Evaluation of the Psychological Consequences of Complicated Childbirth

NCT ID: NCT03441243

Last Updated: 2020-03-03

Basic Information

• Recruitment Status: COMPLETED
• Total Enrollment: 256 participants
• Study Classification: OBSERVATIONAL
• Study Start Date: 2018-05-23
• Study Completion Date: 2020-02-27

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).

Conditions

Parturition

Study Design

• Observational Model Type: CASE_CONTROL
• Study Time Perspective: PROSPECTIVE

Study Groups

Case group:Cesarean section urgently

\- 43 patients had an emergency caesarean section between 01/01/2015 and 31/12/2016.

No interventions assigned to this group

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.

No interventions assigned to this group

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.

No interventions assigned to this group

Eligibility Criteria

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.

• Minimum Eligible Age: 18 Years
• Eligible Sex: FEMALE
• Accepts Healthy Volunteers: No

Sponsors

Rennes University Hospital

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

Jacques Dayan

Role: PRINCIPAL_INVESTIGATOR

Hospital-University Psychiatry Center for Children and Adolescents

Locations

Hospital-University Psychiatry Center for Children and Adolescents

Rennes, Britanny, France

Countries

France

Other Identifiers

35RC18_3096_ESPT Obst

Identifier Type: -

Identifier Source: org_study_id