neonatal care
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: - infant requiring hospital admission directly (within 24 hours) after birth - parents of 18 years or older
Exclusion criteria
Exclusion criteria: - Infant*s hospital stay shorter than 7 days; - Infant with severe congenital or syndromal anomaly; - Infant with critical illness who is unlikely to survive; - Parent with current psychosocial problems (such as posttraumatic stress disorder, schizophrenia or psychotic disorders) with or without medication which have not been stable over the past year; - Involvement of child protective services in the family; - Parent not able or not willing to fill out questionnaires in English or Dutch.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The main outcome is parental stress at discharge, as defined by the total score on the Parental Stress Scale (PSS:NICU). The PSS:NICU is a three-dimensional tool, in which parents express the amount of stress they experienced by rating 26 items on a 5-point Likert scale (*not stressful at all* to *extremely stressful*). | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary outcome measures on the individual level will be parent participation in neonatal care, parent-infant bonding and experiences in shared decision making. The longitudinal course of parental mental health (anxiety, depression, posttraumatic stress) will be analyzed, as well as biomarkers of stress (in saliva, hair and breastmilk) and breastmilk composition. Also, neonatal secondary outcome measures will be taken into account, specifically length of stay, breastfeeding rates at discharge, biomarkers of stress in saliva, methylation rate of glucocorticoid receptors (from buccal mucosa) and growth. On the cluster level we will study professional secondary outcome measures such as work engagement and autonomy. | — |
Countries
Netherlands