RecruitingNot ApplicableNCT07195058

Trauma-informed Obstetric Care for Perinatal Health: a Pilot Study

Trauma-informed Obstetric Care for Perinatal Health in Women With Histories of Childhood Abuse: a Pilot Randomized Clinical Trial


Sponsor

Columbia University

Enrollment

60 participants

Start Date

May 23, 2025

Study Type

INTERVENTIONAL

Conditions

Summary

The study will test trauma-informed obstetric care training and supervision for obstetric clinicians in relation to prenatal mental health and attachment formation (early predictors of child development) in women presenting for prenatal care in a public hospital in Buenos Aires, Argentina.


Eligibility

Sex: FEMALEMin Age: 18 YearsMax Age: 45 Years

Inclusion Criteria5

  • Women who are \<19 weeks pregnant
  • Nulliparous (no previous live births)
  • or more years of age
  • Carrying a single fetus
  • Can speak Spanish

Exclusion Criteria2

  • Any current psychiatric diagnosis or treatment
  • Medical complications (hypertension, cardiac disease, diabetes, chronic disease, autoimmune disease) before pregnancy

Interventions

BEHAVIORALTrauma Informed Obstetric Care (TIOC)

TIOC providers will receive a training that was developed for this study. Elements of trauma-informed care described in the literature -combined with the experience of the study team, with deep expertise in trauma-informed obstetric care, were used to create three training modules, each of which includes didactics and role-plays to help participants practice and embody skills they learn. The three modules are: 1. Effects of trauma on physiological and psychological process relevant to pregnancy and childbirth. 2. Body language and verbal language for safety, respect, and patient agency 3. Recognizing and responding to distress and dissociation


Locations(1)

Hospital Materno Infantil Ramon Sardá

Buenos Aires, Buenos Aires F.D., Argentina

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NCT07195058


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