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Contribution of a Nurse Consultation in the Follow-up of At-risk Newborn at Maternity Discharged

Feasibility and Contribution of a Nurse Consultation in the Follow-up of At-risk Newborn at Maternity Discharged: 3-year Experience in a Tertiary Center.

Status
Completed
Phases
Unknown
Study type
Observational
Source
ClinicalTrials.gov
Registry ID
NCT05258916
Acronym
NURCO-NEO
Enrollment
1330
Registered
2022-02-28
Start date
2022-05-11
Completion date
2024-07-11
Last updated
2024-08-15

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

At-risk Newborn

Keywords

nurse consultation, at-risk newborn, PED visits, PED hospitalizations

Brief summary

The postnatal period is a critical phase involving important physiological, psychological and social changes. Pediatric nurses could be a crucial actor in the follow-up of at-risk newborn, in collaboration with other health professionals and contribute to a reduction in pediatric emergency department (PED) visits and/or hospitalization in first weeks of life. To describe population of at-risk newborns who attended a nurse consultation after discharge from a type 3 maternity hospital and to evaluate the impact of a post-hospitalization nurse consultation for at-risk newborns on PED visits and hospitalizations.

Detailed description

The postnatal period is a critical phase involving important physiological, psychological and social changes. In 2013, WHO recommends at least three postnatal contacts on day 3, between days 7 and 14, and six weeks after birth. Despite these recommendations, pediatric emergency department (PED) visits for newborns are constantly increasing. Some studies have shown that most of these visits were related to nonserious diseases, mainly due to a lack of knowledge and information. At the same time, some high-risk newborns have been identified as likely to be admitted to PED and subsequently hospitalized. All these findings highlight the great need for education and parental support by health staff from the time of maternity discharged, particularly when certain high-risk conditions are identified. In France, guidelines on maternity discharge after childbirth include pediatric nurses as professionals involved in postnatal follow-up. Pediatric nurses could be a crucial actor in the follow-up of at-risk newborn, in collaboration with other health professionals and contribute to a reduction in PED visits and/or hospitalization in first weeks of life.

Interventions

nurse consultation carried out within two weeks after maternity discharged

Sponsors

Centre Hospitalier Sud Francilien
Lead SponsorOTHER

Study design

Observational model
COHORT
Time perspective
RETROSPECTIVE

Eligibility

Sex/Gender
ALL
Age
1 Days to No maximum

Inclusion criteria

* All at-risk newborns addressed to nurse consultation after discharge from maternity hospital. * All at-risk newborns discharged home after hospitalization at birth in the neonatal medicine department.

Exclusion criteria

* Newborns discharged with home hospitalization * Consultation for hearing screening, blood testing or injection (vaccines or palivizumab). * Newborns referred by pediatrics department, PED or by exterior professionals. * Non-at-risk newborns hospitalized for other reasons (biological anoxia, early neonatal bacterial infection, transient tachypnea, monitoring)

Design outcomes

Primary

MeasureTime frameDescription
PED visits at 2 weeks2 weeks after discharge of maternity hospitalNumber and causes of PED visits

Secondary

MeasureTime frameDescription
PED visits at 3 months3 months after discharge of maternity hospitalNumber and causes of PED visits
Hospitalization3 months after discharge of maternity hospitalNumber and causes of hospitalizations

Countries

France

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026