Meeting the Needs of Pregnant Women With PTSD in Prenatal Care
Overview
- Phase
- N/A
- Intervention
- Not specified
- Conditions
- Posttraumatic Stress Disorder
- Sponsor
- University of Massachusetts, Worcester
- Enrollment
- 149
- Primary Endpoint
- Preterm labor
- Status
- Completed
- Last Updated
- 9 years ago
Overview
Brief Summary
The objectives of this research study are to screen 750 pregnant women at risk of trauma-related stress symptoms, and adapt and test an evidence-based intervention for pregnant women with PTSD and sub-threshold PTSD symptoms served by two public payer community health centers.
Detailed Description
Studies of Posttraumatic Stress Disorder (PTSD) in pregnant women in public payer settings have shown rates 5 or more times that of other populations, and rates as high as 33% of lifetime PTSD sub-threshold symptoms. PTSD during pregnancy has been linked to poor prenatal care and high risk behaviors such as drug and alcohol use and smoking. Further, PTSD may pose a barrier to care as obstetric procedures and pregnancy may trigger PTSD symptoms and avoidance of care. PTSD is also associated with pregnancy and birth complications and negative postpartum outcomes including excessive weight gain, preterm birth, low birth weight, risk for parenting problems, and increased barriers to breastfeeding. However, screening, identification, and support for PTSD is lacking. This study will screen 750 pregnant women at risk of trauma-related stress symptoms, and adapt and test an evidence-based intervention for pregnant women with PTSD and sub-threshold PTSD symptoms served by two public payer community health centers.
Investigators
Linda Weinreb
Principal Investigator
University of Massachusetts, Worcester
Eligibility Criteria
Inclusion Criteria
- •Mothers who are receiving prenatal care
- •18 years or older
- •In the first 20 weeks of pregnancy
- •Screen positive for posttraumatic stress disorder
Exclusion Criteria
- •Not pregnant
- •Not currently psychotic
- •No current suicidal ideation
- •Language other than English, Spanish, Vietnamese, and Portuguese
Outcomes
Primary Outcomes
Preterm labor
Time Frame: the primary endpoint is one month postpartum
Change in posttraumatic stress disorder symptoms
Time Frame: The primary endpoint is one month postpartum
Birthweight
Time Frame: the primary endpoint is one month postpartum
Secondary Outcomes
- Change in depression symptoms(the primary endpoint is one month postpartum)
- Number of visits for prenatal care(the primary end point is one month postpartum)
- change in coping strategies inventory(the primary endpoint is one month postpartum)