This study investigate if a midwife-led continuity model of care in Palestine, had impact on rural women's satisfaction with care through the continuum of antenatal, intrapartum and postnatal period.
Between 2013 and 2016 a midwife-led continuity model of care was implemented in parts of the Palestinian governmental health system, to improve maternal services to women in rural areas on the occupied West Bank. This study investigated if and how the model influenced women's satisfaction with care, through the continuum of the antenatal-, intrapartum- and postnatal period. Using an observational case-control design to compare the midwife-led continuity model of care with regular maternity care. Women with singleton pregnancies, who had registered for antenatal care at a rural governmental clinic, were during the first six months after birth invited to answer a questionnaire containing 60 questions with a 7-points Likert scale, rating different aspects of satisfaction with care.
Study Type
OBSERVATIONAL
Enrollment
200
Midwives from governmental hospitals provide antenatal and postnatal case-load-care in rural villages governmental clinics
Palestinian Ministry of Health
Nablus, West Bank, Palestinian Territories
Mean sum-score satisfaction with care during the continuum of pregnancy,intrapartum and postnatal period
Summarising mean score in all questions measuring satisfaction and dividing on number of questions included
Time frame: One to six months after birth
Mean sum-score satisfaction with care during pregnancy
Summarising the mean score of the questions measuring satisfaction with care during pregnancy and dividing on number of questions included
Time frame: One to six months after birth
Mean sum-score satisfaction with care during Labour and birth
Summarising mean score of questions measuring satisfaction with care during Labour and birth, dividing on number of questions included
Time frame: One to six months after birth
Mean sum-score satisfaction with care during postnatal period
Summarising mean scores of questions measuring satisfaction with care during postnatal period, and dividing on number of questions included
Time frame: One to six month after birth
Duration of exclusive breastfeeding
The proportion of women who were still exclusive breastfeeding at the timepoint of interview, adjusted with number of weeks since birth
Time frame: One to six month after birth
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.