Extrait

Background and study aims Women who have problematic or challenging home situations or lifestyles are more at risk of developing problems with either themselves or their baby during pregnancy and after birth. This study is trying to find out if offering extra support to women having their first babies, in addition to that given by their midwife, has an effect on uptake of maternity care and the health and well being of mothers and their babies in the first 6 weeks after birth. The extra support is given by pregnancy outreach workers. They are lay workers who have been specially trained and work closely with the midwives. They give emotional and practical support during pregnancy and for 6 weeks after birth, as well as having good knowledge of the local community services available. Who can participate? Women having their first babies who are found to have problematic or challenging home situations or lifestyles are approached before 28 weeks of pregnancy and give consent to join the study. What does the study involve? All women are supported by their midwife as normal, but half will have extra support from a pregnancy outreach worker. Which group a woman is allocated is decided by chance (randomly) by a computer. The results from both groups will be compared to see if having this extra support from the pregnancy outreach worker improves attendance at antenatal appointments and the health of both mother and baby. The women will be asked to fill in a questionnaire to find out how the mother is getting on and how she is feeling 8 weeks after birth. Information about the pregnancy and birth will be collected from existing hospital information systems and routine information about the baby’s health check 6-8 weeks after birth and immunisations will also be collected. What are the possible benefits and risks of participating? There are no extra tests or visits for either mother or baby and no additional risk in taking part in the study. The trial is to find out if there is or is not any benefit to receiving the service. Where is the study run from? University of Birmingham. 3 Maternity Units: Birmingham Women's Hospital, Heartlands Hospital, and City Hospital. Lead Centre: Birmingham Women's Hospital When is the study starting and how long is it expected to run for? July 2010 to October 2011 Who is funding the study? The study is being funded by the Birmingham and Black Country Collaboration for Leadership in Applied Health Research and Care (BBC CLAHRC) Who is the main contact? Prof. Christine MacArthur [email protected]

Critère d'inclusion

• Social risk in pregnancy

Liens

• isrctn
• ictrp