Baseline measures (12Â weeks pregnant) | Outcomes questionnaire 1 (35Â weeks pregnant) | Postpartum maternity records audit | Outcomes questionnaire 2 (4Â months postpartum) |
---|---|---|---|
Social support (Duke Social Support Scale) Self-efficacy (Pearlin Mastery Scale) Prenatal stress (Revised Prenatal Distress Questionnaire) Health service usage maternal self-report of their use over the previous 4 months of a variety of primary health services (GP, health visitor, social work and hospital doctor), A&E services, antenatal admissions. Demographic questions • Age • Ethnicity • Language • Parity • Education • Tenancy | Women’s satisfaction with care (questions from the Care Quality Commission’s Maternity Survey) Social support (Duke Social Support Scale) Self-efficacy (Pearlin Mastery Scale) Involvement in decisions about care (Picker Institute’s Experience with Maternity Services questionnaire) Prenatal stress (Revised Prenatal Distress Questionnaire) Health service usage maternal self-report of their use over the previous 4 months of a variety of primary health services (GP, health visitor, social work and hospital doctor), A&E services, antenatal admissions. Attendance at antenatal education classes (NHS; other) Process questions • Randomisation feelings For intervention: • Attendance • Reasons for non-attendance • Perceptions of the group experience | Spontaneous vaginal birth (primary outcome) Attendance at ANC (number of regular appointments attended) Caesarean delivery (planned, emergency, none) Epidural/spinal analgesia use in labour Infant birthweight, defined as low if less than 2500 g Gestational age at delivery, dichotomized as term or preterm (less than 37 weeks) Breastfeeding initiation | Women’s satisfaction with care (questions from the Care Quality Commission’s Maternity Survey) Social support (Duke Social Support Scale) Self-efficacy (Pearlin Mastery Scale) Involvement in decisions about care (Picker Institute’s Experience with Maternity Services questionnaire) Breastfeeding continuation and exclusivity Health service usage maternal self-report of their use over the previous 4 months for themselves and their baby of a variety of primary health services (GP, health visitor, social work and hospital doctor), A&E services, late antenatal admissions, and uptake of infant immunisations at 2 and 3 months). Postnatal depression (Postpartum Depression Screening Scale) Process questions • Perceptions of the impact of ANC on birth/postpartum • Views of trial procedures |