Evaluation of the Psychological Consequences of Complicated Childbirth

Status

Completed

Phases

Unknown

Study type

Observational

Source

ClinicalTrials.gov

Registry ID

NCT03441243

Acronym

ESPT Obst

Enrollment

256

Registered

2018-02-22

Start date

2018-05-23

Completion date

2020-02-27

Last updated

2020-03-03

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

Conditions

Parturition

Brief summary

Prospective, non-interventional, monocentric, case-control study

Detailed description

The post-traumatic stress state affects up to 6.2% of patients at 2 months post partum. Emergency cesarean section and rescue hemorrhage are identified risk factors for postpartum stress disorder or postpartum depression. These complications (emergency cesarean section and hemorrhage of delivery) alter the mother-child relationship and cognitive development of the child. The experience of an emergency Cesarean section or a haemorrhage of deliverance generates apprehension about a subsequent pregnancy. Some patients abandon a future pregnancy project for fear of reliving these experiences. Currently, at the southern hospital, the risk factors for developing a state of post-traumatic stress are not sought by the care teams. No specific follow-up is planned for patients who have had an emergency caesarean section or hemorrhage of delivery. The investigators wish to study the psychological consequences of emergency cesarean section and rescue haemorrhage, the risk factors for post-traumatic stress disorder after emergency cesarean section or hemorrhage of delivery, and their consequences on the mother-child relationship to better identify situations at risk of psychological trauma and provide appropriate care for patients (consultation with a postpartum psychologist).

Interventions

None listed

Study design

Observational model

CASE_CONTROL

Time perspective

PROSPECTIVE

Eligibility

Sex/Gender

FEMALE

Age

18 Years to No maximum

Healthy volunteers

Inclusion criteria

* Major patients ; * Who had hemorrhage of the transfused delivery between 01/01/2015 and 31/12/2017 or an emergency cesarean section between 01/01/2015 and 31/12/2016 or patients who gave birth physiologically paired with age, date of delivery and parity ; * Patients who did not express their opposition to participate in the study.

Exclusion criteria

* Minor patients; * Patients who do not speak and understand French; * Major persons subject to legal protection (safeguard of justice, guardianship, guardianship), persons deprived of their liberty.

Design outcomes

Primary

Measure	Time frame	Description
Post-traumatic stress	Baseline	Post traumatic stress state score according to the PCL-5 (Posttraumatic Stress Disorder Checklist-5)

Secondary

Measure	Time frame	Description
Tocophobia	Baseline	Tocophobia score according to the Tocophobia Questionnaire
Peritraumatric dissociation	Baseline	Peritraumatric dissociation score according to the PDEQ (Peritraumatric dissociative Expériences Questionnaire)
Postpartum depression	Baseline	Postpartum depression score according to the Edingburgh Perinatal Depression Questionnaire
Mother-child relationship	Baseline	Mother-child Relationship score according to the Parent Bonding Questionnaire

Countries

France

Outcome results