The Physical Effects of Pain Catastrophizing in Labor

The Physical Effects of Pain Catastrophizing on Normal Labor

Status

Completed

Phases

Unknown

Study type

Observational

Source

ClinicalTrials.gov

Registry ID

NCT01012466

Enrollment

Registered

2009-11-13

Start date

2009-06-30

Completion date

2010-06-30

Last updated

2019-07-29

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Pregnancy

Keywords

pregnancy, birth, labor, labor pain, catastrophizing

Brief summary

The purpose of this study is to determine whether labor self-efficacy (as determined by scores for the Lederman PSEQ II (self-efficacy scores) impacts the second stage 2 length (nromal vs. prolonged) as determined by quartile ranges for our sample. Other studies have shown that women who experience intense pain in the earliest stages of labor have a higher risk of complications. The investigators want to know if negative thoughts can predict this outcome.

Detailed description

Subjects will complete questionnaires at three timepoints: during the prenatal period, within 24-48 hours of giving birth, and 4-8 weeks postpartum. The questionnaires will measure pain catastrophizing, depression, maternal support, support and control in birth, and childbirth satisfaction. Chart review following delivery will record data such as length of labor, medication used, need for augmentation or surgical delivery, complications.

Interventions

None listed

Study design

Observational model

COHORT

Time perspective

PROSPECTIVE

Eligibility

Sex/Gender

FEMALE

Age

18 Years to 45 Years

Healthy volunteers

Yes

Inclusion criteria

* At least 20 weeks of pregnancy * Nulliparous * Singleton pregnancy * Low risk pregnancy

Exclusion criteria

* Primiparous and multiparous women * Women who request cesarean delivery * Women who are pregnant with twins * Women who plan induction * Women who deliver before 37 weeks * Women enrolled in the Centering Pregnancy program at the Family Birth Center * High risk pregnancies * Severe mental illness that impairs cognition or function * Suicidal ideation * Women who do not speak English or Spanish

Design outcomes

Primary

Measure	Time frame
Relationship between pain catastrophizing and abnormal labor (deviation of progress in labor from norms)	Immediate postpartum

Secondary

Measure	Time frame
Relationship between pain catastrophizing and reported pain in labor	1 day postpartum and 4-8 weeks postpartum
Relationship between pain catastrophizing and satisfaction with birth experience and care	1 day postpartum and 4-8 weeks postpartum

Countries

United States

Outcome results