Maternal Behavior
Conditions
Keywords
Satisfaction with care, Low-middle income country, Continuity of care, Maternal care
Brief summary
This study investigate if a midwife-led continuity model of care in Palestine, had impact on rural women's satisfaction with care through the continuum of antenatal, intrapartum and postnatal period.
Detailed description
Between 2013 and 2016 a midwife-led continuity model of care was implemented in parts of the Palestinian governmental health system, to improve maternal services to women in rural areas on the occupied West Bank. This study investigated if and how the model influenced women's satisfaction with care, through the continuum of the antenatal-, intrapartum- and postnatal period. Using an observational case-control design to compare the midwife-led continuity model of care with regular maternity care. Women with singleton pregnancies, who had registered for antenatal care at a rural governmental clinic, were during the first six months after birth invited to answer a questionnaire containing 60 questions with a 7-points Likert scale, rating different aspects of satisfaction with care.
Interventions
BEHAVIORALMidwife-led continuity of care
Midwives from governmental hospitals provide antenatal and postnatal case-load-care in rural villages governmental clinics
Sponsors
The Research Council of Norway
Oslo University Hospital
Study design
Observational model
CASE_CONTROL
Time perspective
CROSS_SECTIONAL
Eligibility
Sex/Gender
FEMALE
Age
16 Years to 50 Years
Inclusion criteria
* Residing in rural village * Registered for pregnancy care at the villages governmental clinic * With singleton pregnancy * Gave birth the last one to six month
Exclusion criteria
* Residing in urban areas * With multiple pregnancy * Not registered for antenatal care at the local governmental clinic
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Mean sum-score satisfaction with care during the continuum of pregnancy,intrapartum and postnatal period | One to six months after birth | Summarising mean score in all questions measuring satisfaction and dividing on number of questions included |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Mean sum-score satisfaction with care during pregnancy | One to six months after birth | Summarising the mean score of the questions measuring satisfaction with care during pregnancy and dividing on number of questions included |
| Mean sum-score satisfaction with care during Labour and birth | One to six months after birth | Summarising mean score of questions measuring satisfaction with care during Labour and birth, dividing on number of questions included |
| Mean sum-score satisfaction with care during postnatal period | One to six month after birth | Summarising mean scores of questions measuring satisfaction with care during postnatal period, and dividing on number of questions included |
| Duration of exclusive breastfeeding | One to six month after birth | The proportion of women who were still exclusive breastfeeding at the timepoint of interview, adjusted with number of weeks since birth |
Countries
Palestinian Territories
Outcome results
None listed