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Completed

NCT Number: NCT03640663

Validation of a Midwifery Model in Palestine 2

A midwife-led continuity model of care was implemented in governmental maternal facilities in Palestine. Midwives from the hospitals provided outreaching caseload ante- and postnatal care to women in rural villages clinics and homes. This study investigated if the model had impact on important maternal and neonatal health outcomes. A retrospective cohort design was used.

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Key information

Conditions

Prenatal Care

Age range

15 year–44 year

Sex eligibility

Female

Study type

Observational

Primary location

Palestinian Ministry of Health

Nablus, West Bank, Palestinian Territories

About this study

Background: A midwife-led continuity model of care was implemented in governmental maternal facilities in Palestine. Midwives from the hospitals provided outreaching caseload ante- and postnatal care to women in rural villages clinics and homes. This study investigated if the model had impact on important maternal and neonatal health outcomes.

Method: A retrospective cohort design was used. Nablus governmental hospital, Rafidia's medical records were reviewed and data extracted involving 2199 women with singleton pregnancies, residing in rural villages, and their new-born babies born between January 2016 and February 2017. Outcomes were limited to the available information in the hospital's birth registry. Important maternal outcomes were postpartum anaemia (Hb <11), mode of delivery and induction of labour. Important outcomes for new-borns were premature delivery < 37 weeks, birth weight < 2500g and 1500g and referral to neonatal intensive care unit. Outcomes were compared between women receiving the midwife-led continuity model of antenatal care and women receiving regular care.

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Women with singleton pregnancies residing in rural areas giving birth at Nablus governmental hospital, Palestine

Exclusion criteria

  • Multiple pregnancies
  • Women residing in urban areas

Treatment and study plan

Midwife led continuity model of care

Other

Midwives from the hospitals provided outreaching caseload ante- and postnatal care to women in rural villages clinics and homes

Primary outcomes

  1. Emergency Caesarean section rate

    Time frame: 17 months

    Percentage of women undergoing emergency Caesarean section

Secondary outcomes

  1. Premature birth rate

    Time frame: 17 months

    Babies born before 37 weeks gestational age

  2. Post partum anaemia in the mother

    Time frame: 17 months

    Low Hb Level at discharge from hospital

  3. Induction of Labour rate

    Time frame: 17 months

    The rate of women in each group who received induction of labour

  4. Birth weight

    Time frame: 17 months

    Weight immediately post partum: Low (<2500g) Very low (<1500)

  5. APGAR score 5 minutes post partum

    Time frame: 17 months

    APGAR score

  6. Referral to neonatal intensive care

    Time frame: 17 months

    Rate of babies that were referred to neonatal intensive care during hospital stay

  7. Blood transfusion rate post partum

    Time frame: 17 months

    Rate of women receiving blood tranfusion during the hospital stay

Sponsors and collaborators

Lead sponsor

Oslo University Hospital

Other

Collaborators

  • University of Oslo

Registry information

Official study title

The Palestinian Midwifery-led Continuity Model's Effect on Mothers' and Babies' Health Outcomes

Important dates

Study start
2016
Primary completion
2017
Study completion
2018
First posted
Aug 21, 2018
Registry last updated
Feb 28, 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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