Postpartum Clinical Trial
Official title:
Health Education : Teaching, Support and Questioning of Young Parents in Maternity
Health education is now a major public health issue. In the field of perinatal care, the
interests involved are the upgrading of the role of mother / father in the health education
of their child and the disengagement of inappropriate pediatric consultations and emergency
services in front of mothers who " fail know how to ". A recent review of the literature
(Cochrane Library) on the effectiveness of parenting programs in the first 2 months of life
of the newborn shows that parental education programs focusing on the explanation of newborn
rhythms to young parents increased sleeping time to 6 weeks of life or a significant
improvement in the prevention of domestic accidents (checking the water temperature and
reducing the risk of burning, sleeping in the bed and preventing unexpected sudden death of
the infant, position and respect of instructions during transport by car and prevention of
road accidents). However, the authors of this meta-analysis concluded that new studies were
needed to confirm the results already published.
The main objective of this study is to evaluate the effectiveness of an early parental
education program in maternity both in terms of parental acquisitions and their
implementation after leaving the service. These parental acquisitions relate, on the one
hand, to the care to be given to the newborn child and, on the other hand, on the possible
pathologies that he or she could have, and the best action to be taken by the parents to
respond to them. The secondary objective is to evaluate the impact of this program on
maternal anxiety in this special period of transition to the role of a parent.
It is a prospective, monocentric, comparative, randomized, controlled, open study. The
comparison will be made between two experimental groups. The first experimental group
corresponds to the mothers who attended the education program during their maternity stay.
The second control group corresponds to mothers who did not attend the training. The primary
endpoint for measuring this effectiveness is maternal knowledge assessment using knowledge
questionnaires that will be completed by mothers before (pre-test) and after (post-test) the
educational program in the maternity unit. The secondary endpoints for assessing the primary
objective of measuring this effectiveness are the maternal knowledge assessment 1 month after
leaving the maternity, using a questionnaire (Recall-Test) and the assessment of the appeal
to a medical consultation for the newborn child in the first month of life and the analysis
of the relevance of this recourse to the care. The criterion of evaluation of the secondary
objective to measure the impact of the educational program on maternal anxiety will be based
on questionnaires tested regarding parental anxiety in the perinatal period (STAI-Etat)
before and after the educational program.
The investigators believe that this improvement in parental knowledge will have a positive
impact on maternal anxiety in the first month of life and will lead to an improvement in the
appropriateness of the use of care during the first month of life. If these results are
confirmed, this educational program will have a real medico-economic impact (relieving
emergency departments and improving the prognosis of newborns with severe pathologies and
taken into care earlier by decreasing in parallel the duration of hospitalization).
The impact of these results will allow to promote more widely the health education in the
perinatal and neonatal period by generalizing this educational program in other maternities
which could be interested. Also, it will allow to propose this educational program in
prenatal (within the framework of session of preparation for the birth), after the release
from the service, within the framework of structure of health such as the PMI, the community
centers and medical structures, even the distribution of these educational program on a
larger scale by means of media such as dedicated web site or smartphone applications.
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