The Physical Effects of Pain Catastrophizing on Normal Labor
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 91
- 试验地点
- 1
- 主要终点
- Relationship between pain catastrophizing and abnormal labor (deviation of progress in labor from norms)
研究概览
简要总结
The purpose of this study is to determine whether labor self-efficacy (as determined by scores for the Lederman PSEQ II (self-efficacy scores) impacts the second stage 2 length (nromal vs. prolonged) as determined by quartile ranges for our sample. Other studies have shown that women who experience intense pain in the earliest stages of labor have a higher risk of complications. The investigators want to know if negative thoughts can predict this outcome.
详细描述
Subjects will complete questionnaires at three timepoints: during the prenatal period, within 24-48 hours of giving birth, and 4-8 weeks postpartum. The questionnaires will measure pain catastrophizing, depression, maternal support, support and control in birth, and childbirth satisfaction. Chart review following delivery will record data such as length of labor, medication used, need for augmentation or surgical delivery, complications.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 45 Years（Adult）
- 性别
- Female
- 接受健康志愿者
- 是
入选标准
- •At least 20 weeks of pregnancy
- •Nulliparous
- •Singleton pregnancy
- •Low risk pregnancy
排除标准
- •Primiparous and multiparous women
- •Women who request cesarean delivery
- •Women who are pregnant with twins
- •Women who plan induction
- •Women who deliver before 37 weeks
- •Women enrolled in the "Centering Pregnancy" program at the Family Birth Center
- •High risk pregnancies
- •Severe mental illness that impairs cognition or function
- •Suicidal ideation
- •Women who do not speak English or Spanish
结局指标
主要结局
Relationship between pain catastrophizing and abnormal labor (deviation of progress in labor from norms)
时间窗: Immediate postpartum
次要结局
- Relationship between pain catastrophizing and reported pain in labor(1 day postpartum and 4-8 weeks postpartum)
- Relationship between pain catastrophizing and satisfaction with birth experience and care(1 day postpartum and 4-8 weeks postpartum)
研究者
Beth Darnall, PhD
Principal Investigator
Oregon Health and Science University