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One arm will receive standard antenatal i. Randomisation will be stratified by estimated delivery date and the location of the Pregnancy Circle.

Welcome to the holistic Pregnancy Circle led by Doulas...

Subsequently the women will continue to attend the Circle according to the normal antenatal care schedule. Any woman who chooses to discontinue her care in a group during pregnancy will transfer to the conventional care pathway. Any woman who must discontinue with the group due to pregnancy loss, will be able to contact their named midwife and be referred to medical services. Each Pregnancy Circle group session will be facilitated by two midwives supplemented with bilingual health advocates or other support staff as appropriate.

Waxing Moon Mamas

The same two midwives will facilitate all the sessions for a Pregnancy Circle. The women will receive standard postnatal care but will also be invited to a postnatal reunion group held approximately one month after the last antenatal appointment at approximately 40 weeks of pregnancy. A local health visitor HV will co-facilitate this reunion postnatal group with the midwives. Women in the control group will continue to have standard postnatal midwifery care and then standard health visitor care. There will be a total of eight antenatal group sessions each of which will last for approximately two hours.

Following these checks, the sessions will involve short one-to-one sessions with one of the midwife facilitators for individual health checks e. The content of group discussions will be woman-led, supplemented as appropriate by the facilitating midwives to ensure that essential topics are covered, as per national and local guidelines. As with usual care, women will be referred to other specialist services for routine and additional appointments, blood tests and scans as appropriate.

The postnatal session will use a similar approach and format, but with a focus on maternal postnatal wellbeing and the wellbeing of the baby and infant feeding support. Outcomes and economic data will be collected via questionnaires completed by the participants at three time points: Trust routine maternity service data will also be collected, after the birth, for outcomes assessment and economic evaluation purposes and stakeholder interviews will provide insights into acceptability of research and intervention processes, including the use of interpreters to support women who do not speak English.

Stages of Pregnancy: Week by Week

Recruitment is measured using a proforma at recruitment and brief interviews with women, at recruitment, who decline participation 2. Uptake of care is measured using monitoring forms completed by the facilitating midwives at the first 2 Pregnancy Circles 3. Retention is measured using monitoring forms completed by the facilitating midwives 4. Assessment response rates and completion is measured by response rates and completeness of data obtained at baseline, first follow up 35 weeks of pregnancy and second follow up 4 months postnatal.

Pregnancy Circles - University of East London (UEL)

Completeness of routine maternity data collected at 1 month postnatal from electronic compared with paper records will also be assessed. Language support is measured via questionnaires at first and second follow up time points; by postnatal interviews with participants and by observations during intervention delivery. Women aged 16 years of age and over at the time of recruitment 2. Live within the working areas of the local midwife group facilitators 4. Estimated delivery date that fits with those of a proposed group 4. Women who live away from the target areas 4.

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Women whose estimated delivery dates do not fit with the proposed group start date 5. Women who are under 16 years old 6. Women with a documented learning disability.

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  • Esercizi superficiali (Libellule) (Italian Edition).
  • First trimester (weeks 1-12) changes in the mother's body.
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  • When recruiting for specific groups, non-English speaking women who speak a language that is not a target language for that particular group. The findings will be presented at national and international conferences e. Royal Colleges of Midwives annual conference, the International Confederation of Midwives Congress and relevant national public health conferences and published in high impact peer reviewed academic journals. Additionally, findings will be made available in accessible formats in newsletters and on the study website, as well as in professional and practitioner journals Intent to publish 3.

    The findings will also be reported as briefing papers to healthcare commissioners and managers and to service users via Maternity Service Liaison Committees. Links with the Reproductive and Childbirth topic network will be used to further disseminate throughout the NHS. Intent to publish IPD Sharing plan: Result of results found for within. Previous Trial Back to results Next Trial.


    Study information Scientific title An individual-level randomised controlled pilot trial of group antenatal care Acronym REACH Study hypothesis The aim of this study is to find the best methods for testing the effectiveness of group antenatal care for pregnant women, to inform a possible later full trial of the model. We conducted a feasibility study of group antenatal care in Findings were used to develop a tailored group model of antenatal care- Pregnancy Circles. These were evaluated using observations, focus groups and one-to-one interviews with participants, facilitating midwives and key members of staff.

    Pilot Randomised Controlled Trial: A pilot trial of Pregnancy Circles is currently under way within the maternity services of Barts Health NHS Trust to assess the feasibility of a full trial, and determine the most appropriate outcome measures to examine effectiveness. We will conduct a full randomised controlled trial in with approx. The full trial will take place across multiple NHS Trusts.

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    We will examine effectiveness through: Focus groups and interviews will be conducted with midwives and women participating in the intervention, to better understand the benefits and challenges of this model. We will also examine the process of implementing Pregnancy Circles as a complex intervention in the NHS.

    We will conduct an economic evaluation to calculate the cost-effectiveness of Pregnancy Circles compared to standard care.