Combining one-to-one and group antenatal care: The Enhanced Antenatal Care study

Providing a combined approach of one-to-one and group antenatal care for nulliparous women to address childbirth fear and promote natural birth intentions: The Enhanced Antenatal Care study

Status

Active, not recruiting

Phases

Unknown

Study type

Interventional

Source

ISRCTN

Registry ID

ISRCTN47233250

Enrollment

Registered

2018-07-19

Start date

2017-06-16

Completion date

Unknown

Last updated

2018-08-20

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Childbirth fear Pregnancy and Childbirth Tokophobia

Interventions

Nulliparous women receiving antenatal care at one of the six healthcare centers (three intervention sites and three comparison sites) collaborating in our study are invited to participate in the study

at least one is the primary midwife for the couple, providing both one-to-one care, along with facilitating groups. EAC increases contact time with the midwife from four hours in usual care to approxi

Eligibility

Sex/Gender

All

Inclusion criteria

Inclusion criteria: 1. Nulliparous women receiving antenatal care at one of the six participating healthcare centers 2. 18 years of age and older 3. Able to communicate in Icelandic Partners of women in the intervention arm will also be invited to join the study.

Exclusion criteria

Exclusion criteria: Multiparous women

Design outcomes

Primary

Measure	Time frame
1. Experience with participating in EAC, to determine feasibility and acceptability: 1.1. For women, this is measured using direct questions about antenatal care in a web-based survey in late pregnancy (36-40 weeks) and a focus group interview 2-3 months postpartum. 1.2. For partners, this is measured using a focus group interview 2-3 months after the baby is born 1.3. For midwives, this is measured through an interview after all EAC groups are complete. 2. Childbirth fear is measured using the Fear of Birth Scale (FOBS) in a web-based survey early in pregnancy (12-16 weeks) and late in pregnancy (36-40 weeks)	—

Measure

Time frame

1. Experience with participating in EAC, to determine feasibility and acceptability: 1.1. For women, this is measured using direct questions about antenatal care in a web-based survey in late pregnancy (36-40 weeks) and a focus group interview 2-3 months postpartum. 1.2. For partners, this is measured using a focus group interview 2-3 months after the baby is born 1.3. For midwives, this is measured through an interview after all EAC groups are complete. 2. Childbirth fear is measured using the Fear of Birth Scale (FOBS) in a web-based survey early in pregnancy (12-16 weeks) and late in pregnancy (36-40 weeks)

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Secondary

Measure	Time frame
The following are measured late in pregnancy (36-40 weeks) using a web-based survey: 1. Birth intentions, assessed using questions about mode of birth, pain management and other birthing preferences 2. Involvement in decision making, assessed using the Mothers Autonomy in Decision Making scale (MADM) 3. Respectful care, assessed using the Mothers on Respect Index. This is also measured 6 weeks postpartum.	—

Measure

Time frame

The following are measured late in pregnancy (36-40 weeks) using a web-based survey: 1. Birth intentions, assessed using questions about mode of birth, pain management and other birthing preferences 2. Involvement in decision making, assessed using the Mothers Autonomy in Decision Making scale (MADM) 3. Respectful care, assessed using the Mothers on Respect Index. This is also measured 6 weeks postpartum.

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Countries

Iceland

Outcome results

None listed

Source: ISRCTN (via WHO ICTRP) · Data processed: Feb 4, 2026