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Electromyometrial Imaging of Uterine Contractions in Pregnant Women

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Evaluating midwifery units (EMU): lessons from the pilot study.

Amy R Monk¹, Sally K Tracy, Maralyn Foureur

¹Faculty of Nursing and Midwifery, The University of Sydney, NSW 2006, Australia. amy.monk@sydney.edu.au

|February 12, 2013

Summary

A pilot study testing recruitment for the Evaluating Midwifery Units (EMU) study found protocols were too complex. Revisions were made to simplify recruitment and ensure comparable risk profiles for women in midwifery units versus tertiary hospitals.

Keywords:

Comparative studies Maternity unit Pilot studies Place of birth

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Area of Science:

Maternal Health
Epidemiology
Clinical Trial Design

Background:

The Evaluating Midwifery Units (EMU) study aimed to compare outcomes for women planning birth in freestanding midwifery units versus tertiary maternity units.
A pilot study was essential to test the feasibility of the recruitment plan for the main prospective cohort study.

Purpose of the Study:

To describe the pilot study undertaken to test the feasibility of the recruitment plan for the EMU prospective cohort study.
To report on the revisions made to the study protocol based on the pilot study's findings.

Main Methods:

Prospective cohort study design with two mutually-exclusive cohorts.
Recruitment of 146 women with few identified risk factors between September 2009 and March 2010.
Participants were recruited from two freestanding midwifery units in NSW, Australia, and their corresponding tertiary referral hospitals.

Main Results:

The pilot confirmed the feasibility of using booking midwives for recruitment but revealed low invitation and consent rates.
Some women with medical consultations were inadvertently recruited, indicating a need to refine risk factor assessment.
Findings necessitated revisions to the study protocol to include all women without identified risk factors.

Conclusions:

Pilot studies are crucial for refining research protocols, leading to stronger designs and more meaningful results.
Recruitment protocols required simplification, and the study design needed adjustments to ensure larger sample sizes and comparable risk profiles between cohorts.
Expanding data sources was identified as necessary for a complete dataset in the main study.