Counseling, Pregnancy Preterm
Conditions
Brief summary
Providing verbal counseling supplemented with both written and pictorial information then verbal counseling alone is a more effective method of counseling parents with threatened preterm delivery
Detailed description
Progress in the frontiers of neonatology has continually pushed back the limit of viability and significantly improved the survival of extremely preterm infants. An important component of medical management before a preterm delivery is counseling the parents about probabilities of survival and long term complications. Hypothesis: Preterm counseling is more effective when parents receive verbal counseling supplemented with written and pictorial information then verbal counseling alone. Methodology: There will be two groups of study (verbal, pictorial and written vs verbal alone). All patients admitted to the L and D department of Stroger hospital between 23 to 34 weeks of gestation with threatened premature delivery will be enrolled in the study. They will be randomly assigned to 1 of 2 groups. After counseling, parents will be asked to complete a 32 point questionnaire to check their knowledge of outcomes of prematurity. To reach statistically significant results, the investigators will need 40 patients in each group. The study will be done over a period of one year
Interventions
OTHERVerbal counseling
Verbal counseling done by physician
OTHERVerbal, pictorial, written counseling
verbal counseling in addition to gestational age specific written information and pictures will be given to parents
Sponsors
Cook County Health
Study design
Allocation
RANDOMIZED
Intervention model
FACTORIAL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Eligibility
Sex/Gender
FEMALE
Healthy volunteers
No
Inclusion criteria
* Pregnant women between 23 to 34 weeks gestation assessed by obstetrician to need counseling
Exclusion criteria
* Pregnancies with known life threatening defects considered as non compatible with life. * Mothers previously admitted and counseled will also be excluded
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Patient knowledge | one year | After counseling, patient will answer a 32 point questionnaire and this will be compared across the two groups to see there is any statistical difference between the two groups using SPSS |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Maternal anxiety level | one year | Pre and post counseling administration of 6 item State and Trait anxiety inventory, SPSS software will be used to compute statistical significance |
Countries
United States
Outcome results
None listed