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The newborn feels pain and the newborn at the end of life, in the delivery room, is potentially exposed to pain and respiratory distress.
Protocols for the management of end-of-life symptoms in the delivery room are used in current practice with very few validation studies. The protocol used in delivery rooms in Alsace uses fentanyl and midazolam intranasally. It has been used for 3 years and seems to provide satisfactory relief to newborn babies. In doing so, it seems to reassure parents about the quality of support and it seems to meet the expectations of professionals in these anxiety-provoking contexts. Scientific validation of these practices would allow wider dissemination to other maternity teams.
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Protocols for the management of end-of-life symptoms | Procedure | Application of the care protocol and data collection |
| Measure | Description | Time Frame |
|---|---|---|
| Change in pain | Evaluate the effectiveness of the current protocol for the management of pain and discomfort related to end-of-life respiratory distress in newborns receiving palliative care in the delivery room with (Neonatal Facial Coding System) NFCS score | 1 day |
| DRFV scores | Presence of DRFV with Silverman score | 1 day |
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Inclusion Criteria:
Exclusion Criteria:
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Premature or term newborn in the delivery room
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Pierre KUHN | Contact | +33 3.88.12.77.85 | Pierre.kuhn@chru-strasbourg.fr |
| Name | Affiliation | Role |
|---|---|---|
| Pierre KUHN | les Hôpitaux Universitaires de Strasbourg | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Service de médecine et Réanimation du Nouveau-né - CHU de Strasbourg -France | Strasbourg | Les Hôpitaux Universitaires de Strasbourg | 67091 | France |
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| ID | Term |
|---|---|
| D004417 | Dyspnea |
| D010146 | Pain |
| ID | Term |
|---|---|
| D012120 | Respiration Disorders |
| D012140 | Respiratory Tract Diseases |
| D012818 | Signs and Symptoms, Respiratory |
| D012816 | Signs and Symptoms |
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| Service de pédiatrie - Hôpitaux Civils de Colmar | Colmar | 68020 | France |
|
| Service de pédiatrie - Hôpitaux Civils de Haguenau | Haguenau | 67500 | France |
|
| Service de Néonatologie- Centre Hospitalier de Mulhouse | Mulhouse | 68100 | France |
|
| D013568 | Pathological Conditions, Signs and Symptoms |
| D009461 | Neurologic Manifestations |