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Cover Page

The handle

https://hdl.handle.net/1887/3178044

holds various files of this Leiden

University dissertation.

Author: Boer, M.C. den

Title: Improving neonatal resuscitation: ethical aspects

Issue Date: 2021-05-20

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IMPROVING NEONATAL RESUSCITATION: ETHICAL ASPECTS

AN EMPIRICAL STUDY ON CONSENT FOR DELIVERY ROOM STUDIES AND RECORDING AND REVIEWING NEONATAL RESUSCITATION

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Cover & Lay-out: Publiss | www.publiss.nl Print: Ridderprint | www.ridderprint.nl

© Copyright 2021: Maria den Boer, Leiden, The Netherlands.

All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, by photocopying, recording, or otherwise, without the prior written permission of the author.

The research described in this thesis was supported by grants of the Leiden University Foundation and the NWO innovational research incentives scheme (recipient A.B. te Pas: VIDI 91716428).

The printing of this thesis was financially supported by Willem-Alexander Kinder-Ziekenhuis Leiden and Universiteitsbibliotheek Leiden.

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IMPROVING NEONATAL RESUSCITATION: ETHICAL ASPECTS

Proefschrift

ter verkrijging van

de graad van doctor aan de Universiteit Leiden, op gezag van rector magnificus prof.dr.ir. H. Bijl, volgens besluit van het college voor promoties

te verdedigen op donderdag 20 mei 2021 klokke 16:15 uur

door

Maria Christiane den Boer geboren te Breda

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Prof. dr. M.C. de Vries Copromotor: Dr. M. Houtlosser Leden promotiecommissie: Prof. dr. E.H.H.M. Rings

Prof. dr. A.A.E. Verhagen (University of Groningen,

the Netherlands)

Prof. dr. M. van Dijk (Erasmus University

Rotterdam, the Netherlands)

Dr. R. van der Graaf (Utrecht University,

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As we tell stories about the lives of others, we learn how to imagine what another creature might feel in response to various events. At the same time, we identify with

the other creature and learn something about ourselves.

Martha Nussbaum

(In: Take my advice: Letters to the next generation from people who know a thing or two. JL Harmon 2002, 177)

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TABLE OF CONTENTS

PART 1

PREFACE AND GENERAL INTRODUCTION

9

Preface 11

General introduction 17

PART 2

CONSENT FOR DELIVERY ROOM STUDIES

35

Chapter 1 Deferred consent for delivery room studies: the providers’

perspective

37 Chapter 2 Consent for delivery room studies: what can be learned from

perceptions of parents

55 Chapter 3 Deferred consent for the enrolment of neonates in delivery

room studies – strengthening the approach

73

PART 3

RECORDING AND REVIEWING NEONATAL

RESUSCITATION

89

Chapter 4 Ethical dilemmas of recording and reviewing neonatal

resuscitation

91 Chapter 5 Benefits of recording and reviewing neonatal resuscitation:

the providers’ perspective

109 Chapter 6 Improving the quality of provided care: lessons learned from

auditing neonatal stabilization

129 Chapter 7 Reviewing recordings of neonatal resuscitation with parents:

a qualitative study

143

PART 4

DISCUSSION AND SUMMARY

161

General discussion 163

Summary 189

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PART 5

APPENDICES

211

Implementing audits of neonatal resuscitation – a practical guide 213 List of abbreviations 215 Publications 216 Curriculum Vitae 218 Acknowledgements 219

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