Risk Factors for Postpartum Psychosis (RIFPP)
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Purpose
A range of psychological disorders occur in women in the postpartum period. These include "the blues", which occurs in the first days after birth and which is very common and self-limiting; severe psychoses often associated with mania or bipolar illness, occurring in the first weeks after birth; and mild to moderate depression, occurring weeks to months after birth. Studies have been done focused on postpartum psychosis using a retrospective investigation, which gave only a limited material on the prevalence of psychological disorders in postpartum women. The investigators hypothesized that different pathways to psychosis function as the risk factors which may be overlapped, truly independent, mediating, or moderating, in new mothers who are at high risk and/or during the early period of delivery. In addition, the investigators purposed that the temporal sequence of biological, social and demographic variables are also the potential factors contributing to the development of postpartum psychosis.
| Condition |
|---|
|
Postpartum Period Psychosis |
| Study Type: | Observational |
| Study Design: | Observational Model: Case-Only Time Perspective: Prospective |
| Official Title: | Potential Risk Factors for Postpartum Psychosis |
- Incidence of psychoses [ Time Frame: 3 months and 6 months postpartum ] [ Designated as safety issue: Yes ]
- Antepartum economic level [ Time Frame: One year before labor and delivery (recorded by antepartum communication) ] [ Designated as safety issue: No ]
- Antepartum social status [ Time Frame: One year before labor and delivery (recorded by antepartum communication) ] [ Designated as safety issue: No ]
- Antepartum psychological level [ Time Frame: 1 day before birth ] [ Designated as safety issue: No ]
- Intrapartum complications [ Time Frame: 1 day after birth ] [ Designated as safety issue: Yes ]
- Baby characteristics [ Time Frame: One minute, 5min, 15min after baby was born ] [ Designated as safety issue: No ]
- Maternal characteristics [ Time Frame: One day after birth ] [ Designated as safety issue: Yes ]
- Medical caregiver characteristics [ Time Frame: One day before and after the labor completion ] [ Designated as safety issue: No ]
- Parturient family characteristics [ Time Frame: One week before labor and delivery, recorded by investigators through patients' antepartum communication ] [ Designated as safety issue: No ]
- Intrapartum medical procedures [ Time Frame: One day after birth ] [ Designated as safety issue: Yes ]
| Estimated Enrollment: | 4000 |
| Study Start Date: | February 2009 |
| Estimated Study Completion Date: | August 2011 |
| Estimated Primary Completion Date: | August 2011 (Final data collection date for primary outcome measure) |
| Groups/Cohorts |
|---|
|
1
Psychoses within the first 3 months postpartum
|
|
2
Psychoses > 3 months to 6 months postpartum
|
Eligibility| Ages Eligible for Study: | 18 Years to 50 Years |
| Genders Eligible for Study: | Female |
| Accepts Healthy Volunteers: | No |
| Sampling Method: | Probability Sample |
Parturients undergoing spontaneous or induced labor or cesarean delivery
Inclusion Criteria:
- Pregnant women
- Chinese
Exclusion Criteria:
- Age < 18 years or > 50 years
- Gestational age < 32 weeks
Contacts and Locations| Contact: FuZhou Wang, MD | 86-25-84460777 ext 3301 | zfwang50@gmail.com |
| Contact: ShiQin Xu, MD | 86-25-84460777 ext 3301 | xusqnj@sina.com |
| China, Jiangsu | |
| Nanjing Maternal and Child Health Care Hospital | Recruiting |
| Nanjing, Jiangsu, China, 210004 | |
| Contact: YuZhu Peng, MD 86-25-84460777 ext 1508 pyz1131@hotmail.com | |
| Contact: XiRong Guo, MD 86-25-84460777 ext 1508 xrguonjmueducn@yahoo.com.cn | |
| Sub-Investigator: YuSheng Liu, MD | |
| Study Director: | XiaoFeng Shen, MD | Nanjing Medical University |
More Information
No publications provided
| Responsible Party: | XiaoFeng Shen, Nanjing Medical University |
| ClinicalTrials.gov Identifier: | NCT00872313 History of Changes |
| Other Study ID Numbers: | NMU-200903-MZ003, NJFY09102M107 |
| Study First Received: | March 30, 2009 |
| Last Updated: | July 26, 2011 |
| Health Authority: | China: Ethics Committee |
Keywords provided by Nanjing Medical University:
|
Labor Psychology Postpartum Psychology |
Additional relevant MeSH terms:
|
Mental Disorders Psychotic Disorders Schizophrenia and Disorders with Psychotic Features |
ClinicalTrials.gov processed this record on May 16, 2013