Trial Outcomes & Findings for The Effect of Video Education on Skin-to-Skin at the Time of Delivery (NCT NCT03200925)

NCT ID: NCT03200925

Last Updated: 2019-08-02

Results Overview

Both groups will be asked a short survey at the time of admission: * their intention to practice skin to skin at the time of delivery * if they participated in skin to skin in a previous pregnancy * if they had any formal education about skin to skin * if they did have formal education was it either * a.) Provided at a prenatal appointment * b.) A formal class led by either a nurse or a lactation consultant Group B will watch a short video about skin-to-skin contact and will be then reasked a question regarding their intention to practice skin-to-skin contact after birth. This information will allow us to determine if video education impacts the intention to practice skin-to-skin contact after birth.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

240 participants

Primary outcome timeframe

1 day

Results posted on

2019-08-02

Participant Flow

Participant milestones

Participant milestones
Measure
Group A - no Video Group
Group A will be asked a short survey: * their intention to practice skin to skin at the time of delivery * if they participated in skin to skin in a previous pregnancy * if they had any formal education about skin to skin * if they did have formal education was it either * a.) Provided at a prenatal appointment, * b.) A formal class led by either a nurse or a lactation consultant. We will also look at patient's medical record number, age, gestational age, any pregnancy complications, race, type of insurance, and the number of times the patient has been pregnant. We will also examine data that is already collected by this hospital after delivery regarding skin to skin. This includes gestational age in weeks at the time of delivery, 5 minute APGAR, delivery date/time, skin to skin initiation time, skin to skin end time, delivery to skin to skin duration (minutes), and skin to skin duration (minutes).
Group B - Video Group
Group B will be asked the same short survey as group A. The patient would then immediately watch "Jumping into Kangaroo Care", and then immediately take the post survey which would ask if they intended to practice skin to skin at the time of delivery.We will also look at patient's medical record number, age, gestational age, any pregnancy complications, race, type of insurance, and the number of times the patient has been pregnant. We will also examine data that is already collected by this hospital after delivery regarding skin to skin. This includes gestational age in weeks at the time of delivery, 5 minute APGAR, delivery date/time, skin to skin initiation time, skin to skin end time, delivery to skin to skin duration (minutes), and skin to skin duration (minutes).
Overall Study
STARTED
120
120
Overall Study
COMPLETED
120
120
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

