Conclusions: A randomised controlled trial of caseload midwifery care for pregnant adolescents would not be
feasible in this setting without modifications to the research protocol. The recruitment plan should maximise
opportunities for participation by increasing the upper age limit and enabling women to be recruited at a later
gestation. Strategies to engage the support of hospital-employed staff are essential and would require substantial,
and ongoing, work. A Zelen method of post-randomisation consent, monetary incentives and ‘peer recruiters’ could
also be considered.