Provider Training for Maternal Death

Overseen By Jennifer Raffo, MA

Age: 18+

Sex: Any

Trial Phase: Academic

Sponsor: Michigan State University

No Placebo Group All trial participants will receive the active study treatment (no placebo)

Compensation: Varies

Number of Visits: Unknown

480 Participants Needed

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial aims to train healthcare providers to improve their interactions with pregnant and postpartum women. The study will assess providers' knowledge and behavior before and after the training. The focus is on reducing maternal deaths by enhancing the quality of care. Healthcare providers caring for pregnant or new mothers in Wayne, Kent, or Genesee Counties in Michigan may find this trial relevant. As an unphased trial, it offers healthcare providers the opportunity to directly contribute to improving maternal care practices.

Do I need to stop taking my current medications for this trial?

The trial information does not specify whether you need to stop taking your current medications.

What prior data suggests that this provider training is safe?

Research has shown that training healthcare providers can reduce the number of maternal deaths during childbirth. These programs focus on enhancing communication and collaboration between doctors, nurses, and patients to prevent delays and errors that could lead to serious health issues.

Training for healthcare providers is not a medication or medical procedure, so it carries no associated risks or side effects. Instead, it serves as a means to educate and practice skills to improve patient care.

Training has been linked to better maternal health outcomes. For instance, hospitals implementing safety bundles—a set of best practices—have reported a decrease in pregnancy-related deaths. These bundles often include training for healthcare providers, underscoring the importance of education in saving lives.

As this trial centers on training, participants face no physical safety concerns. The aim is to enhance skills and knowledge to better support mothers and babies. ^{1 2 3 4 5}

Why are researchers excited about this trial?

Researchers are excited about provider training for maternal death because it offers a proactive approach to improving maternal health outcomes. Unlike standard treatments that focus primarily on managing complications as they arise, this training empowers healthcare providers with the skills and knowledge to prevent maternal deaths before they happen. By emphasizing prevention and early intervention, this training has the potential to significantly reduce maternal mortality rates, making it a promising advancement in maternal healthcare.

What evidence suggests that this provider training is effective for improving patient-provider interactions?

Research has shown that training healthcare providers can greatly reduce maternal deaths during childbirth. In this trial, providers will receive specialized training to improve maternal health outcomes. Studies have found that public health programs, including provider training, have successfully lowered death rates and addressed racial disparities in outcomes. In one program, the number of maternal deaths in hospitals dropped significantly after the training was introduced. Evidence supports that well-trained providers can enhance patient interactions, leading to better health results. This suggests that training healthcare providers is a promising approach to addressing maternal death issues. ^{6 7 8 9 10}

Who Is on the Research Team?

Cristian Meghea, PhD

Principal Investigator

Michigan State University

Are You a Good Fit for This Trial?

This trial is for healthcare providers involved in maternal care. It aims to improve their interactions with patients, particularly around pregnancy-related issues. Specific eligibility criteria are not provided, so it's assumed that any provider in this field could participate.

Inclusion Criteria

Providing care to pregnant and postpartum women in Wayne, Kent, and Genesee Counties in MI

Exclusion Criteria

Not applicable.

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Provider Training

Providers receive training focused on communication, cultural relevance, and awareness of community care services

4-6 weeks

Multiple sessions (in-person and virtual)

Assessment

Assessment of provider confidence immediately after the training intervention

1 week

Follow-up

Participants are monitored for changes in provider-patient interactions and provider confidence

4 weeks

What Are the Treatments Tested in This Trial?

Interventions

• Provider training

Trial Overview The intervention being tested is a training program for providers. The study will measure changes in knowledge, understanding, and behavior of the providers before and after the training to see if it improves their performance.

How Is the Trial Designed?

Group I: Provider training Experimental Treatment 1 Intervention

The providers in this arm will receive training

Who Is Running the Clinical Trial?

Michigan State University

Lead Sponsor

Trials

202

Recruited

687,000+

Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)

Collaborator

Trials

2,103

Recruited

2,760,000+

Citations

1. pmc.ncbi.nlm.nih.gov pmc.ncbi.nlm.nih.gov/articles/PMC12506227/

Effectiveness and evidence-based practices in maternal ... Worldwide, the maternal mortality ratio is up to 223 deaths per 100 000 live births, with almost 287 000 maternal deaths occurring in 2020.

2. ilr.cornell.edu ilr.cornell.edu/scheinman-institute/blog/john-august-healthcare/healthcare-insights-maternal-death-us-worst-industrialized-world

Healthcare Insights: Maternal Death in the U.S. - The ILR School In 2022, the United States had 22.3 maternal deaths for every 100,000 live births — significantly higher than most other high-income countries.

3. nejm.org nejm.org/doi/full/10.1056/NEJMoa2406295

Outcomes of a Program to Reduce Birth-Related Mortality ... Overall, the estimated in-hospital maternal death incidence decreased from approximately 240 deaths per 100,000 births in the baseline period ...

4. obgyn.onlinelibrary.wiley.com obgyn.onlinelibrary.wiley.com/doi/full/10.1002/uog.27712

Evidence‐based interventions to address persistent maternal ... In 2020, the World Health Organization reported one preventable pregnancy-related death every 2 min, totaling approximately 800 deaths daily, ...

5. pmc.ncbi.nlm.nih.gov pmc.ncbi.nlm.nih.gov/articles/PMC7077782/

Maternal Mortality and Public Health Programs: Evidence from ... Our analysis provides strong evidence of the effectiveness of public health programs in reducing maternal mortality rates and addressing racial disparities.

6. ncbi.nlm.nih.gov ncbi.nlm.nih.gov/books/NBK222105/

Reducing Maternal Mortality and Morbidity - NCBI - NIH Tinker (1997) estimates that 30 to 40 percent of infant deaths (1.5-2.5 million) could be averted by maternal interventions alone. This burden of death and ...

7. saferbirth.org saferbirth.org/patient-safety-bundles/

Patient Safety Bundles For Safer Birth | AIM Outcome metrics assess changes in health status attributable to each bundle, such as severe maternal morbidity, including and excluding blood transfusions. For ...

8. heart.org heart.org/en/news/2024/04/11/safety-bundles-may-reduce-pregnancy-related-deaths-particularly-among-black-women

'Safety bundles' may reduce pregnancy-related deaths ... The report found treatment delays and other provider-related factors likewise contributed to about half of maternal deaths due to the ...

9. nationalhealthystart.org nationalhealthystart.org/improving-maternal-health-preventing-maternal-mortality/

Improving Maternal Health In 2018, the maternal mortality rate in the U.S. was 17 maternal deaths for every 100,000 live births (CDC 2020). This equates to roughly 700 women who die ...

10. cdc.gov cdc.gov/womens-health/features/maternal-mortality.html

Working Together to Reduce Black Maternal Mortality Every pregnancy-related death is tragic, especially because more than 80% of pregnancy-related deaths in the U.S. are preventable. Recognizing ...