The Effect of Video Education on Skin-to-Skin at the Time of Delivery

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Group A - no Video Group
n=120 Participants
Group A will be asked a short survey: * their intention to practice skin to skin at the time of delivery * if they participated in skin to skin in a previous pregnancy * if they had any formal education about skin to skin * if they did have formal education was it either * a.) Provided at a prenatal appointment, * b.) A formal class led by either a nurse or a lactation consultant. We will also look at patient's medical record number, age, gestational age, any pregnancy complications, race, type of insurance, and the number of times the patient has been pregnant. We will also examine data that is already collected by this hospital after delivery regarding skin to skin. This includes gestational age in weeks at the time of delivery, 5 minute APGAR, delivery date/time, skin to skin initiation time, skin to skin end time, delivery to skin to skin duration (minutes), and skin to skin duration (minutes).
Group B - Video Group
n=120 Participants
Group B will be asked the same short survey as group A. The patient would then immediately watch "Jumping into Kangaroo Care", and then immediately take the post survey which would ask if they intended to practice skin to skin at the time of delivery.We will also look at patient's medical record number, age, gestational age, any pregnancy complications, race, type of insurance, and the number of times the patient has been pregnant. We will also examine data that is already collected by this hospital after delivery regarding skin to skin. This includes gestational age in weeks at the time of delivery, 5 minute APGAR, delivery date/time, skin to skin initiation time, skin to skin end time, delivery to skin to skin duration (minutes), and skin to skin duration (minutes).
Total
n=240 Participants
Total of all reporting groups
Age, Continuous
27.1 years
STANDARD_DEVIATION 5.5 • n=99 Participants
27 years
STANDARD_DEVIATION 5.1 • n=107 Participants
27 years
STANDARD_DEVIATION 5.3 • n=206 Participants
Sex: Female, Male
Female
120 Participants
n=99 Participants
120 Participants
n=107 Participants
240 Participants
n=206 Participants
Sex: Female, Male
Male
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race/Ethnicity, Customized
Caucasian
90 Participants
n=99 Participants
98 Participants
n=107 Participants
188 Participants
n=206 Participants
Race/Ethnicity, Customized
African American
22 Participants
n=99 Participants
12 Participants
n=107 Participants
34 Participants
n=206 Participants
Race/Ethnicity, Customized
Hispanic
4 Participants
n=99 Participants
1 Participants
n=107 Participants
5 Participants
n=206 Participants
Race/Ethnicity, Customized
Other
4 Participants
n=99 Participants
9 Participants
n=107 Participants
13 Participants
n=206 Participants
Primiparous
53 Participants
n=99 Participants
55 Participants
n=107 Participants
108 Participants
n=206 Participants
Private Insurance
55 Participants
n=99 Participants
58 Participants
n=107 Participants
113 Participants
n=206 Participants
Medicaid
61 Participants
n=99 Participants
58 Participants
n=107 Participants
119 Participants
n=206 Participants
Comorbidities
Chronic Hypertension
5 Participants
n=99 Participants
3 Participants
n=107 Participants
8 Participants
n=206 Participants
Comorbidities
Gestational Hypertension
6 Participants
n=99 Participants
10 Participants
n=107 Participants
16 Participants
n=206 Participants
Comorbidities
Preeclampsia
3 Participants
n=99 Participants
2 Participants
n=107 Participants
5 Participants
n=206 Participants
Comorbidities
Gestational Diabetes Mellitus
4 Participants
n=99 Participants
9 Participants
n=107 Participants
13 Participants
n=206 Participants
Comorbidities
Asthma
10 Participants
n=99 Participants
10 Participants
n=107 Participants
20 Participants
n=206 Participants
Comorbidities
Neurologic Disease
4 Participants
n=99 Participants
1 Participants
n=107 Participants
5 Participants
n=206 Participants
Comorbidities
Hematologic Disease
13 Participants
n=99 Participants
9 Participants
n=107 Participants
22 Participants
n=206 Participants
Comorbidities
Other Medical Comorbitities
40 Participants
n=99 Participants
42 Participants
n=107 Participants
82 Participants
n=206 Participants
Obstetric Measures
Spontaneous Vaginal Delivery
84 Participants
n=99 Participants
89 Participants
n=107 Participants
173 Participants
n=206 Participants
Obstetric Measures
Vacuum Delivery
11 Participants
n=99 Participants
9 Participants
n=107 Participants
20 Participants
n=206 Participants
Obstetric Measures
Low Transverse Cesarean Delivery
25 Participants
n=99 Participants
22 Participants
n=107 Participants
47 Participants
n=206 Participants
Gestational Age (weeks)
39 weeks
n=99 Participants
39 weeks
n=107 Participants
39 weeks
n=206 Participants
5 Minute APGAR Score
9 units on a scale
n=99 Participants
9 units on a scale
n=107 Participants
9 units on a scale
n=206 Participants

PRIMARY outcome

Timeframe: 1 day

Both groups will be asked a short survey at the time of admission: * their intention to practice skin to skin at the time of delivery * if they participated in skin to skin in a previous pregnancy * if they had any formal education about skin to skin * if they did have formal education was it either * a.) Provided at a prenatal appointment * b.) A formal class led by either a nurse or a lactation consultant Group B will watch a short video about skin-to-skin contact and will be then reasked a question regarding their intention to practice skin-to-skin contact after birth. This information will allow us to determine if video education impacts the intention to practice skin-to-skin contact after birth.

Outcome measures

Outcome measures
Measure
Group A - no Video Group
n=120 Participants
Group A will be asked a short survey: * their intention to practice skin to skin at the time of delivery * if they participated in skin to skin in a previous pregnancy * if they had any formal education about skin to skin * if they did have formal education was it either * a.) Provided at a prenatal appointment, * b.) A formal class led by either a nurse or a lactation consultant. We will also look at patient's medical record number, age, gestational age, any pregnancy complications, race, type of insurance, and the number of times the patient has been pregnant. We will also examine data that is already collected by this hospital after delivery regarding skin to skin. This includes gestational age in weeks at the time of delivery, 5 minute APGAR, delivery date/time, skin to skin initiation time, skin to skin end time, delivery to skin to skin duration (minutes), and skin to skin duration (minutes).
Group B - Video Group
n=120 Participants
Group B will be asked the same short survey as group A. The patient would then immediately watch "Jumping into Kangaroo Care", and then immediately take the post survey which would ask if they intended to practice skin to skin at the time of delivery.We will also look at patient's medical record number, age, gestational age, any pregnancy complications, race, type of insurance, and the number of times the patient has been pregnant. We will also examine data that is already collected by this hospital after delivery regarding skin to skin. This includes gestational age in weeks at the time of delivery, 5 minute APGAR, delivery date/time, skin to skin initiation time, skin to skin end time, delivery to skin to skin duration (minutes), and skin to skin duration (minutes).
Intention to Practice Skin-to-skin Contact After Birth
Pre-Intervention (video)
100 Participants
107 Participants
Intention to Practice Skin-to-skin Contact After Birth
Post-Intervention
NA Participants
Did not have intervention.
118 Participants

