Clinical trial NCT04160273: Evaluation of Postpartum Posttraumatic Stress Disorder at Angers University Hospital (ESPT-PP)
Official title: Evaluation of Postpartum Posttraumatic Stress Disorder at Angers University Hospital (ESPT-PP)
Study type: INTERVENTIONAL
Overall status: UNKNOWN
Phase: NA
Conditions: Delivery
Post Partum
Keywords: Posttraumatic stress disorder
Lead sponsor: University Hospital, Angers
Sponsor class: OTHER_GOV
First posted: 2019-11-12
Enrollment: 3000
Sex: FEMALE
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: NA
Intervention model: SINGLE_GROUP
Primary purpose: SCREENING

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.

Eligibility criteria: 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:

* Personal antecedent (s) of psychiatric pathology (s),
* 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.

Primary outcomes:
measure: The risk of PTSD at 1 month is detected using the PCL-S scale.
timeFrame: 1 Month
Secondary outcomes:
measure: Determine the emotional distress of a person at the time of a traumatic event at 1 month and one year
timeFrame: 1 month and 1year
measure: Detect a state of post-traumatic stress
timeFrame: 1 Month and 1 year
measure: Collect the risk factors associated with PTSD
timeFrame: 5 Days
Other outcomes:
Locations:
city: Angers
country: France
facility: UH Angers
Study officials:
affiliation: University Hospital, Angers
name: Guillaume LEGENDRE, MDPhD
role: PRINCIPAL_INVESTIGATOR
References: