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IRCT20210703051764N1 IRCT 2021-07-15 Ahvaz University of Medical Sciences The Effect of Group Prenatal Care on Adolescent Pregnancy Outcomes. The Effect of Group Prenatal Care on Adolescent Pregnancy Outcomes and explaining the experience of this model of prenatal care: A Mixed method study 2021-08-22 anticipated 294 Complete https://irct.ir/trial/57234 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Education/Guidance, Randomization description: Eligible women will randomly assigned into two groups of routine (individual) prenatal care or group prenatal care using block randomization with a block size of 4 and 6 and allocation ratio of 1:1. Thus, after listing all possible situation of 4 and 6 blocks and assigning a number to each of them using a computer random number table with a 1: 1 ratio, participants will be allocated into two groups, namely routine prenatal care and group prenatal care. For allocation concealment, each woman will received a code and all codes will be kept in an opaque envelope until the time of intervention. Sequencing of allocation and preparation of envelopes will be done by a person that will not involve in sampling and data collection. The researcher and the participant will not aware of the groups and the intervention that they received until the commencement of intervention. N/A Group prenatal care. Intervention 1: In the intervention group from 16 to 20 weeks of pregnancy, 5 to 6 pregnant adolescents women will be allocated in a group, and will receive 4 or 5 prenatal care (weeks 16-20, 30-24, 34-31, 37-35, 38). The first 30 to 45 minutes of each prenatal care session will be included measuring uterine height and fetal heart rate, which will be performed by the researcher. The fetal heart rate will be heard and recorded by one of the women in the group using Sonicaid. Then, weight and blood pressure will be measured in groups by adolescent pregnant women under the supervision of the researcher. Adolescent pregnant women will be taught how to take blood pressure using a digital sphygmomanometer, as well as how to measure weight, so that women can measure each other's blood pressure and weight. Pregnant women will be given the opportunity to discuss learning this skill. Then, the prenatal care education will be done in the form of group discussions, according to the educational content specific to each week of pregnancy in the booklet prepared by National Instruction of the Ministry of Health and Medical Education. In each session, the researcher will encourage women to participate in prenatal care education discussions through open-ended questions. In order to express their information, knowledge and experiences in the field of care, their information and knowledge will be evaluated by the researcher. The necessary information and strategies to promote health, will be provided by the researcher in simple language. Intervention 2: Control group; Pregnant women in the control group will receive routine prenatal care from health care centers, and the researcher will not be involved. Yes - There is a plan to make this available What will be shared: The data can be published after the accomplishment of the dissertation When: One year after completing the dissertation To whom: Ahvaz Jundishapur University of Medical Sciences; Hospital and University researchers Conditions: Data will be available after publication in journals. Where to obtain: Fatemeh Malchi; Email; machi.fatemeh52@gmail.com How to obtain: The information will be available through the publication of the article. But if more information is needed, the request should be sent via email Comments:
public Parvi Abedi
Golestan Blvd; Department of Midwifery; Nursing and Midwifery School; Ahvaz Jundishapur University of Medical Sciences
Ahvaz Iran (Islamic Republic of) 61357-15794 +98 61 3373 8331 parvinabedi@ymail Ahvaz University of Medical Sciences scientific Fatemeh Malchi
No4; Bahman9; Bahmani Ave
Bushehr Iran (Islamic Republic of) 7516995383 +98 77 3344 1891 malchi.fatemeh52@gmail.com Ahvaz University of Medical Sciences Iran (Islamic Republic of) Iran (Islamic Republic of) 15-19 years old First and second pregnancies Singleton pregnancy low-risk pregnancy Gestational age 16-20 wk 15 years 19 years Female Unwanted pregnancy O36.7 Maternal care for viable fetus in abdominal pregnancy N/A N/A In the intervention group from 16 to 20 weeks of pregnancy, 5 to 6 pregnant adolescents women will be allocated in a group, and will receive 4 or 5 prenatal care (weeks 16-20, 30-24, 34-31, 37-35, 38). The first 30 to 45 minutes of each prenatal care session will be included measuring uterine height and fetal heart rate, which will be performed by the researcher. The fetal heart rate will be heard and recorded by one of the women in the group using Sonicaid. Then, weight and blood pressure will be measured in groups by adolescent pregnant women under the supervision of the researcher. Adolescent pregnant women will be taught how to take blood pressure using a digital sphygmomanometer, as well as how to measure weight, so that women can measure each other's blood pressure and weight. Pregnant women will be given the opportunity to discuss learning this skill. Then, the prenatal care education will be done in the form of group discussions, according to the educational content specific to each week of pregnancy in the booklet prepared by National Instruction of the Ministry of Health and Medical Education. In each session, the researcher will encourage women to participate in prenatal care education discussions through open-ended questions. In order to express their information, knowledge and experiences in the field of care, their information and knowledge will be evaluated by the researcher. The necessary information and strategies to promote health, will be provided by the researcher in simple language. Control group; Pregnant women in the control group will receive routine prenatal care from health care centers, and the researcher will not be involved. Average weight gain of adolescent pregnant mothers. Timepoint: End of the intervention(38-40 wk). Method of measurement: scale. Preterm labor. Timepoint: During the intervention. Method of measurement: mean gestational age. Duration of first and second stage of labor. Timepoint: End of the intervention(labor). Method of measurement: Measuring the mean of the first and second stages of labor (minutes). Select the type of delivery. Timepoint: End of the intervention. Method of measurement: type of delivery(normal vaginal delivery or cesarean delivery). Empowerment of pregnant adolescents. Timepoint: End of the intervention. Method of measurement: Kameda Empowerment Questionnaire. Fear of child birth. Timepoint: Before and after delivery. Method of measurement: Wijma Delivery Expectancy/Experience Questionnaire version A and B. Apgar score of the 1st and 5th minutes after birth. Timepoint: End of the intervention( at child birth). Method of measurement: Apgar score. Birth weight. Timepoint: End of the intervention(at birth). Method of measurement: Scale. Duration of neonate hospitalization in Neonatal Intensive Care Unit. Timepoint: After the intervention (after the child birth ). Method of measurement: Mean duration of hospitalization. Type of feeding. Timepoint: After the end of intervention (after the child birth ). Method of measurement: Questionnaire. Ahvaz University of Medical Sciences Approved 2021-07-02 Ethics Committee of Ahvaz Jundishapur University of Medical Sciences Golestan Blvd, University Campus, Research Deputy of Ahvaz Jundishapur University of Medical Sciences, Ground Floor, Room No: 4 Ahvaz Khouzestan Iran (Islamic Republic of)