None listed
Conditions
Brief summary
Its really hard for a woman when she falls pregnant to jump through all the hoops needed to book in to a hospital for her antenatal care. Both with the current lock down issues as well as in the past, the delays have meant that women are booking in to the hospital well after the first trimester. Thus women are missing out on potential therapies that may be able to prevent complications in their pregnancy. A large proportion of women who at risk of complications will be able to be identified based on their personal and family history. We have developed an app that can ask questions to figure out which women are at high risk. This study aims to compare the accuracy of the risk assessment of the app with the current practice of booking in to the hospital. This trial will be undertaken with the app available in three languages with an assessment of user acceptability.
Interventions
The app (and its contents) have been designed by a group of clinicians by consensus and built by a specialized IT company. Women answer questions on an app and the app calculates maternal risk for a number of potential complications in pregnancy.
Women attending all the antenatal clinics, whilst in the hospital waiting for their booking visit, will be asked to participate in the study. Women will be randomised to completing the app questions as either ‘pre’ or ‘post’ their midwifery visit. Re
The app (and its contents) have been designed by a group of clinicians by consensus and built by a specialized IT company. Women answer questions on an app and the app calculates maternal risk for a number of potential complications in pregnancy. Women attending all the antenatal clinics, whilst in the hospital waiting for their booking visit, will be asked to participate in the study. Women will be randomised to completing the app questions as either ‘pre’ or ‘post’ their midwifery visit. Recruitment staff will provide a patient information sheet to participants with an opt-out explanation for those that do not want to participate. These information sheets will be translated into two other languages. Non-english speaking women will be provided the patient information sheet in the appropriate language. The app will be completed in the appropriate language. At the end of the survey the women will be asked to complete a short satisfaction survey about their experiences. Midwives will be asked about their time spent on various processes during their interview eg time spent counselling, collecting information or organizing appointments. The questions being asked by the app are: demographic, family history, personal medical history, obstetric history, social history and well being assessment. Completion of the app takes approximately 10mins. They will complete the app on an iPad provided to them or can complete it on their phones (accessed by QR code or weblink). The midwife interviews are conducted by a variety of midwives who run the booking-in clinics. They aim to cover the same range of topics as in the app. The midwives however also provide counselling and support and advice as a matter of routine clinical practice. The interviews will be conducted by the clinical midwives as per their usual practice. They will be undertaken face-to-face, will be in private [research staff will not enter the room], can take up to 1 hour and will occur after consent but may be before completing the app or after completing the app.
Sponsors
South West Sydney Local Health District
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Prevention
Masking
Open (masking not used)
Eligibility
Sex/Gender
All
Age
16 Years to No maximum
Healthy volunteers
No
Inclusion criteria
1. Pregnant women attending booking-in visit at any of the antenatal clinics at SWSLHD 2. Aged 16years or older
Exclusion criteria
1. Unable to give consent as opt-in 2. Illiterate 3. Patients who are not literate in English, Vietnamese or Arabic.
Outcome results
None listed