Postpartum Care in the NICU (PeliCaN) Transitions

Purpose

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.

Conditions

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

Eligibility

Eligible Ages
Over 16 Years
Eligible Genders
Female
Accepts Healthy Volunteers
No

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

Study Design

Phase
N/A
Study Type
Interventional
Allocation
Randomized
Intervention Model
Parallel Assignment
Primary Purpose
Supportive Care
Masking
None (Open Label)

Arm Groups

ArmDescriptionAssigned Intervention
Experimental
Doula Intervention
Participants randomized to the intervention will be offered doula support including care coordination to mental and medical health services in the neonatal intensive care unit (NICU), with a warm handoff to a community doula to continue the support once infants leave the Hospital of the University of Pennsylvania (HUP) NICU.
  • Other: Doula Support
    Doula support including care coordination to mental and medical health services in the NICU, with a warm handoff to a community doula to continue the support once infants leave the HUP NICU.
No Intervention
Control
Participants randomized to usual care will get the same care they normally would with their own provider, outside of research enrollment, and receive a resource guide with information about the importance of postpartum follow-up care.

Recruiting Locations

More Details

Status
Recruiting
Sponsor
University of Pennsylvania

Study Contact

Heather Burris, MD MPH
(215) 573-4916
Burrish@chop.edu