Evaluation of the Psychological Consequences of Complicated Childbirth (ESPT Obst)
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|ClinicalTrials.gov Identifier: NCT03441243|
Recruitment Status : Recruiting
First Posted : February 21, 2018
Last Update Posted : October 24, 2018
|Condition or disease|
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).
|Study Type :||Observational|
|Estimated Enrollment :||256 participants|
|Official Title:||Evaluation of the Psychological Consequences of Complicated Childbirth|
|Actual Study Start Date :||May 23, 2018|
|Estimated Primary Completion Date :||May 2020|
|Estimated Study Completion Date :||May 2020|
Case group:Cesarean section urgently
- 43 patients had an emergency caesarean section between 01/01/2015 and 31/12/2016.
Case group:Hemorrhage of deliverance
- 85 patients had haemorrhage of the delivery with need for a transfusion between 01/01/2015 and 31/12/2017.
Control group: delivery physiological low path
- A control group will consist of 128 patients who had a physiological low birth delivery over the same period.
- Post-traumatic stress [ Time Frame: Baseline ]Post traumatic stress state score according to the PCL-5 (Posttraumatic Stress Disorder Checklist-5)
- Tocophobia [ Time Frame: Baseline ]Tocophobia score according to the Tocophobia Questionnaire
- Peritraumatric dissociation [ Time Frame: Baseline ]Peritraumatric dissociation score according to the PDEQ (Peritraumatric dissociative Expériences Questionnaire)
- Postpartum depression [ Time Frame: Baseline ]Postpartum depression score according to the Edingburgh Perinatal Depression Questionnaire
- Mother-child relationship [ Time Frame: Baseline ]Mother-child Relationship score according to the Parent Bonding Questionnaire
To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT03441243
|Contact: Jacques Dayan||299510604 ext +email@example.com|
|Contact: Isabelle Enderlefirstname.lastname@example.org|
|Hospital-University Psychiatry Center for Children and Adolescents||Recruiting|
|Rennes, Britanny, France, 35000|
|Contact: Jacques Dayan 299510604 ext +33 email@example.com|
|Contact: Isabelle Enderle firstname.lastname@example.org|
|Principal Investigator:||Jacques Dayan||Hospital-University Psychiatry Center for Children and Adolescents|