Evaluation of the Psychological Consequences of Complicated Childbirth (ESPT Obst)

Rennes University Hospital

Status: Completed

Conditions: Parturition

Study type: Observational

Funder types: Other

Identifiers

NCT03441243

35RC18_3096_ESPT Obst

Details and patient eligibility

About

Prospective, non-interventional, monocentric, case-control study

Full 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).

Enrollment: 256 patients

Sex: Female

Ages: 18+ years old

Volunteers: No Healthy Volunteers

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.

Trial design

256 participants in 3 patient groups

Case group:Cesarean section urgently

Description:

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

Case group:Hemorrhage of deliverance

Description:

- 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

Description:

- A control group will consist of 128 patients who had a physiological low birth delivery over the same period.