Trial Outcomes & Findings for Verbal Autopsy of Maternal Deaths, Stillbirths, and Neonatal Deaths in BetterBirth (NCT NCT03213509)

NCT ID: NCT03213509

Last Updated: 2019-10-17

Results Overview

Cause of perinatal mortality

Recruitment status

COMPLETED

Target enrollment

170 participants

Primary outcome timeframe

Early post-natal period (up to 7 days post-partum)

Results posted on

2019-10-17

Participant Flow

Please note 170 cases were enrolled (ie, babies who suffered from perinatal mortality). Of these 170 cases, there were four sets of twins, both of whom died. This means that there were a total of 166 potential participants to interview via verbal autopsy (we asked for one interview in the case of twins).

Note: Perinatal mortality cases were assigned to intervention or control group based on their assignment during the BetterBirth Trial. This assignment did not impact the verbal autopsy data collection process; all cases underwent the same interview process.

Participant milestones

Participant milestones
Measure
Participant Interviewed for Verbal Autopsy, Intervention Arm
Individual who was interviewed about a perinatal death where one or more pause points was observed by BetterBirth staff (FADA) at 2 months or 6 months post-intervention launch, in the intervention arm of the BetterBirth Trial
Participant Interviewed for Verbal Autopsy, Control Arm
Individual who was interviewed about a perinatal death where one or more pause points was observed by BetterBirth staff (FADA) at 2 months or 6 months post-intervention launch, in the control arm of the BetterBirth Trial
Overall Study
STARTED
80
90
Overall Study
COMPLETED
76
85
Overall Study
NOT COMPLETED
4
5

Reasons for withdrawal

Reasons for withdrawal
Measure
Participant Interviewed for Verbal Autopsy, Intervention Arm
Individual who was interviewed about a perinatal death where one or more pause points was observed by BetterBirth staff (FADA) at 2 months or 6 months post-intervention launch, in the intervention arm of the BetterBirth Trial
Participant Interviewed for Verbal Autopsy, Control Arm
Individual who was interviewed about a perinatal death where one or more pause points was observed by BetterBirth staff (FADA) at 2 months or 6 months post-intervention launch, in the control arm of the BetterBirth Trial
Overall Study
Did not consent for verbal autopsy
4
5

Baseline Characteristics

Race and Ethnicity were not collected from any participant.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Participant Interviewed for Verbal Autopsy, Intervention Arm
n=74 Participants
Participant interviewed for verbal autopsy regarding a perinatal death where one or more pause points was observed by BetterBirth staff (FADA) at 2 months or 6 months post-intervention launch, in the intervention arm of the BetterBirth Trial
Participant Interviewed for Verbal Autopsy, Control Arm
n=84 Participants
Participant interviewed for verbal autopsy regarding a perinatal death where one or more pause points was observed by BetterBirth staff (FADA) at 2 months or 6 months post-intervention launch, in the control arm of the BetterBirth Trial
Total
n=158 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=74 Participants
0 Participants
n=84 Participants
0 Participants
n=158 Participants
Age, Categorical
Between 18 and 65 years
73 Participants
n=74 Participants
84 Participants
n=84 Participants
157 Participants
n=158 Participants
Age, Categorical
>=65 years
1 Participants
n=74 Participants
0 Participants
n=84 Participants
1 Participants
n=158 Participants
Age, Continuous
33 years
n=74 Participants
31 years
n=84 Participants
32 years
n=158 Participants
Sex: Female, Male
Female
NA Participants
n=74 Participants
NA Participants
n=84 Participants
NA Participants
n=158 Participants
Sex: Female, Male
Male
NA Participants
n=74 Participants
NA Participants
n=84 Participants
NA Participants
n=158 Participants
Race and Ethnicity Not Collected
0 Participants
Race and Ethnicity were not collected from any participant.
Region of Enrollment
India
74 Participants
n=74 Participants
84 Participants
n=84 Participants
158 Participants
n=158 Participants

PRIMARY outcome

Timeframe: Early post-natal period (up to 7 days post-partum)

