RecruitingNot ApplicableNCT06456034

Pilot-testing a Perinatal Palliative Care Intervention Program

Testing a Perinatal Palliative Care Intervention Program Within Standard Perinatal Healthcare: Pilot Testing Protocol


Sponsor

Vrije Universiteit Brussel

Enrollment

20 participants

Start Date

May 18, 2025

Study Type

INTERVENTIONAL

Conditions

Summary

The objective of this pilot trial is to implement a new perinatal palliative care intervention program tailored to the Flemish context, which aims to provide care to parents who receive a severe foetal/neonatal diagnosis for their (unborn) child and to their healthcare providers. Additionally, we aim to evaluate the feasibility and preliminary effectiveness by comparing measured variables to the baseline measurement done in the same hospital wards beforehand.


Eligibility

Min Age: 18 Years

Inclusion Criteria9

  • Parents:
  • who receive a severe foetal diagnosis for their unborn child and decide to continue the pregnancy after 20 weeks of gestation , or
  • who receive a severe foetal diagnosis for their unborn child after 20 weeks gestation and decide to terminate the pregnancy (with or without feticide) resulting in the stillbirth of their child
  • Parents who receive a severe neonatal diagnosis for their live-born infant in the first week after birth
  • Parents are either Dutch speaking, or are willing to participate with support from a (phone or real life) interpreter, in collaboration with the "Agentschap Integratie \& Inburgering"
  • Parents are older than 18
  • Parents are not suffering from an officially diagnosed psychiatric disorder prior to receiving the severe diagnosis of their child
  • Parents are deemed (emotionally) approachable for the current study by the treating physician
  • For each family included in the pilot study, the physicians and nurses/midwives who will be/are most closely involved in the care of the infant and the parents will also be asked to participate. If healthcare providers refuse to provide informed consent to participate in the study, their data will be deemed as missing for that case (parental outcomes are considered as the primary outcome measures).

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Interventions

BEHAVIORALPerinatal palliative care

Intervention group will receive specialized perinatal palliative care support from moment of severe perinatal diagnosis. This intervention is aimed at 5 major care components, namely 1. Support offered by a fixed perinatal palliative care team, 2. that team has received specialized perinatal palliative care training, 3. care is structured within a new perinatal palliative care approach or pathway, including fixed means of communication with team members, 4. psychological support is structurally being offered to parents and healthcare providers, and 5. debriefings after every perinatal death are being organized in the involved team.


Locations(2)

UZ Brussels

Brussels, Belgium

UZ Gent

Ghent, Belgium

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NCT06456034