Post Partum Maternal and Neonatal Intervention Package

NCT01389219 | Completed

• 1 other identifier: 770-Ped/ERC-06
• Study Type: interventional
• Target: 1,200
• Locations: 1 country
• Sites: 1

Brief Summary

Introduction of a community-based intervention package including prevention strategies, early recognition and management of common postpartum \& neonatal problems, as well as prompt referral of high risk/complicated cases through trained first level primary health care workers, will result in a significant reduction in Postpartum maternal and neonatal mortality in Pakistan

Conditions

Early Postpartum and Newborn Care; Maternal Mortality; Neonatal Mortality

Keywords

Post partum; Neonate; community health care workers

Outcome Measures

Primary Outcomes (1)

• Visit by LHWs

  The aim is to increase the visits of LHWs and examine the newborn within 48- 72 hours of birth

  Within 48 - 72 hours of birth

Study Arms (2)

Control

NO INTERVENTION

Control arm

Intervention clusters

OTHER

Focus is to increase the number of visits by LHWs to the newborn baby and to ensure that this visit occurs within 48-72 hours of birth. The purpose of this visit was the provision of postpartum maternal and immediate newborn care, including postpartum visit, maternal nutrition supplementation, cord care, eye care, Kangaroo Care, delayed bathing, colostrum administration and linkages to immunization services), complications/illness management through stabilization/referral of cases.

Other: Intervention

Interventions

Intervention OTHER

A comprehensive package of intervention will be developed for the mothers and newborn infants which will be comprised of; 1. Provision of postpartum maternal and immediate newborn care, including postpartum visit, maternal nutrition supplementation (iron \& vitamin A), cord care, eye care, Kangaroo Care, delayed bathing, colostrum administration and linkages to immunization services), complications/illness management through stabilization/referral of cases. 2. Provision of Information on family planning, birth spacing, LAM counseling, hygiene, danger signs recognition and complications readiness. 3. Nutrition counseling regarding immediate and exclusive breastfeeding and optimum postpartum diets. 5\. Danger signs of newborn illnesses and maternal complications associated with labor and the postpartum period, care seeking. Early referral for subsequent maternal and newborn morbidities, such as anemia, postpartum depression, fistulas, prolapsed uterus and infections.

Intervention clusters

Eligibility Criteria

• Age: Up to 28 Days
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17)

You may qualify if:

• Neonates delivered within the study area

You may not qualify if:

• Neonates delivered outside the study area

Sponsors & Collaborators

• Aga Khan University: lead
• United States Agency for International Development (USAID): collaborator
• Pakistan Ministry of Health: collaborator
• John Snow, Inc.: collaborator
• Population Council: collaborator

Study Sites (1)

Unknown Facility

Sukkur, Sindh, Pakistan

Location

MeSH Terms

Conditions

Maternal Death

Interventions

Methods

Condition Hierarchy (Ancestors)

Parental Death; Death; Pathologic Processes; Pathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

Investigative Techniques

Study Officials

• Zulfiqar A Bhutta, MBBS, PhD

  Aga Khan University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER

Study Record Dates

• First Submitted: July 6, 2011
• First Posted: July 8, 2011
• Study Start: October 1, 2007
• Primary Completion: September 1, 2010
• Study Completion: September 1, 2010
• Last Updated: July 8, 2011

Record last verified: 2007-10

Locations

PA (1)