PRONTO: Obstetric and Neonatal Emergency Training Program: A Cluster-Randomized Trial to Measure Impact

Secretariat of Health

Status: Completed

Conditions: Pregnancy Related Complications

Treatments: Other: PRONTO training

Study type: Interventional

Funder types: Other

Identifiers

NCT01477554

2-845-6519

Details and patient eligibility

About

Rates and causes of maternal mortality in Mexico have dropped only slightly; thus, reaching the internationally established Millennium Development Milestones (MDM) is still a distant goal. A fundamental part of reducing maternal and infant mortality is ensuring an adequate and timely response to obstetric emergencies. PRONTO2: Obstetric and Neonatal Emergency Training Program is an innovative training strategy based on simulations designed to train hospital personnel to respond to obstetric emergencies. The objective of this study is to implement PRONTO2 in selected hospitals to measure the effectiveness of the intervention in influencing key behaviors in hospital practices, as well as measuring maternal and neonatal outcomes in intervention versus control hospitals.

Enrollment: 24 patients

Sex

Volunteers: No Healthy Volunteers

Inclusion criteria

• Hospitals must be located in Guerrero, Chiapas, or Mexico states
• Number of deliveries and cesareans was between 500 and 3000 in 2009

Exclusion criteria

• Inaccessible by car

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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24 participants in 2 patient groups

Control

No Intervention group

Description:

Hospitals randomized to the control arm do not receive any intervention.

PRONTO training

Experimental group

Description:

PRONTO training is delivered to medical teams at hospitals randomized to this arm.

Treatment:

Other: PRONTO training