Pregnant women
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1.Those who have at least 32 weeks of gestation. 2.Those who reside in the selected district. 3.Those who come for ANC at either facility or a mobile clinic at least once. 4.Individuals who can provide written consent to participate in this study. 5.Those who are literate in Kiswahili or English. 1.Those who are 18 years or older. 2.Those who are literate in Kiswahili or English. 3.Those who have a singleton fetus in cephalic presentation. 4.Individuals who can provide written consent.
Exclusion criteria
Exclusion criteria: 1. Those who are planning a caesarean birth or require a caesarean due to placenta previa or vasa previa 2. Those who are contraindications for the use of a fetal scalp electrode 3. Those who have known fetal structural or functional cardiac conditions.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary outcome of this study is a measure of ANC attendance assessed via the proportion of women who achieved more than four visits . The primary outcome measure of this study is the caesarean section rate. | — |
Secondary
| Measure | Time frame |
|---|---|
| Facility-based delivery in both arms, Detection of abnormal FHR, Cases transferred, Number of lives saved, Perinatal mortality Perinatal mortality,Cases transferred to a higher-level facility, Preterm birth (less than 37 completed weeks, less than 34 completed weeks, less than 28 completed weeks), Emotional distress: Depression Anxiety and Stress Scale, DASS-21, Apgar less than seven and four at five minutes, Admission to neonatal special care unit or intensive care unit | — |
Countries
Africa
Contacts
Hiroshima University Graduate School of Biomedical and Health Sciences Department of Global Health Nursing