Postpartum Care in the NICU (PeliCaN) Transitions

University of Pennsylvania20 enrolled

Overview

This is a randomized controlled trial of a dyad-centered, doula support and healthcare coordination model of care in a large urban neonatal intensive care unit (NICU), which serves a high-risk, low-income, majority Black population. In addition to doula support and coordination of care in the NICU, there will be a warm handoff to a community doula to continue the support once infants leave the Hospital of the University of Pennsylvania (HUP) NICU.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

SUPPORTIVE_CARE

Masking

NONE

Enrollment

Conditions

Stress Disorders, Post-Traumatic Premature Birth Postpartum Depression Postpartum Anxiety

Interventions

Eligibility

Sex: FEMALEMin age: 16 Years

Medical Language ↔ Plain English

Inclusion Criteria: * HUP postpartum patients who are at least 16 years old at the time their newborns' birth * Infant born at HUP * Preterm birth \<34 weeks * English language speaking Exclusion Criteria: * Unable to read or sign informed consent * Parents of infants transferred into HUP NICU * If the medical team believes that the infant may not live or be transferred to another hospital in upcoming weeks * HUP postpartum patients who are less than 16 years of age at the time of their newborns' birth

Outcomes

Primary Outcomes

Difference in Post Traumatic Stress Disorder Scores at 6 months postpartum

This will measured by the PTSD Checklist for DSM-5 (PCL-5) is a 20-item self-report measure that assesses the 20 DSM-5 symptoms of PTSD. The symptom severity score ranges from 0-80 with 80 being a worse score.

Time frame: 6 months

Number of participants who have attendance with a primary care provider by 6 months postpartum

This will be assessed using the electronic health record and via survey and medical record review of outsider records.

Time frame: 6 months

Secondary Outcomes

Difference in Depression scores at 6 months postpartum

Edinburgh Postnatal Depression Scale, higher scores reflect higher risk of depression, ranges from 0-30. A score of 13 is indicative of high risk for depression.

Time frame: 6 months

Receipt of ACOG-recommended postpartum care by patient's designated provider

Comparison between two groups, this will be coded as a Yes or No variable

Time frame: 12 weeks postpartum

Postpartum Care in the NICU (PeliCaN) Transitions

Overview

Conditions

Interventions

Eligibility

Locations (1)

Outcomes

Primary Outcomes

Secondary Outcomes

Central Contacts