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| Name | Class |
|---|---|
| University of Oslo | OTHER |
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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.
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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Midwife led continuity model of care | Women who received antenatal care from midwives from the hospital reaching out to the rural villages |
| |
| Regular care group | Women who received care from doctors, nurses or midwives employed at primary Health care centres in rural villages |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Midwife led continuity model of care | Other | Midwives from the hospitals provided outreaching caseload ante- and postnatal care to women in rural villages clinics and homes |
|
| Measure | Description | Time Frame |
|---|---|---|
| Emergency Caesarean section rate | Percentage of women undergoing emergency Caesarean section | 17 months |
| Measure | Description | Time Frame |
|---|---|---|
| Premature birth rate | Babies born before 37 weeks gestational age | 17 months |
| Post partum anaemia in the mother | Low Hb Level at discharge from hospital |
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Inclusion Criteria:
Exclusion Criteria:
Pregnant women
Palestinian women With singleton pregnancies
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| Name | Affiliation | Role |
|---|---|---|
| Erik Fosse, Phd | Oslo University Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Palestinian Ministry of Health | Nablus | West Bank | Palestinian Territories |
IPD can be obtained upon approval of the Palestinian Ministry of Health
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| 17 months |
| Induction of Labour rate | The rate of women in each group who received induction of labour | 17 months |
| Birth weight | Weight immediately post partum: Low (<2500g) Very low (<1500) | 17 months |
| APGAR score 5 minutes post partum | APGAR score | 17 months |
| Referral to neonatal intensive care | Rate of babies that were referred to neonatal intensive care during hospital stay | 17 months |
| Blood transfusion rate post partum | Rate of women receiving blood tranfusion during the hospital stay | 17 months |