Evaluation of the Psychological Consequences of Complicated Childbirth

Study Overview
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Brief Summary
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Prospective, non-interventional, monocentric, case-control study

Detailed Description
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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).

Official Title
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Evaluation of the Psychological Consequences of Complicated Childbirth

Conditions
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Parturition

Participation Criteria
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Eligibility Criteria
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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.

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Case group:Cesarean section urgently<br>- 43 patients had an emergency caesarean section between 01/01/2015 and 31/12/2016. | |
| Case group:Hemorrhage of deliverance<br>- 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<br>- A control group will consist of 128 patients who had a physiological low birth delivery over the same period. | |

What is the study measuring?
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Primary Outcome Measures

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

Secondary Outcome Measures

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