Specialty: Reproductive health and childbirth, Primary sub-specialty: Other
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Women aged 16 years of age and over at the time of recruitment 2. Currently pregnant and registering (or registered) for antenatal care at the participating NHS Trust maternity service, including both primiparous and multiparous women, and women deemed “low” and “high” risk 3. Live within the working areas of the local midwife group facilitators 4. Estimated delivery date that fits with those of a proposed group 4. Documented learning disability
Exclusion criteria
Exclusion criteria: 1. Non-pregnant women 2. Women registered for antenatal care at other NHS services outside of Barts Health NHS Trust 3. Women who live away from the target areas 4. Women whose estimated delivery dates do not fit with the proposed group start date 5. Women who are under 16 years old 6. Women with a documented learning disability. When recruiting for specific groups, non-English speaking women who speak a language that is not a target language for that particular group.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Recruitment is measured using a proforma at recruitment and brief interviews with women, at recruitment, who decline participation 2. Uptake of care is measured using monitoring forms completed by the facilitating midwives at the first 2 Pregnancy Circles 3. Retention is measured using monitoring forms completed by the facilitating midwives 4. Assessment response rates and completion is measured by response rates and completeness of data obtained at baseline, first follow up (35 weeks of pregnancy) and second follow up (4 months postnatal). Completeness of routine maternity data collected at 1 month postnatal from electronic compared with paper records will also be assessed. 5. Language support is measured via questionnaires at first and second follow up time points; by postnatal interviews with participants and by observations during intervention delivery | — |
Secondary
| Measure | Time frame |
|---|---|
| No secondary outcome measures | — |
Countries
England, United Kingdom