Prenatal Counseling in Extreme Prematurity: Professionals' View

NCT02782650 | Completed

• 1 other identifier: Preco-1
• Study Type: observational
• Target: 122
• Locations: 0 countries
• Sites: N/A

Brief Summary

This study is part of the PreCo study, evaluating Dutch care in (imminent) extreme preterm birth including current and preferred counseling, barriers and facilitators for preferred counseling from both obstetricians and neonatologists, as well as parents' views on this. Since 2010, intensive care can be offered in the Netherlands at 24+0 weeks gestation (with parental consent) but as some international guidelines, the Dutch guideline lacks detailed recommendations on organization, content and preferred decision-making of the counseling.

Conditions

Premature Birth; Extremely Premature Infants

Keywords

Limits; Prenatal Counseling; Decision-making; Foetal Complications; Counseling; Viability

Outcome Measures

Primary Outcomes (3)

• current and preferred prenatal counseling practices in 3 domains (organization, content, decision-making)

  during the time of the survey (july 2012 - dec 2013)

• preferences in treatment decisions (organization, content, decision-making)

  during the time of the survey (july 2012 - dec 2013)

• qualitative explored specific preferences in content, influencing factors on organization and decision-making

  during focus group interviews (may - july 2015)

Secondary Outcomes (1)

• differences between neonatologists and obstetricians

  during the time of the survey (july 2012 - dec 2013)

Study Arms (1)

Survey and interviews

\* part one \* (quantitative) Survey on: A) prenatal counseling at the limits of viability, both current and preferred, within three domains of interest: * organization of prenatal counseling * content of prenatal counseling * decision-making in prenatal counseling B) treatment options at the limits of viability against the background of the Dutch guideline \* part two \* (qualitative) Focus groups interviews (qualitative) to in-depth explore preferences in prenatal counseling * insight in the specific preferred content of prenatal counseling. * study influencing factors on preferences in the domains of organization and decision-making.

Other: survey and interview

Interventions

survey and interview OTHER

all participants: survey on prenatal counseling and treatment decisions at the limits of viability. a selection of participants: focus group interviews to further perform in-depth exploration of prenatal counseling preferences

Survey and interviews

Eligibility Criteria

• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

All (fellow) neonatologists OR (fellow) obstetricians from one of the 10 specialized perinatal care centers in the Netherlands

You may qualify if:

• (fellow) neonatologist OR (fellow) obstetrician from one of the 10 specialized perinatal care centers in the Netherlands

You may not qualify if:

• member of the study group

Sponsors & Collaborators

• Radboud University Medical Center: lead
• Academisch Medisch Centrum - Universiteit van Amsterdam (AMC-UvA): collaborator
• UMC Utrecht: collaborator
• Leiden University Medical Center: collaborator
• Erasmus Medical Center: collaborator
• Maastricht universitair medisch centrum, Maastricht: collaborator
• Isala: collaborator
• University Medical Center Groningen: collaborator
• Maxima Medical Center: collaborator
• Amsterdam UMC, location VUmc: collaborator

Related Publications (1)

• Geurtzen R, Van Heijst A, Hermens R, Scheepers H, Woiski M, Draaisma J, Hogeveen M. Preferred prenatal counselling at the limits of viability: a survey among Dutch perinatal professionals. BMC Pregnancy Childbirth. 2018 Jan 3;18(1):7. doi: 10.1186/s12884-017-1644-6.

  PMID: 29298669 DERIVED

MeSH Terms

Conditions

Premature Birth

Interventions

Surveys and Questionnaires; Interviews as Topic

Condition Hierarchy (Ancestors)

Obstetric Labor, Premature; Obstetric Labor Complications; Pregnancy Complications; Female Urogenital Diseases and Pregnancy Complications; Urogenital Diseases

Intervention Hierarchy (Ancestors)

Data Collection; Epidemiologic Methods; Investigative Techniques; Health Care Evaluation Mechanisms; Quality of Health Care; Health Care Quality, Access, and Evaluation; Public Health; Environment and Public Health

Study Officials

• Marije Hogeveen, MD, PhD

  Radboud University Medical Center

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: CROSS SECTIONAL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: May 10, 2016
• First Posted: May 25, 2016
• Study Start: July 1, 2012
• Primary Completion: July 1, 2015
• Study Completion: July 1, 2015
• Last Updated: May 25, 2016

Record last verified: 2016-05