences of mIdwifery cAre

Acronym: MILLENIA

Important dates

Study start: 2025
Primary completion: 2027
Study completion: 2027
First posted: Oct 6, 2025
Registry last updated: Oct 6, 2025

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.