Emotional Reactions of Mothers Facing Premature Births
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- CHU de Reims
- 入组人数
- 100
- 试验地点
- 1
- 主要终点
- mother's post-traumatic reaction
研究概览
简要总结
Our intervention in the maternity and neonatal wards helped our sensibility to the immediate parental reaction to the premature birth. Among these reactions, what is called "stress" by the parents occurs most often and is at the origin of trauma. The investigators can cite the unexpected confrontation with a baby is far from corresponding to what the parents had anticipated; the stunned feeling while experiencing a chain of events rapidly taking place, an experience of emptiness when the baby is placed in the intensive care unit, the feeling of powerlessness when facing the real risk of the infant's death, the striking spectacle of invasive treatments, etc. The parents worry about the viability and future of their premature infant. Their parental impressions and more specifically those of the mother facing the premature birth could in and of themselves have repercussions on the development of the infant, by betting on a complex meeting and atypical interactions.
These observations have driven us to elaborate on a hypothesis that finds itself separate from the lesion model commonly applied to premature infants, and shifts the psychopathological approach to the post-traumatic reaction of the mother following the premature birth and repositions the question of behavioral disorders of the child in the interaction mother-infant field. The investigators think that the premature birth can bring about in a second phase and notably in the mother, post-traumatic symptoms as described in the post-traumatic stress state, and that this reaction could have effects on the mother-infant interactions. The investigators have carried out the current study to clarify the relationship between the mother's post-traumatic reaction triggered by the premature birth and the mother-infant interactions.
详细描述
2.1 Design A multicenter prospective study was performed in three French hospitals (Reims, Nancy and Besançon) between January 2008 and January 2011. The follow-up period was 18 months for each dyad.
2.2 Population
In practice, our study will be carried out in five sessions and at three visits:
The first visit in maternity service, following the birth of the child, the second visit, in the neonatology service, right before the discharge. The third time will be repeated at 6, 12 and 18 months, within the framework of the systematic tracking of premature babies within the early medico-social actions' center (CAMSP).
2.3 Data collection 2.3.1 Sociodemographic and clinical data Sociodemographic variables recorded during the study were age, marital status, level of education and profession.
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 —(Adult, Older Adult)
- 性别
- Female
- 接受健康志愿者
- 否
入选标准
- •premature birth (term ≤ to 32 weeks of amenorrhea),
- •a mother with niether psychotic troubles- either acute or chronic- nor presenting an addiction (alcohol, narcotic drugs),
- •a newborn with no unfavourable vital prognosis, no organic malformation and/or no genetic anomaly diagnosed,
- •a mother's age ≥ 18 years,
- •a native French speaker.
排除标准
- •no premature birth (term > to 32 weeks of amenorrhea),
- •a mother with psychotic troubles- acute or chronic- presenting an addiction (alcohol, narcotic drugs),
- •a newborn with unfavourable vital prognosis, organic malformation and/or genetic anomaly diagnosed,
- •a mother's age < 18 years,
- •a no native French speaker.
结局指标
主要结局
mother's post-traumatic reaction
时间窗: Month 6
relationship between the mother's post-traumatic reaction triggered by the premature birth (PPQ: Perinatal PostTraumatic Stress Disorder) and the mother-infant interactions (DMC : Dyadic Mutuality Code)
次要结局
- relationship between the post-traumatic response of the mother in the perinatal period (PPQ: Perinatal PostTraumatic Stress Disorder) and that which is always evaluated in the mother(Month 18)
- relationship between perinatal risk (PRI : Perinatal Risk Inventory) and trauma (PPQ: Perinatal PostTraumatic Stress Disorder)(Month 18)
- relationship between pediatric assessment of the child and trauma (PPQ: Perinatal PostTraumatic Stress Disorder)(Month 18)
- mother's post-traumatic reaction(Month 18)
