CClinicalTrials.gg
CompletedNCT01477541Updated Nov 22, 2011

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

An interventional study of PM/ON integration in Pregnancy, sponsored by Instituto Nacional de Salud Publica, Mexico. Completed. Per ClinicalTrials.gov, last updated 2011-11-22.

Sponsored by Instituto Nacional de Salud Publica, Mexico · Not applicable, Interventional, and Supportive care

Phase
Not applicable
Study type
Interventional
Enrollment
27
Allocation
Randomized
01

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.

02

Conditions studied

  • Pregnancy

Keywords

  • Prenatal care
  • Maternal mortality
  • Perinatal mortality
  • Perinatal
  • Puerperium
  • Puerperium care
  • Midwives
  • Midwife
  • Obstetric
  • Nurse
  • Integration
  • Alternative personnel
  • Skilled attendant
  • Birth attendant
  • Delivery
  • Delivery services
  • Best practices
  • Rural
03

In context

Lead sponsor

Instituto Nacional de Salud Publica, Mexico is the lead sponsor of 30 studies on the registry; none are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
Child (0–17), Adult (18–64), Older adult (65+)
Accepts healthy volunteers
No

Inclusion criteria

  • Clinics containing one medical team only (1 doctor and accompanying staff)
  • Clinics less than 2 hours away from a referral hospital
  • Clinics where at least 25 deliveries took place in the previous year

Exclusion criteria

Exclusion Criteria:

  • Clinics inaccessible by car
  • Clinics undergoing remodeling
05

Study design

Phase
Not applicable
Primary purpose
Supportive care
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
27 participants (actual)

Study arms

  • Experimental
    PM/ON integration arm

    Health centers where professional midwives or obstetric nurses are integrated into clinic staff and delivering services.

    Other: PM/ON integration

  • No intervention
    Control

Interventions

  • OtherPM/ON integration

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

06

What researchers measure

Primary outcomes

  1. Use of evidence-based practices during labor, delivery, and postpartum care

    Will collect data on deliveries ocurring in sites over 21 month period.

    Time frame: 21 months

  2. volume of prenatal visits, deliveries

    We will Assess overall number of first and follow up prenatal visits and deliveries in intervention and control sites

    Time frame: 21 months

  3. Use of harmful or unnecessary practices during labor and delivery

    We will assess use of harmful or unnecessary practices during labor and delivery

    Time frame: 21 months

07

Study locations

No study locations are listed for this record.

08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Nov 22, 2011, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT01477541
Lead sponsor
Instituto Nacional de Salud Publica, Mexico
Collaborators
Mexican National Institute for Women, Mexican Center for Gender Equity and Reproductive Health, Secretary of Health, Guerrero state, Secretary of Health, Oaxaca state
Responsible party
Dilys Walker (Investidadora Asociada C, Instituto Nacional de Salud Publica, Mexico) — Principal investigator
First posted
Nov 22, 2011
Start date
Nov 2007
Primary completion
Mar 2010
Last update
Nov 22, 2011

Study contacts

Dilys Walker, MD
principal investigator · Instituto Nacional de Salud Publica, Mexico
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Nov 2011. You cannot join it, but the record below documents what was studied.

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