Prenatal Care
Conditions
Keywords
Midwifery-led continuity of care, Birth complications
Brief summary
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.
Detailed description
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.
Interventions
OTHERMidwife led continuity model of care
Midwives from the hospitals provided outreaching caseload ante- and postnatal care to women in rural villages clinics and homes
Sponsors
University of Oslo
Oslo University Hospital
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
FEMALE
Age
15 Years to 44 Years
Healthy volunteers
No
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
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Emergency Caesarean section rate | 17 months | Percentage of women undergoing emergency Caesarean section |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Post partum anaemia in the mother | 17 months | Low Hb Level at discharge from hospital |
| Induction of Labour rate | 17 months | The rate of women in each group who received induction of labour |
| Birth weight | 17 months | Weight immediately post partum: Low (\<2500g) Very low (\<1500) |
| Premature birth rate | 17 months | Babies born before 37 weeks gestational age |
| Referral to neonatal intensive care | 17 months | Rate of babies that were referred to neonatal intensive care during hospital stay |
| Blood transfusion rate post partum | 17 months | Rate of women receiving blood tranfusion during the hospital stay |
| APGAR score 5 minutes post partum | 17 months | APGAR score |
Countries
Palestinian Territories
Outcome results
None listed