How Pregnant and Postnatal Women With Two or More Long-term Health Conditions Experience Midwifery Care as Part of Multi-disciplinary Maternity Care
Conditions
Keywords
Multiple Long-term Conditions, Midwife, Midwifery, Models of care, Multi-disciplinary care, Continuity of care(r), Healthcare use, Care experiences, Burden of treatment
Brief summary
This is a qualitative study using in-depth semi-structured interviews. This study will explore pregnant women with two or more long-term health condition's (MLTC) experience of midwifery care and midwives and health professionals experience of providing midwifery care and multidisciplinary maternity care. This will be considered in relation to Treatment Burden and Minimally Disruptive Healthcare theories. This will be followed by co-design of guidance for midwifery care of pregnant women with MLTC. The aim is to develop a rich understanding of the topic and participant's lived experiences, to enable development of a resource which is meaningful to the key stakeholders. The study is part of a wider mixed methods study.
Interventions
None listed
Sponsors
Newcastle-upon-Tyne Hospitals NHS Trust
Lancashire Teaching Hospitals NHS Foundation Trust
The Whittington Hospital NHS Trust
Guy's and St Thomas' NHS Foundation Trust
Study design
Observational model
OTHER
Time perspective
OTHER
Eligibility
Sex/Gender
ALL
Age
18 Years to 69 Years
Healthy volunteers
No
Inclusion criteria
Interviews Women and birthing people * Women and birthing people with two or more pre-existing long-term health conditions (see appendix one) who are pregnant or postnatal or have given birth in the last 2 years * Able to provide consent * Able to participate in English or through an interpreter * Age 18 or over Midwives and maternity health care professionals NHS maternity staff including midwives and healthcare professionals who provide or manage care for women with two or more long-term health conditions e.g., obstetricians, obstetric physicians, medicine, perinatal mental health, and primary care. Co-design meetings * Women and birthing people with two or more long-term health conditions who are pregnant or postnatal or have given birth in the last 3 years (to include those who have given birth in the last 2 years at the beginning of the study who participated in an interview * Partners/supporters/significant others of women with two or more long-term health conditions who are pregnant or postnatal or have given birth in the last 3 years * Able to provide consent * Able to participate in English or through an interpreter * Age 18 or over * NHS maternity staff including midwives and healthcare professionals who provide care or manage services for women with two or more long-term health conditions * Members of the Patient and Public Involvement and Engagement Group and Project Advisory Group * Representatives from the study third sector partners (Maternal Mental Health Alliance, Action on Pre-eclampsia and Social Action for Health) * Representatives from other relevant third sector organisations * Health policy makers and commissioners
Exclusion criteria
Interviews Women and birthing people * Women and birthing people without two or more pre-existing long-term health conditions * Those who are not pregnant or have not given birth in the last two years * Those who refuse or are unable to give consent * Age under 18 * Age over 60 Midwives and maternity health care professionals NHS maternity staff including midwives and healthcare professionals who do not provide or manage care for women with two or more pre-existing long-term health conditions Co-design meetings * Those who refuse or are unable to give consent * Age under 18
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Experiences of care | 2025-2027 | Pregnant and postnatal women with two or more long-term health conditions experience of midwifery care, as part of multi-disciplinary maternity care |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Experiences of providing care | 2025-2027 | Midwives' experience of providing care for pregnant, birthing, and postnatal women with MLTC |
Outcome results
None listed