Newborn in Helathy Birthroom: Assessment of Pratical Home and Mother Lived (EPAVM)

Motherhood Our Lady of Good Help is from the 2006 merger of three hospitals, St. Joseph, Our Lady of Good Help and Saint-Michel. She was transferred to a new building in the heart of Paris Saint-Joseph Hospital Group website in March 2011. The premises of the birth room are spacious and nice. All delivery rooms are supposed to welcome the mother and child when the birth goes smoothly. There is a resuscitation room (called "Nursery") for newborns requiring medical care. But since the installation in the new building, the investigators had the impression that a number of children born without pathology futures and with good adaptation at birth passed through this room for no apparent medical reason.

The investigators wanted to make an inventory of home practice healthy newborns in our maternity, evaluate the reasons for a possible separation and appreciate the feelings of mothers cope with this separation.

Study Overview

• Status: Completed
• Conditions: Newborns; Delivery; Motherhood
• Intervention / Treatment: Other: questionnaire

Detailed Description

Objective of the study Evaluation of home practices of a healthy newborn in the delivery room: skin processing conditions skin, reasons for separation between mother and child and maternal felt appreciation.

Methodology :

DESIGN:

Study single-center observational descriptive, carried out over a period of 8 weeks during the months of January and February 2015 in the Maternity Our Lady of relief

Acquisition of data:

- From a survey conducted in puerperium the 2nd day of life during the interview with the parents on the basis of a semi-structured interview about the progress of the birth and the immediate postpartum period using memories of parents. The questionnaire included a section on skin to skin layout with the newborn (information on skin to skin, original maturity), the output or not the child of the delivery room (reason given, period of separation , felt the mother), the conditions of return (naked or dressed, delivered or not skin to skin, conditions the first feeding), the place of the first examination of the newborn and the overall satisfaction of the mother.

The reasons for the release of children were classified as routine care (weight, measurements, toilet or exam), clinical monitoring of the Child (declogging, monitoring of respiratory discomfort or poor adaptation), warming the child, simple or complicated maternal care) and implementation of a levy (gastric, Rh, pH). The traceability of the reason for leaving the newborn in the delivery room was searched in the newborn monitoring sheet (production of a levy, the child's warming, clinical monitoring of the child) and in the medical record of the mother (complicated birthing suites with uterus bleeding or tearing).

- And from the collection of the passage of newborns in the "nursery" of the delivery room of 11 days. The collection form was filled by the auxiliary of the delivery room should note that with each pass of a newborn in the "nursery", the time of birth, time of arrival and departure and the main reason for the passage of the newborn in the "nursery." The reasons were categorized (routine care, achieving a levy, the child's warming, clinical monitoring of the child, the mother care).

Analysis: This is primarily a descriptive analysis. A comprehensive description of the sample was carried out by giving the frequencies of different categories for qualitative variables.

• Study Type: Observational
• Enrollment (Actual): 85

Contacts and Locations

Study Locations

• France
  • Ile-de-France
    • Paris, Ile-de-France, France, 75014
      • Groupe hospitalier Paris saint Joseph

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 1 day to 1 week (Child)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

• Sampling Method: Non-Probability Sample

Study Population

mothers whose newborns meet the inclusion criteria. They are in good health before birth mothers in normal

Description

Inclusion Criteria:

• Newborns at term (≥ 37 weeks of gestation), eutrophic (≥ 10th p)
• Born vaginally
• Good adaptation to extra-uterine life: breathe or scream, has good skin color, a good tone with an Apgar score ≥7
• Absence of meconium amniotic fluid

Exclusion Criteria:

• Preterm (<37 weeks of gestation), hypotrophe (<10th cp)
• Born by caesarean section
• Poor adaptation to extra-uterine life
• Amniotic fluid meconium

Study Plan

How is the study designed?

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Number of routine care	Will be considered as routine care: weighing, measurement, toilet or review	within the first 11 days life

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Number of realization of a levy	for gastric fluid or blood	within the first 11 days life
Number of times that the Child was warming		within the first 11 days life
Number of Clinical monitoring of the child		within the first 11 days life
Number of care provided to the mother	Number and description of care provided to the mother	within the first 11 days life

Collaborators and Investigators

• Sponsor: Groupe Hospitalier Paris Saint Joseph
• Investigators: Principal Investigator: TASSEAU Angelique, MD, Groupe hospitalier Paris saint Joseph

Study record dates

Study Major Dates

• Study Start: January 1, 2015
• Primary Completion (Actual): February 28, 2015
• Study Completion (Actual): February 28, 2015

Study Registration Dates

• First Submitted: July 6, 2016
• First Submitted That Met QC Criteria: July 7, 2016
• First Posted (Estimate): July 11, 2016

Study Record Updates

• Last Update Posted (Actual): August 13, 2018
• Last Update Submitted That Met QC Criteria: August 9, 2018
• Last Verified: August 1, 2018

More Information

Terms related to this study

• Other Study ID Numbers: EPAVM