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While a significant percentage of women in France have difficult pregnancies and negative childbirth experiences, there is still lack of documentation on the impact of these traumatic experiences on maternal health and mother-child relationships. Few studies have focused on the mental health of mothers, despite traumatic experiences being a risk factor for post-traumatic stress, depressive disorders, and suicide. The findings also highlights the maternal withdrawals and intrusions in interaction with the child, which are associated with guilt and feelings of helplessness, a risk to the emotional regulation of the child. Additionally, avoidance symptoms resulting from traumatic experiences delay mothers' seeking help and the early management of dysfunctional interactions. Therefore, assessing the mother-child interactions is important in understanding perinatal psychopathology.
The population include the mother-infant dyads participated in the previous study TOPASE).
The study population comprises 2 groups: a group of women who have experienced a traumatic birth and/or a birth perceived as traumatic by the midwives, and a group of women who have experienced a non-traumatic birth and/or a birth perceived as non-traumatic by the midwives.
The aim of this study is to analyze the impact of traumatic childbirth on the quality of mother-baby dyadic interaction and describe the impact of traumatic childbirth on the mother's mental health and the child's psychomotor and social-emotional development.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| traumatic childbirth |
| ||
| non traumatic childbirth |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Assessment of the quality of mother-child dyadic relationships | Other | Filling out questionnaires |
|
| Measure | Description | Time Frame |
|---|---|---|
| Quality of mother-baby dyadic interactions assessed by Coding Interactive Behavior | Assessed by Coding Interactive Behavior subscores:
The rating grid includes 43 items: 22 for the adult, 16 for the child and 5 for the dyad. The rating is carried out after observing the entire sequence and reflects the observer's judgment taking into account the relative levels of specific behaviors, the nature of affective/attentional states, reciprocity and adaptation of partners in the interaction between them. For each item, the clinician assigns a score between 1 and 5 (level 1 being a low occurrence of a behavior or emotion and 5 a high level of appearance of the characteristic of the element in the interaction). | 15 months (+/- 3 months) postpartum |
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Concerning the mother :
Inclusion Criteria:
Exclusion Criteria:
Concerning the child :
Inclusion Criteria:
Exclusion Criteria:
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Women from the TOPASE study, having obtained a QEVA and/or QETRAS score either ≤ the first quartile (traumatic childbirth group) or ≥ the third quartile (non-traumatic childbirth group) will be contacted in random order (a random draw using R software until the desired number of women is obtained) at 15 months (+/-3 months) after delivery by a midwife from the gynecology-obstetrics department in order to propose participation in the study
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| astrid POZET | Contact | 33381218988 | aopozet@chu-besancon.fr |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| CHU de Besançon | Besançon | 2530 | France |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| Background | Ayers, S., Eagle, A., & Waring, H. (2006). The effects of childbirth-related post-traumatic stress disorder on women and their relationships: A qualitative study. Psychology, Health & Medicine, 11(4), 389-398. https://doi.org/10.1080/13548500600708409 Ayers, S., Joseph, S., McKenzie-McHarg, K., Slade, P., & Wijma, K. (2008). Post-traumatic stress disorder following childbirth: Current issues and recommendations for future research. Journal of Psychosomatic