- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04160273
Evaluation of Postpartum Posttraumatic Stress Disorder at Angers University Hospital (ESPT-PP) (ESPT-PP)
Study Overview
Status
Conditions
Intervention / Treatment
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.
Study Type
Enrollment (Anticipated)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Guillaume LEGENDRE, MDPhD
- Phone Number: 33-(0)2-41-35-44-59
- Email: guillaume.legendre@chu-angers.fr
Study Contact Backup
- Name: Sophie Blanchet, MD
- Email: sofiblanchet@hotmail.fr
Study Locations
-
-
-
Angers, France, 49933
- UH Angers
-
Contact:
- Guillaume LEGENDRE, MDPhD
- Email: guillaume.legendre@chu-angers.fr
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
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.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Screening
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Diagnosis and follow-up arm
Patients are informed during the 9th month pregnancy consultation consultation at Angers University Hospital by the midwife or obstetrician in charge of the consultation. They are included in the 48 hours following the delivery after their hospitalization in the maternity ward. During hospitalization, socio-demographic and medical data are collected and the IDP scale is completed before returning home. Follow-up at one month and one year is carried out by the investigators by means of a telephone call during which the patient answers the PCL-S questionnaire. Also collected during this call are information on the physical and mental state of the patient, the state of health of her newborn and the progress of the return home. Patients are considered at high risk of PTSD if they have a PCL-S score ≥ 44 at 1 month. A consultation with a psychiatrist is offered to these patients at risk of PTSD in order to make the diagnosis and offer them appropriate care if necessary. |
PDI scale is filled in before returning home and follow-up at one month and one year thanks to a telephone call during which the patient answers the PCL-S questionnaire
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
The risk of PTSD at 1 month is detected using the PCL-S scale.
Time Frame: 1 Month
|
The risk of PTSD at 1 month is detected using the PCL-S scale.
Patients are considered at high risk if they have a score ≥ 44 on this scale.
A consultation with a psychiatrist is offered to these patients at risk of PTSD in order to make the diagnosis and offer them appropriate care if necessary.
|
1 Month
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Determine the emotional distress of a person at the time of a traumatic event at 1 month and one year
Time Frame: 1 month and 1year
|
Using the immediate postpartum PDI scale at 1 month and one year
|
1 month and 1year
|
Detect a state of post-traumatic stress
Time Frame: 1 Month and 1 year
|
Using the PCL-S scale at 1 month and 1 year
|
1 Month and 1 year
|
Collect the risk factors associated with PTSD
Time Frame: 5 Days
|
The risk factors studied are as follows: socio-economic status, gestational-parity, obstetrical history, psycho-pathological antecedents, addictions , current pregnancy course, term childbirth, mode of delivery and its complications, course of the hospitalization
|
5 Days
|
Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Guillaume LEGENDRE, MDPhD, University Hospital, Angers
Study record dates
Study Major Dates
Study Start (Anticipated)
Primary Completion (Anticipated)
Study Completion (Anticipated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- 2019-A02369-48
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
Clinical Trials on Post Partum
-
University of AlcalaCompleted
-
Cairo UniversityRecruiting
-
Chulalongkorn UniversityCompletedBreastfeeding | Post PartumThailand
-
University of New MexicoCompletedPost Partum ContraceptionUnited States
-
Karolinska InstitutetThe Swedish Research Council; ForteRecruitingContraception | Post Partum | ImmigrantSweden
-
University of EdinburghMaternal, Neonatal and Child Health Research NetworkUnknown
-
Shalamar Institute of Health SciencesRecruitingPost Partum Lumbopelvic PainPakistan
-
University Hospital, MontpellierNot yet recruitingPost Partum Haemorrhage
-
Oxytone Bioscience BVTerminatedPost Partum HaemorrhageSweden
-
North Bristol NHS TrustFerring Pharmaceuticals; University of Bristol; University Hospitals Bristol... and other collaboratorsCompleted
Clinical Trials on patient questionnaire and telephone follow-up
-
M.D. Anderson Cancer CenterCompletedHeart Failure | Cancer Treatment Induced Left Ventricular DysfunctionUnited States
-
Connolly Hospital BlanchardstownCompletedGeneral Surgery | Outpatients | Virtual Clinic | Text MessagingIreland
-
Asia Diabetes FoundationCompletedDiabetic Kidney DiseaseTaiwan, China, Hong Kong, Korea, Republic of, Malaysia, Thailand, Vietnam
-
St. Justine's HospitalCompleted
-
Torbay and South Devon NHS Foundation TrustUnknown
-
Zealand University HospitalNot yet recruitingNon-Functional Pituitary Adenoma
-
Brandon UniversityRecruiting
-
University Hospital, ToulouseFondation de l'AvenirCompletedSwallowing DisordersFrance
-
Massachusetts General HospitalCompletedDeep Vein Thrombosis | Pulmonary EmbolismUnited States
-
University of Southern DenmarkUniversity Hospital, Gentofte, CopenhagenCompleted