Prematurity
Conditions
Interventions
None listed
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: - Born between 24 and 37 weeks of gestational age - At least 1 week of hospitalisation - Will not be transferred to an other hospital before discharge - Will visit the Outpatient Clinic of the OLVG East, OLVG West and NWZA (location Alkmaar) after discharge
Exclusion criteria
Exclusion criteria: - Metabolic or chromosomal/syndromal diseases - Therapeutic hypothermia for perinatal asphyxia - Severe psychiatric or psychosocial problems i.e. parents under supervision of youth care - Transfer to another hospital before discharge - Parents are unable to answer the questionnaires in Dutch/English - Death of an infant or life-threatening illness of sibling
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To evaluate the effect of Family Integrated Care in SFR on neurodevelopmental outcome at 2 years of (corrected) age in newborns hospitalized in a level-2 Neonatal Ward for at least 1 week as compared to standard neonatal care in open bay units as measured by the Ages and Stages Questionnaire 3rd edition. To evaluate the effect of Family Integrated Care in SFR on parental stress at discharge as compared to standard neonatal care in open bay units as measured by the Parental Stress Scale. To study and provide norms of parental (traumatic) stress, parent-infant bonding, depression and anxiety and parental self-efficacy over time in the healthy (non-hospitalised) population. | — |
Secondary
| Measure | Time frame |
|---|---|
| To study short-term clinical outcomes of Family Integrated Care in SFR in newborns hospitalized to a level-2 Neonatal Ward for at least 1 week (e.g. breastfeeding rates, growth, sepsis, respiratory support, critical incidents, duration of hospital stay). Infants will be followed-up after discharge until the age of 2 years to assess breastfeeding rates, growth, iron status, hospital readmission and psychomotor development. To study the influence of at least 1 week Family Integrated Care in SFR on parental outcome measures like parent-infant bonding, degree of family centred care, parental self-efficacy, parental satisfaction levels during hospital stay and after discharge. To study the effect of Family Integrated care in SFR on longterm cortisol levels in hair (in infants and in parents). | — |
Countries
Netherlands