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Cluster-randomized Trial Measuring Integration of Professional Midwives and Obstetric Nurses in Rural Clinics in Mexico

NCT01477541 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 27

Last updated 2011-11-22

No results posted yet for this study

Summary

Rates and causes of maternal mortality in Mexico have dropped only slightly; thus, reaching the internationally established Millennium Development Milestones (MDM) is still a distant goal. A fundamental part of reducing maternal and infant mortality is ensuring skilled attendance during pregnancy and delivery. This project uses an innovative strategy of integrating professional midwives and licensed obstetric nurses into rural medical centers in the states of Guerrero and Oaxaca, Mexico, to provide prenatal care, delivery services, and puerperium care. The goal of the research is to increase use of best practices in intake, labor, delivery, and puerperium care; decrease the use of unnecessary or harmful care; and improve maternal and neonatal outcomes. We posited that medical centers receiving the intervention would provide better care and have better maternal and neonatal outcomes than those that did not receive the intervention.

Conditions

  • Pregnancy

Interventions

OTHER

PM/ON integration

Professional midwives or obstetric nurses are integrated into clinic staff and delivering services.

Sponsors & Collaborators

  • Mexican National Institute for Women

    collaborator UNKNOWN

  • Mexican Center for Gender Equity and Reproductive Health

    collaborator UNKNOWN

  • Secretary of Health, Guerrero state

    collaborator UNKNOWN

  • Secretary of Health, Oaxaca state

    collaborator UNKNOWN

  • Instituto Nacional de Salud Publica, Mexico

    lead OTHER

Principal Investigators

  • Dilys Walker, MD · Instituto Nacional de Salud Publica, Mexico

Study Design

Allocation
RANDOMIZED
Purpose
SUPPORTIVE_CARE
Masking
SINGLE
Model
PARALLEL

Eligibility

Sex
Healthy Volunteers
No

Timeline & Regulatory

Start
2007-11-30
Primary Completion
2010-03-31

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Read the full study record

This page highlights key information. For complete eligibility criteria, study locations, investigator contacts, and the full protocol, visit the original record on ClinicalTrials.gov.

View NCT01477541 on ClinicalTrials.gov