Cause of perinatal mortality

Outcome measures

Outcome measures
Measure
Perinatal Death With Pause Point(s) Observed, Intervention Arm
n=76 Participants
Any perinatal death where one or more pause points was observed by BetterBirth staff (FADA) at 2 months or 6 months post-intervention launch, in the intervention arm of the BetterBirth Trial
Perinatal Death With Pause Point(s) Observed, Control Arm
n=85 Participants
Any perinatal death where one or more pause points was observed by BetterBirth staff (FADA) at 2 months or 6 months post-intervention launch, in the control arm of the BetterBirth Trial
Cause of Death
Stillbirth
20 Participants
35 Participants
Cause of Death
Early Neonatal Death
56 Participants
50 Participants

PRIMARY outcome

Timeframe: Early post-natal period (up to 7 days post-partum)

Cause of Stillbirth

Outcome measures

Outcome measures
Measure
Perinatal Death With Pause Point(s) Observed, Intervention Arm
n=20 Participants
Any perinatal death where one or more pause points was observed by BetterBirth staff (FADA) at 2 months or 6 months post-intervention launch, in the intervention arm of the BetterBirth Trial
Perinatal Death With Pause Point(s) Observed, Control Arm
n=35 Participants
Any perinatal death where one or more pause points was observed by BetterBirth staff (FADA) at 2 months or 6 months post-intervention launch, in the control arm of the BetterBirth Trial
Cause of Stillbirth
Antepartum Hemorrhage
3 Participants
3 Participants
Cause of Stillbirth
Other
2 Participants
3 Participants
Cause of Stillbirth
Unknown
1 Participants
4 Participants
Cause of Stillbirth
Obstructed Labor
3 Participants
12 Participants
Cause of Stillbirth
Other Specific Perinatal Cause
9 Participants
9 Participants
Cause of Stillbirth
Other Obstetric Complication
2 Participants
4 Participants

PRIMARY outcome

Timeframe: Early post-natal period (up to 7 days post-partum)

Cause of Early Neonatal Death

Outcome measures

Outcome measures
Measure
Perinatal Death With Pause Point(s) Observed, Intervention Arm
n=56 Participants
Any perinatal death where one or more pause points was observed by BetterBirth staff (FADA) at 2 months or 6 months post-intervention launch, in the intervention arm of the BetterBirth Trial
Perinatal Death With Pause Point(s) Observed, Control Arm
n=50 Participants
Any perinatal death where one or more pause points was observed by BetterBirth staff (FADA) at 2 months or 6 months post-intervention launch, in the control arm of the BetterBirth Trial
Cause of Early Neonatal Death
Perinatal Asphyxia
26 Participants
26 Participants
Cause of Early Neonatal Death
Infection
13 Participants
9 Participants
Cause of Early Neonatal Death
Pre-Term Birth Complications
8 Participants
11 Participants
Cause of Early Neonatal Death
Other Specific Perinatal Cause
1 Participants
2 Participants
Cause of Early Neonatal Death
Congenital Malformations
3 Participants
0 Participants
Cause of Early Neonatal Death
Unknown
5 Participants
2 Participants

OTHER_PRE_SPECIFIED outcome

Timeframe: Within 7 days postpartum

This measure refers to the sex of the babies who suffered a perinatal mortality, and whose mother/family member was interviewed about the death via verbal autopsy

Outcome measures

Outcome measures
Measure
Perinatal Death With Pause Point(s) Observed, Intervention Arm
n=76 Participants
Any perinatal death where one or more pause points was observed by BetterBirth staff (FADA) at 2 months or 6 months post-intervention launch, in the intervention arm of the BetterBirth Trial
Perinatal Death With Pause Point(s) Observed, Control Arm
n=85 Participants
Any perinatal death where one or more pause points was observed by BetterBirth staff (FADA) at 2 months or 6 months post-intervention launch, in the control arm of the BetterBirth Trial
Sex of Babies Who Suffered Perinatal Mortality
Male
41 Participants
50 Participants
Sex of Babies Who Suffered Perinatal Mortality
Female
35 Participants
35 Participants

Adverse Events

Interview (Social and Verbal Autopsy)

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Dr. Katherine Semrau

Ariadne Labs

Phone: 617-384-6555

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place