Clinical trial NCT03441243: Evaluation of the Psychological Consequences of Complicated Childbirth
Official title: Evaluation of the Psychological Consequences of Complicated Childbirth
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Parturition
Lead sponsor: Rennes University Hospital
Sponsor class: OTHER
First posted: 2018-02-22
Enrollment: 256
Sex: FEMALE
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Observational model: CASE_CONTROL
Time perspective: PROSPECTIVE
Sampling method: NON_PROBABILITY_SAMPLE
Study population: Women who gave birth between 01/01/2015 and 31/12/2017

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).

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.

Primary outcomes:
measure: Post-traumatic stress
timeFrame: Baseline
Secondary outcomes:
measure: Tocophobia
timeFrame: Baseline
measure: Peritraumatric dissociation
timeFrame: Baseline
measure: Postpartum depression
timeFrame: Baseline
measure: Mother-child relationship
timeFrame: Baseline
Other outcomes:
Locations:
city: Rennes
country: France
facility: Hospital-University Psychiatry Center for Children and Adolescents
state: Britanny
Study officials:
affiliation: Hospital-University Psychiatry Center for Children and Adolescents
name: Jacques Dayan
role: PRINCIPAL_INVESTIGATOR
References: