Delivery, Post Partum
Conditions
Keywords
Posttraumatic stress disorder
Brief summary
The purpose of this study is to estimate the prevalence of post-traumatic stress disorder (PTSD) at one month in women who have given birth at the University Hospital of Angers over a period of 1 year.
Detailed description
Childbirth is a natural process expected, prepared and imagined by all future parents. A traumatic experience of childbirth and its consequences is a major problem that is often underestimated for women's health. Some women may develop Post Traumatic Stress Disorder (PTSD) after delivery. The literature reports a prevalence of PTSD in relation to childbirth of 1.3 to 6%. Symptoms of post-traumatic stress can be triggered by any event, perceived as threatening to the life or physical integrity of the person or a third party and causing intense fear, helplessness and horror. It may be thought that childbirth, by its psychological and physiological characteristics, can be described as an extreme experience and its experience depends on multiple factors. Thus, an innocent childbirth for caregivers can be traumatically experienced by the woman. The symptoms described are symptoms of avoidance (inability to return to the scene of trauma, denial of trauma), symptoms of intrusion (nightmares, reviviscences) and symptoms of neuro-vegetative hyper activation (sleep disorders, anger, emotional indifference ). The development of PTSD following childbirth is a known phenomenon, but minimized and very little diagnosed by obstetric teams. Therefore, it seems interesting to assess the prevalence of PTSD during childbirth in order to optimize our management, that is to identify patients at risk of PTSD and offer them adapted psychological follow-up. This study also aims to describe the kinetics of the development of post-traumatic postpartum symptoms and to study the risk factors for the development of PTSD.
Interventions
DIAGNOSTIC_TESTpatient questionnaire and telephone follow-up
PDI scale is filled in before returning home and follow-up at one month and one year thanks to a telephone call during which the patient answers the PCL-S questionnaire
Sponsors
University Hospital, Angers
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
SCREENING
Masking
NONE
Eligibility
Sex/Gender
FEMALE
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Major and francophone patient, * Giving birth (≥ 37 weeks of amenorrhea) to the maternity hospital of Angers University Hospital, * Agree to participate in the study (signature of consent).
Exclusion criteria
* Birth of a child born lifeless, * Patient deprived of liberty by judicial or administrative decision, * Patient subject to a legal protection measure, * Patient unable to express her consent.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| The risk of PTSD at 1 month is detected using the PCL-S scale. | 1 Month | The risk of PTSD at 1 month is detected using the PCL-S scale. Patients are considered at high risk if they have a score ≥ 26 on this scale. A consultation with a psychiatrist is offered to these patients at risk of PTSD in order to make the diagnosis and offer them appropriate care if necessary. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Determine the emotional distress of a person at the time of a traumatic event at 1 month and one year | 1 month and 1year | Using the immediate postpartum PDI scale at 1 month and one year |
| Detect a state of post-traumatic stress | 1 Month and 1 year | Using the PCL-S scale at 1 month and 1 year |
| Collect the risk factors associated with PTSD | 5 Days | The risk factors studied are as follows: socio-economic status, gestational-parity, obstetrical history, psycho-pathological antecedents, addictions , current pregnancy course, term childbirth, mode of delivery and its complications, course of the hospitalization |
Countries
France
Outcome results
None listed