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

NCT07207759 | Not Yet Recruiting

• 1 other identifier: 323932
• Study Type: observational
• Target: 80
• Locations: 0 countries
• Sites: N/A

Brief 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.

Conditions

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

Outcome Measures

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

  2025-2027

Secondary Outcomes (2)

• Experiences of providing care

  2025-2027

• Experiences of providing care

  2025-2027

Study Arms (2)

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

Eligibility Criteria

• Age: 18 Years - 69 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• 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.

You may qualify if:

• 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)

You may not qualify if:

• 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

Sponsors & Collaborators

• Guy's and St Thomas' NHS Foundation Trust: lead
• Newcastle-upon-Tyne Hospitals NHS Trust: collaborator
• Lancashire Teaching Hospitals NHS Foundation Trust: collaborator
• The Whittington Hospital NHS Trust: collaborator

Related Links

• Related Info

Study Design

• Study Type: observational
• Observational Model: OTHER
• Time Perspective: OTHER
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: June 12, 2025
• First Posted: October 6, 2025
• Study Start: October 1, 2025
• Primary Completion (Estimated): April 30, 2027
• Study Completion (Estimated): April 30, 2027
• Last Updated: October 6, 2025

Record last verified: 2025-06

Data Sharing

• IPD Sharing: Will not share