Perioperative Psychology
Conditions
Keywords
Linguistic, Stress response, Corticosteroid, Cesarean section, Anxiety, Depression, Maternal psychosis
Brief summary
Pregnancy induced psychosis is an essential factor that influencing maternal health postpartum. When gravidas, especially nulliparas, facing labor and delivery, they will undoubtedly encounter burden from their own and surrounding facts. Maternal psychosis takes a large part of women's psychological disorders. No matter which way, either spontaneous or surgical, they would choose, many factors influence their psychological state. Cesarean section poses higher risks for women than vaginal delivery. Therefore, how to seek effective methods to alleviate parturients' psychological stress response possesses pivotal clinical implications. Herein the investigators proposed that different linguistic interventions given pre-, intra- or post-operatively would produce different effect on maternal psychology and internal stress level.
Interventions
OTHERLanguage
Plain language without psychological intervention
Sponsors
Confidential Enquiry into Maternal and Child Health
Nanjing Medical University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
TRIPLE (Subject, Caregiver, Outcomes Assessor)
Eligibility
Sex/Gender
FEMALE
Age
19 Years to 50 Years
Healthy volunteers
No
Inclusion criteria
* Chinese gravidas * Gestational age \>=36 wk * Nulliparas * Undergoing selective Cesarean section
Exclusion criteria
* With recognition problem * Used or using centrally acting drugs * With chronic pain * Refusal participation * With existed psychiatric disorders * With history of psychological diseases * Contraindications for neuraxial anesthesia
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Self anxiety assessment scale (SAS) | One day prior surgery | Scorings of SAS evaluation by the patient herself |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Visual analog scale of pain (VAS pain) | Five min before surgery (-5 min) | Patient self assessed pain scorings with a 100 mm (0-100) scale |
| Saliva cortisol level | One day prior surgery | Saliva cortisol levels will be measured with EIA |
| Vital signs | One day prior surgery | Blood pressure, heart rate, respiratory rate, oral temperature |
| Self depression assessment scale (SDS) | One day prior surgery | Scorings of SDS by the patient herself |
| SDS scoring | 15 min intraoperation | Scorings of SDS by patient herself |
| VAS pain scoring | Immediately of surgery (0 min) | VAS scorings of pain by a 100 mm scale |
| SAS scorings | 15 min intraoperation | Scorings of SAS by patient herself |
Countries
China
Outcome results
None listed