ISRCTN ISRCTN24648614
DOI https://doi.org/10.1186/ISRCTN24648614
Protocol serial number HS330
Sponsor National Health and Medical Research Council
Funder National Health and Medical Research Council
Submission date
04/11/2005
Registration date
09/11/2005
Last edited
02/11/2022
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Mental and Behavioural Disorders
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Not provided at time of registration

Contact information

Dr Rhonda Small
Scientific

Mother & Child Health Research
La Trobe University
251 Faraday Street
Carlton
3053
Australia

Phone +61 (0)3 8341 8542
Email r.small@latrobe.edu.au

Study information

Primary study designInterventional
Study designRandomised controlled trial with off-site telephone randomisation determined by computer generated, adaptive biased coin randomisation schedules for each research midwife.
Secondary study designRandomised controlled trial
Scientific titleMidwife-led debriefing after operative birth
Study objectivesThe provision of a midwife-led debriefing session to women after an operative birth will reduce maternal depression at six months postpartum.
Ethics approval(s)Ethics approval received from La Trobe University Human Ethics Committee (ref: P1995/39).
Health condition(s) or problem(s) studiedMaternal depression
InterventionThe intervention was a debriefing session for women with a research midwife during their postnatal stay. The key elements of the session involved:
1. Identifying emotional responses
2. Encouraging their expression and legitimising them
3. Provision of active listening
4. Reflection
5. Encouragement of the expression of women’s experiences
6. Acceptance of distress, anger and pain
7. Naming and normalising the experience
8. Avoidance of offering ‘solutions’

Women in both arms of the trial received a pamphlet on sources of assistance for mothers on discharge from hospital after an operative birth.
Intervention typeOther
Primary outcome measure(s)

Prevalence of maternal depression at six months postpartum measured by the Edinburgh Postnatal Depression Scale and overall maternal health status measured by the 36-item short form (SF-36) health status measure.

Key secondary outcome measure(s)

1. Satisfaction with care
2. Experience of the birth
3. Maternal health problems
4. For women participating in debriefing, their opinion about its helpfulness

Completion date30/10/1998

Eligibility

Participant type(s)Patient
Age groupAdult
SexFemale
Target sample size at registration1040
Key inclusion criteriaWomen giving birth by caesarean section, or with the assistance of forceps or vacuum extraction.
Key exclusion criteria1. Women who had stillbirths or babies weighing less than 1500 g
2. Women who were ill or whose babies were ill
3. Women whose private obstetricians had refused permission to approach them
4. Women who had insufficient English to participate
Date of first enrolment01/03/1996
Date of final enrolment30/10/1998

Locations

Countries of recruitment

  • Australia

Study participating centre

Mother & Child Health Research
Carlton
3053
Australia

Results and Publications

Individual participant data (IPD) Intention to shareNo
IPD sharing plan summary
IPD sharing planNot provided at time of registration

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article 28/10/2000 Yes No
Results article 01/03/2006 Yes No

Editorial Notes

02/11/2022: Internal review.
15/01/2020: Internal review.