Obstetrics and Gynaecology, 29(4), 240-250. https://doi.org/10.1080/01674820802034631 Berger, M., Castellani, C., Ninoreille, K., Basset, T., Frere-Meusnier, D., & Rigaud, C. (2010). Stress dus aux traumatismes relationnels précoces: Conséquences cérébrales de la perturbation de la sécrétion du cortisol sanguin chez les nourrissons. Neuropsychologie, 58(5), 282-292. https://doi.org/10.1016/j.neurenf.2009.09.003 Brockington, I. F., Oates, J., George, S., Turner, D., Vostanis, P., Sullivan, M., Loh, C., & Murdoch, C. (2001). A Screening Questionnaire for mother-infant bonding disorders. Archives of Women's Mental Health, 3(4), 133-140. https://doi.org/10.1007/s007370170010 Chabbert, M., & Wendland, J. (2016). Le vécu de l'accouchement et le sentiment de contrôle perçu par la femme lors du travail: Un impact sur les relations précoces mère-bébé ? Revue de Médecine Périnatale, 8(4), 199-206. https://doi.org/10.1007/s12611-016-0380-x Chasson, M., & Taubman - Ben-Ari, O. (2023). The Maternal Disintegrative Responses Scale (MDRS): Development and initial validation. Journal of Clinical Psychology, 79(2), 415-430. https://doi.org/10.1002/jclp.23414 Cox, J. L., Chapman, G., Murray, D., & Jones, P. (1996). Validation of the Edinburgh Postnatal Depression Scale (EPDS) in non-postnatal women. Journal of Affective Disorders, 39(3), 185-189. Cox, J. L., Murray, D., & Chapman, G. (1993). A Controlled Study of the Onset, Duration and Prevalence of Postnatal Depression. British Journal of Psychiatry, 163(1), 27-31. https://doi.org/10.1192/bjp.163.1.27 Davies, J., Slade, P., Wright, I., & Stewart, P. (2008). Posttraumatic stress symptoms following childbirth and mothers' perceptions of their infants. Infant Mental Health Journal, 29(6), 537-554. https://doi.org/10.1002/imhj.20197 Dekel, S., Ein-Dor, T., Dishy, G. A., & Mayopoulos, P. A. (2020). Beyond postpartum depression: Posttraumatic stress-depressive response following childbirth. Archives of Women's Mental Health, 23(4), 557-564. https://doi.org/10.1007/s00737-019-01006-x Dekel, S., Stuebe, C., & Dishy, G. (2017). Childbirth Induced Posttraumatic Stress Syndrome: A Systematic Review of Prevalence and Risk Factors. Frontiers in Psychology, 8, 560. https://doi.org/10.3389/fpsyg.2017.00560 Diagnostic and statistical manual of mental disorders: DSM-5TM, 5th ed. (pp. xliv, 947). (2013). American Psychiatric Publishing, Inc. https://doi.org/10.1176/appi.books.9780890425596 Ertan, D., Hingray, C., Burlacu, E., Sterlé, A., & El-Hage, W. (2021). Post-traumatic stress disorder following childbirth. BMC Psychiatry, 21(1), 155. https://doi.org/10.1186/s12888-021-03158-6 Feldman, R. (1998). Coding interactive behavior manual. Unpublished Manual. Ferber, S. G., Feldman, R., Kohelet, D., Kuint, J., Dollberg, S., Arbel, E., & Weller, A. (2005). Massage therapy facilitates mother-infant interaction in premature infants. Infant Behavior and Development, 28(1), 74-81. https://doi.org/10.1016/j.infbeh.2004.07.004 Fournier, A., & Bérubé, A. (2018). La qualité de l'interaction mère-enfant et le rôle du cortisol: Portrait d'une population vivant en contexte de vulnérabilité. Frankham, L. J., Thorsteinsson, E. B., & Bartik, W. (2023). Birth related PTSD and its association with the mother-infant relationship: A meta-analysis. Sexual & Reproductive Healthcare, 38, 100920. https://doi.org/10.1016/j.srhc.2023.100920 Garthus-Niegel, S., Horsch, A., Handtke, E., von Soest, T., Ayers, S., Weidner, K., & Eberhard-Gran, M. (2018). The Impact of Postpartum Posttraumatic Stress and Depression Symptoms on Couples' Relationship Satisfaction: A Population-Based Prospective Study. Frontiers in Psychology, 9, 1728. https://doi.org/10.3389/fpsyg.2018.01728 Guedeney, A., & Tereno, S. (2012). La vidéo dans l'observation d'évaluation et d'intervention en santé mentale du jeune enfant: Un outil pour la transmission. Transmission - Strasbourg 2010 - Seconde Partie, 60(4), 261-266. https://doi.org/10.1016/j.neurenf.2011.12.001 |
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dyadic hair cortisol