Impact of an Interactive Maternal Resuscitation Navigation Application (MARINA) on Mothers' Experience During and After Premature Infant Resuscitation in the Delivery Room

What this Trial Is About

This research aims to develop, validate, and pilot test an interactive Maternal Resuscitation Navigation Application (MARINA) designed to provide mothers with information and guidance about what to expect during the initial resuscitation of a premature infant in the delivery room. The application includes videos simulating the delivery environment, explanations of each team member's role, and specific resuscitation activities. Content is developed with input from mothers who have experienced premature infant resuscitation to ensure it addresses key concerns and is informed by prior research. The MARINA app allows mothers to choose their preferred level of interactivity, including viewing close-up procedures like positive pressure oxygen delivery and intubation or a broader room view with narration. The app tracks which sections are accessed and the time spent, supporting evaluation of usability and engagement. Development involves iterative testing and review by parents and clinicians for functionality and content validity. Initially, the study is proceeding with a control group only; the intervention phase will begin once the completed app is approved. Participants include mothers admitted for probable premature delivery between 24 and 32 weeks gestation. Control group mothers who experienced premature infant resuscitation without the app complete demographic and trauma-related surveys. Intervention group mothers will later use the app prior to delivery and complete follow-up surveys and interviews assessing usability, distress levels, and feedback. Outcome measures include the Impact of Event Scale-Revised and the Perinatal PTSD Questionnaire-II, tracked from 24 hours to 65 days after the infant's resuscitation.

Interactive Resuscitation Application for Mothers About to Experience Premature Infant Resuscitation