Prevention
Conditions
Brief summary
Development of Somali-adapted Mindfetalness: Interviews with women born in Somalia A before-after study: Intervention: pregnant women receive a pamphlet, introduction to Mindfetalness by her midwife during the gestational-week 25 visit. The pregnant woman will well get access to a website concerning Mindfetalness. The pregnant women will be encouraged to start practicing Somali-adapted Mindfetalness during gestational week 28. Comparison: Intervention period (1/1-2022 to 31/12 2023) compared to 5 years before (1/1 2015 to 31/12 2019)
Detailed description
Development of Somali-adapted Mindfetalness, initial data collection: Pregnant women or recently given birth. Women born in Somalia with a singleton pregnancy from gestational week 28+0. Interviews focusing on fetal movements, reactions to fetal movements, and facilitating and inhibiting factors for seeking care for pregnancy-related conditions will be carried out. After transcription verbatim, the text will be analyzed with modified content analysis as described by Elo & Kyngäs. A before-after study: Population: Women born in Somalia registered at one of the 31 antenatal clinics where under 2019 ten or more women were registered. The registration will be either 1/1 2022 to 31/12 2023 or 1/1 2015 and 31/12 2019 (1/1 2020 to 31/12 2021 has been omitted to diminish a possible confounding effect of the COVID-19 pandemic.) Intervention: In the chosen 31 antenatal clinics, midwives will receive an education in Somali-adapted Mindfetalness. Moreover, each pregnant woman registered after 1/1 2022 and before 31/12 2023, will receive a pamphlet, introduction to Mindfetalness by her midwife during the gestational-week 25 visit. The pregnant woman will well get access to a website concerning Mindfetalness. The pregnant women will be encouraged to start practicing Somali-adapted Mindfetalness during gestational week 28.
Interventions
BEHAVIORALModified Mindfetalness
The pregnant woman is motivated to practice Mindfetalness verbally, by video, by a leaflet and at a website.
Sponsors
Karolinska Institutet
Dalarna University
Sophiahemmet University
Study design
Allocation
NON_RANDOMIZED
Intervention model
SINGLE_GROUP
Primary purpose
PREVENTION
Masking
SINGLE (Outcomes Assessor)
Intervention model description
Pregnant women born in Somalia with singleton pregnancy
Eligibility
Sex/Gender
FEMALE
Healthy volunteers
No
Inclusion criteria
* Pregnant woman living in Sweden but born in Somalia, in gestational age minimum 24+0
Exclusion criteria
* None
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Apgar score <10 | At delivery, five minutes after birth | The investigators will use the information reported to the Swedish Pregnancy Register. |
| Apgar score <7 | At delivery, five minutes after birth | The investigators will use the information reported to the Swedish Pregnancy Register. |
| Seeking care due to decreased fetal movements | From pregnancy week 22+0 until birth | The investigators will use the ICD-code (International Classification of Diseases) AM041 (examination due to decreased fetal movements) where applicable . The Investigators will use the data from The Swedish Pregnancy Register. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Transfer to Neonatal Intensive Care Unit (NICU) | At delivery | The investigators will use the Swedish Neonatal Quality Register. The responsible healthcare professionals report transfer to NICU to the register. The register is population-based and covers by and large every birth in the region at the time. |
| Cesarean section (emergency) | At delivery | The investigators will use the information reported to the Swedish Pregnancy Register. The responsible healthcare professionals classify mode of delivery and report it to the register. The register is population-based and covers by and large every birth in the region at the time. |
| Induction of labour | At delivery | The investigators will use the information reported to the Swedish Pregnancy Register. The responsible healthcare professionals classify mode of delivery and report it to the register. The register is population-based and covers by and large every birth in the region at the time. |
| Cesarean section (planned) | At delivery | The investigators will use the information reported to the Swedish Pregnancy Register. The responsible healthcare professionals classify mode of delivery and report it to the register. The register is population-based and covers by and large every birth in the region at the time. |
Other
| Measure | Time frame | Description |
|---|---|---|
| Apgar score <4 | At delivery, five minutes after birth | The investigators will use the information reported to the Swedish Pregnancy Register. |
| Spontaneous start of labour | At delivery | The investigators will use the information reported to the Swedish Pregnancy Register. The responsible healthcare professionals classify mode of delivery and report it to the register. The register is population-based and covers by and large every birth in the region at the time. |
Countries
Sweden
Outcome results
None listed