Effect of Psychological Interventions on Maternal Outcomes Undergoing Cesarean
- Conditions
- Perioperative Psychology
- Interventions
- Other: Language
- Registration Number
- NCT01141010
- Lead Sponsor
- Nanjing Medical University
- Brief Summary
Pregnancy induced psychosis is an essential factor that influencing maternal health postpartum. When gravidas, especially nulliparas, facing labor and delivery, they will undoubtedly encounter burden from their own and surrounding facts. Maternal psychosis takes a large part of women's psychological disorders. No matter which way, either spontaneous or surgical, they would choose, many factors influence their psychological state. Cesarean section poses higher risks for women than vaginal delivery. Therefore, how to seek effective methods to alleviate parturients' psychological stress response possesses pivotal clinical implications. Herein the investigators proposed that different linguistic interventions given pre-, intra- or post-operatively would produce different effect on maternal psychology and internal stress level.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- Female
- Target Recruitment
- 365
- Chinese gravidas
- Gestational age >=36 wk
- Nulliparas
- Undergoing selective Cesarean section
- With recognition problem
- Used or using centrally acting drugs
- With chronic pain
- Refusal participation
- With existed psychiatric disorders
- With history of psychological diseases
- Contraindications for neuraxial anesthesia
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Plain language Language Conventional plain language will be given without any psychological intervention Pre-psycho-language Language Prior surgery psychological linguistic intervention Intra-psycho-language Language Intraoperative psychological linguistic intervention Post-psycho-language Language Postoperative psychological linguistic intervention Combined language Language Psychological linguistic intervention will be given in a combination of pre-, intra- and post-operatively
- Primary Outcome Measures
Name Time Method Self anxiety assessment scale (SAS) One day prior surgery Scorings of SAS evaluation by the patient herself
- Secondary Outcome Measures
Name Time Method Self depression assessment scale (SDS) One day prior surgery Scorings of SDS by the patient herself
Visual analog scale of pain (VAS pain) Five min before surgery (-5 min) Patient self assessed pain scorings with a 100 mm (0-100) scale
Saliva cortisol level 30 min postoperation Saliva cortisol level will be measured with EIA
Vital signs 30 min postoperation Blood pressure, heart rate, respiratory rate, oral temperature
SAS scorings 30 min postoperation Scorings of SAS by the patient herself
SDS scoring 30 min postoperation Scorings of SDS by patient herself
VAS pain scoring 3 h after surgery Scorings of VAS pain by a 100 mm scale
Trial Locations
- Locations (1)
Nanjing Maternity and Child Health Care Hospital
🇨🇳Nanjing, Jiangsu, China