CClinicalTrials.gg
Not yet recruitingNCT07207759MILLENIAUpdated Oct 6, 2025

MultIple Long-term Conditions in Pregnancy and Experiences of Midwifery Care

An observational study in How Pregnant and Postnatal Women With Two or More Long-term Health Conditions Experience Midwifery Care as Part of Multi-disciplinary Maternity Care, sponsored by Guy's and St Thomas' NHS Foundation Trust. Not yet recruiting. Open to participants aged 18 Years to 69 Years. Per ClinicalTrials.gov, last updated 2025-10-06.

Sponsored by Guy's and St Thomas' NHS Foundation Trust · Observational

Study type
Observational
Model
Other
Time perspective
Other
Enrollment
80
Ages
18 Years to 69 Years
Sex
All
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Study summary

This is a qualitative study using in-depth semi-structured interviews. This study will explore pregnant women with two or more long-term health condition's (MLTC) experience of midwifery care and midwives and health professionals experience of providing midwifery care and multidisciplinary maternity care. This will be considered in relation to Treatment Burden and Minimally Disruptive Healthcare theories. This will be followed by co-design of guidance for midwifery care of pregnant women with MLTC. The aim is to develop a rich understanding of the topic and participant's lived experiences, to enable development of a resource which is meaningful to the key stakeholders. The study is part of a wider mixed methods study.

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Conditions studied

  • How Pregnant and Postnatal Women With Two or More Long-term Health Conditions Experience Midwifery Care as Part of Multi-disciplinary Maternity Care

Keywords

  • Multiple Long-term Conditions
  • Midwife
  • Midwifery
  • Models of care
  • Multi-disciplinary care
  • Continuity of care(r)
  • Healthcare use
  • Care experiences
  • Burden of treatment
03

In context

Lead sponsor

Guy's and St Thomas' NHS Foundation Trust is the lead sponsor of 284 studies on the registry; 79 are open to participants now.

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

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Who can participate

Ages eligible
18 Years to 69 Years
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Interviews: Women and staff with a range of physical and mental health long term conditions. Midwives and maternity healthcare professionals who provide care for women with MLTC such as obstetricians, obstetric physicians, or those in medicine, perinatal mental health and primary care.

Co-design meetings: Some participants will be purposefully sampled from those who participated in interviews. If the desired sample size is not met through those participating in interviews, a further purposive sample will be recruited through third sector and professional networks and direct approach of potential participants at each site.

Inclusion criteria

Interviews

Women and birthing people

  • Women and birthing people with two or more pre-existing long-term health conditions (see appendix one) who are pregnant or postnatal or have given birth in the last 2 years
  • Able to provide consent
  • Able to participate in English or through an interpreter
  • Age 18 or over Midwives and maternity health care professionals NHS maternity staff including midwives and healthcare professionals who provide or manage care for women with two or more long-term health conditions e.g., obstetricians, obstetric physicians, medicine, perinatal mental health, and primary care.

Co-design meetings

  • Women and birthing people with two or more long-term health conditions who are pregnant or postnatal or have given birth in the last 3 years (to include those who have given birth in the last 2 years at the beginning of the study who participated in an interview
  • Partners/supporters/significant others of women with two or more long-term health conditions who are pregnant or postnatal or have given birth in the last 3 years
  • Able to provide consent
  • Able to participate in English or through an interpreter
  • Age 18 or over
  • NHS maternity staff including midwives and healthcare professionals who provide care or manage services for women with two or more long-term health conditions
  • Members of the Patient and Public Involvement and Engagement Group and Project Advisory Group
  • Representatives from the study third sector partners (Maternal Mental Health Alliance, Action on Pre-eclampsia and Social Action for Health)
  • Representatives from other relevant third sector organisations
  • Health policy makers and commissioners

Exclusion criteria

Exclusion Criteria:

Interviews Women and birthing people

  • Women and birthing people without two or more pre-existing long-term health conditions
  • Those who are not pregnant or have not given birth in the last two years
  • Those who refuse or are unable to give consent
  • Age under 18
  • Age over 60

Midwives and maternity health care professionals NHS maternity staff including midwives and healthcare professionals who do not provide or manage care for women with two or more pre-existing long-term health conditions Co-design meetings

  • Those who refuse or are unable to give consent
  • Age under 18
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Study design

Observational model
Other
Time perspective
Other
Enrollment
80 participants (estimated)
Patient registry
No

Groups and cohorts

  • Interview participants

    Up to 20 women or birthing people who are pregnant or have experienced pregnancy with two or more long-term health conditions in the last two years. Up to 20 midwives who provide care or manage services for women with two or more long-term health conditions or healthcare professionals who collaborate with midwives

  • Co-design workshop participants

    Up to 40 co-design participants including women and birthing people with two or more long-term health conditions who are pregnant or postnatal or have given birth in the last 3 years; partners/supporters/significant others of women with two or more long-term health conditions who are pregnant or postnatal or have given birth in the last 3 years; National Health Service maternity staff including midwives and healthcare professionals who provide care or manage services for women with two or more long-term health conditions; members of the Patient and Public Involvement and Engagement Group and Project Advisory Group; representatives from the study third sector Patient and Public Involvement and Engagement partners (Maternal Mental Health Alliance, Action on Pre-eclampsia and Social Action for Health); representatives from other relevant third sector organisations; health policy makers and commissioners

06

What researchers measure

Primary outcomes

  1. Experiences of care

    Pregnant and postnatal women with two or more long-term health conditions experience of midwifery care, as part of multi-disciplinary maternity care

    Time frame: 2025-2027

Secondary outcomes

  1. Experiences of providing care

    Midwives' experience of providing care for pregnant, birthing, and postnatal women with MLTC

    Time frame: 2025-2027

  2. Experiences of providing care

    Health professionals experience of providing care for pregnant, birthing, and postnatal women with MLTC

    Time frame: 2025-2027

07

Study locations

No study locations are listed for this record.

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References and documents

Related links

Individual participant data

Plan to share: No

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Oct 6, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT07207759
Lead sponsor
Guy's and St Thomas' NHS Foundation Trust
Collaborators
Newcastle-upon-Tyne Hospitals NHS Trust, Lancashire Teaching Hospitals NHS Foundation Trust, The Whittington Hospital NHS Trust
Responsible party
Sponsor
First posted
Oct 6, 2025
Start date
Oct 2025 (estimated)
Primary completion
Apr 30, 2027 (estimated)
Completion
Apr 30, 2027 (estimated)
Last update
Oct 6, 2025

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is not yet recruiting, as verified in Jun 2025. You cannot join it, but the record below documents what was studied.

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