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The Periviable Birth Plan

Primary Purpose

Pregnancy, High Risk, Parturition Complication as Antepartum Condition, Anxiety

Status
Unknown status
Phase
Not Applicable
Locations
United States
Study Type
Interventional
Intervention
Periviable Birth Plan
Sponsored by
Albany Medical College
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Pregnancy, High Risk

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)FemaleDoes not accept healthy volunteers

Inclusion Criteria:

  • 18 years old.
  • Currently Pregnant
  • High risk of pre-term birth in the periviable period 20+0 to 25+6 wga

Exclusion Criteria:

  • Intrauterine Fetal Demise (prior to admission)
  • Inability to read or communicate in english

Sites / Locations

  • Albany Medical CenterRecruiting

Arms of the Study

Arm 1

Arm 2

Arm Type

No Intervention

Experimental

Arm Label

Standard Counseling

Periviable Birth Plan

Arm Description

Patients at risk of delivery between 20 and 25+6 weeks gestation will receive the normal counseling from Ob/gyn and Neonatology.

Patients at risk of delivery between 20 and 25+6 weeks gestation will receive the normal counseling from Ob/gyn and Neonatology with completion of the written periviable birth plan.

Outcomes

Primary Outcome Measures

Change in Anxiety Scores
Patients will complete State Trait Anxiety Inventory questionnaire at the time of delivery and again at 1 year from completion of the first questionnaire. Those that do not deliver in the periviable period will complete the first questionnaire at 27 weeks gestation.
Change in PTSD Scores
Patients will complete Impact of Events Scale questionnaire at the time of delivery and again at 1 year from completion of the first questionnaire. Those that do not deliver in the periviable period will complete the first questionnaire at 27 weeks gestation.

Secondary Outcome Measures

Full Information

First Posted
February 14, 2017
Last Updated
February 19, 2017
Sponsor
Albany Medical College
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1. Study Identification

Unique Protocol Identification Number
NCT03061864
Brief Title
The Periviable Birth Plan
Official Title
The Periviable Birth Plan: A Randomized Control Trial Evaluating an Intervention to Decrease Maternal Anxiety and Stress
Study Type
Interventional

2. Study Status

Record Verification Date
February 2017
Overall Recruitment Status
Unknown status
Study Start Date
August 2016 (undefined)
Primary Completion Date
August 2019 (Anticipated)
Study Completion Date
August 2019 (undefined)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Albany Medical College

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
Pregnant women who are at risk of delivering their infants in the periviable period can suffer a large amount of stress and anxiety. Moreover, many women feel a loss of control over their own pregnancy. There is some evidence that more counseling and planning can help reduce maternal stress and anxiety. Patients at risk of delivering in the periviable period will be randomized to either receive standard counselling or to complete the periviable birth plan.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Pregnancy, High Risk, Parturition Complication as Antepartum Condition, Anxiety, PTSD, PreTerm Birth

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
Outcomes Assessor
Allocation
Randomized
Enrollment
54 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Standard Counseling
Arm Type
No Intervention
Arm Description
Patients at risk of delivery between 20 and 25+6 weeks gestation will receive the normal counseling from Ob/gyn and Neonatology.
Arm Title
Periviable Birth Plan
Arm Type
Experimental
Arm Description
Patients at risk of delivery between 20 and 25+6 weeks gestation will receive the normal counseling from Ob/gyn and Neonatology with completion of the written periviable birth plan.
Intervention Type
Behavioral
Intervention Name(s)
Periviable Birth Plan
Primary Outcome Measure Information:
Title
Change in Anxiety Scores
Description
Patients will complete State Trait Anxiety Inventory questionnaire at the time of delivery and again at 1 year from completion of the first questionnaire. Those that do not deliver in the periviable period will complete the first questionnaire at 27 weeks gestation.
Time Frame
Time of Delivery and One Year
Title
Change in PTSD Scores
Description
Patients will complete Impact of Events Scale questionnaire at the time of delivery and again at 1 year from completion of the first questionnaire. Those that do not deliver in the periviable period will complete the first questionnaire at 27 weeks gestation.
Time Frame
Time of Delivery and One Year

10. Eligibility

Sex
Female
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: 18 years old. Currently Pregnant High risk of pre-term birth in the periviable period 20+0 to 25+6 wga Exclusion Criteria: Intrauterine Fetal Demise (prior to admission) Inability to read or communicate in english
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Paul Burcher, MD
Phone
518-262-4942
First Name & Middle Initial & Last Name or Official Title & Degree
Devon Jacobson, MD
Phone
518-262-4942
Email
jacobsd1@mail.amc.edu
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Paul Burcher, MD
Organizational Affiliation
Albany Medical College
Official's Role
Principal Investigator
Facility Information:
Facility Name
Albany Medical Center
City
Albany
State/Province
New York
ZIP/Postal Code
12208
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Paul Burcher, MD
Phone
518-262-4942
First Name & Middle Initial & Last Name & Degree
Devon Jacobson, MD
Phone
518-262-4942
Email
jacobsd1@mail.amc.edu

12. IPD Sharing Statement

Plan to Share IPD
No

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The Periviable Birth Plan

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