PRIMARY outcome

Timeframe: 1 week

For both video and non-video groups, skin to skin duration (minutes) after delivery will be calculated. The time in minutes from delivery to initiation of skin to skin contact is also collected. This information will allow us to determine if video education impacts the actual practice of skin-to-skin contact after birth.

Outcome measures

Outcome measures
Measure
Group A - no Video Group
n=120 Participants
Group A will be asked a short survey: * their intention to practice skin to skin at the time of delivery * if they participated in skin to skin in a previous pregnancy * if they had any formal education about skin to skin * if they did have formal education was it either * a.) Provided at a prenatal appointment, * b.) A formal class led by either a nurse or a lactation consultant. We will also look at patient's medical record number, age, gestational age, any pregnancy complications, race, type of insurance, and the number of times the patient has been pregnant. We will also examine data that is already collected by this hospital after delivery regarding skin to skin. This includes gestational age in weeks at the time of delivery, 5 minute APGAR, delivery date/time, skin to skin initiation time, skin to skin end time, delivery to skin to skin duration (minutes), and skin to skin duration (minutes).
Group B - Video Group
n=120 Participants
Group B will be asked the same short survey as group A. The patient would then immediately watch "Jumping into Kangaroo Care", and then immediately take the post survey which would ask if they intended to practice skin to skin at the time of delivery.We will also look at patient's medical record number, age, gestational age, any pregnancy complications, race, type of insurance, and the number of times the patient has been pregnant. We will also examine data that is already collected by this hospital after delivery regarding skin to skin. This includes gestational age in weeks at the time of delivery, 5 minute APGAR, delivery date/time, skin to skin initiation time, skin to skin end time, delivery to skin to skin duration (minutes), and skin to skin duration (minutes).
Actual Practice of Skin-to-skin Contact After Birth
Delivery to Skin to Skin Contact
6 minutes
Interval 0.0 to 39.0
3 minutes
Interval 0.0 to 26.0
Actual Practice of Skin-to-skin Contact After Birth
Skin to Skin Duration
88 minutes
Interval 17.0 to 161.0
91 minutes
Interval 13.0 to 210.0

POST_HOC outcome

Timeframe: Prior to admission for delivery

Measuring formal education training about skin to skin contact prior to admission, provided at either a prenatal appointment or a formal class led by either a nurse or a lactation consultant.

Outcome measures

Outcome measures
Measure
Group A - no Video Group
n=120 Participants
Group A will be asked a short survey: * their intention to practice skin to skin at the time of delivery * if they participated in skin to skin in a previous pregnancy * if they had any formal education about skin to skin * if they did have formal education was it either * a.) Provided at a prenatal appointment, * b.) A formal class led by either a nurse or a lactation consultant. We will also look at patient's medical record number, age, gestational age, any pregnancy complications, race, type of insurance, and the number of times the patient has been pregnant. We will also examine data that is already collected by this hospital after delivery regarding skin to skin. This includes gestational age in weeks at the time of delivery, 5 minute APGAR, delivery date/time, skin to skin initiation time, skin to skin end time, delivery to skin to skin duration (minutes), and skin to skin duration (minutes).
Group B - Video Group
n=120 Participants
Group B will be asked the same short survey as group A. The patient would then immediately watch "Jumping into Kangaroo Care", and then immediately take the post survey which would ask if they intended to practice skin to skin at the time of delivery.We will also look at patient's medical record number, age, gestational age, any pregnancy complications, race, type of insurance, and the number of times the patient has been pregnant. We will also examine data that is already collected by this hospital after delivery regarding skin to skin. This includes gestational age in weeks at the time of delivery, 5 minute APGAR, delivery date/time, skin to skin initiation time, skin to skin end time, delivery to skin to skin duration (minutes), and skin to skin duration (minutes).
Number of Participants With Formal Education About Skin to Skin Contact
40 Participants
38 Participants

Adverse Events

Group A - no Video Group

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Group B - Video Group

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Catherine Caponero, DO

Kettering Health Network

Phone: 937-723-4124

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place