Physical and Mental Health Among Sexual and Gender Minorities During Pregnancy, Birth and Postpartum

NCT05354284 | Active Not Recruiting

• 1 other identifier: Reg.nr 2017-499-31
• Study Type: observational
• Target: 200
• Locations: 1 country
• Sites: 1

Brief Summary

Mental illness increases the risk of adverse birth outcomes (e.g. preterm birth), obstetric complications (e.g. emergency caesarean, birth injuries), and birth trauma. Sexual and gender minority (SGM) people on average experience increased mental illness. Therefore these risks are increased, with risk of prolonged ill health. Despite this, research in this area is scanty. The present project will provide important knowledge for improving the reproductive health of SGM people. The overall purpose of the project is to increase knowledge about physical and mental health (including fear of childbirth) during pregnancy and postpartum in SGM people. The project has the following aims: PART I 2017 - 2021Pilotstudy

1. 1.To study fear of childbirth (FOC) among SGM people in Sweden; prevalence and factors associated to FOC
2. 2.To investigate reasons to and consequences of FOC in SGM people
3. 3.To explore whether SGM people in Sweden have an increased incidence of mental illness during and after pregnancy, adverse birth outcomes, obstetric complications and birth trauma.
4. 4.To explore how pre- and postnatal mental health, minority stress, and fear of childbirth correlate to birth outcomes, birth experience, and obstetric complications in SGM people. This is important for identifying specific risk factors for difficult births, and to explore postpartum health effects.
5. 5.To explore in-depth how SGM people have experienced adverse birth outcomes, obstetric complications, and birth trauma, with a specific focus on minority stress and experiences of care during and after pregnancy and childbirth.

Conditions

Sexual and Gender Minorities; Pregnancy Complications; Obstetric Complication; Psychological Trauma

Keywords

Obstetrical complications; Traumatic birth; Mental and physical health; Pregnancy; Birth; Postpartum

Outcome Measures

Primary Outcomes (5)

• BIrth experience

  Childbirth Experience Questionnaire (1-4 high levels more positive rating)

  3 moths postpartum

• Obstetrical complications

  Self report questionnaire

  3 moths postpartum

• Mental illness

  Qualitative interviews

  3 moths postpartum

• Obstetrical complications

  Qualitative interviews

  3 months postpartum

• Fear of child birth

  Wijma Delivery expectancy / experience questionnaire (min 0-max 165. the higher the more severe fear of childbirth)

  At inclusion

Secondary Outcomes (5)

• Depression

  At inclusion, 3 months after birth and 1 year after birth

• Anxiety

  At inclusion, 3 moths after birth and 1 year after birth

• Traumatic Birth

  3 moths after birth

• Life quality

  At inclusion and 1 year after birth

• Posttraumatic stress

  At inclusion, 3 moths after birth and 1 year after birth

Study Arms (1)

Sexual gender minority people

People self defining Lesbian, Bi-sexual, Transgender, Quer or other are recruited and asked to fill in a questionnaire during pregnancy, three months postpartum and one year later.

Other: online questionnaire

Interventions

online questionnaire OTHER

Questionnaire at three timepoints

Sexual gender minority people

Eligibility Criteria

• Age: 18 Years+
• Gender Eligibility Details: All
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Probability Sample

Study Population

Pregnant LBTQ people

You may qualify if:

• Self defined LBTQ persons

You may not qualify if:

• age under 18, not able to read Swedish

Sponsors & Collaborators

• Linkoeping University: lead

Study Sites (1)

Linköping University

Linköping, Sweden

Location

MeSH Terms

Conditions

Coitus; Pregnancy Complications; Psychological Trauma; Birth Injuries

Condition Hierarchy (Ancestors)

Sexual Behavior; Behavior; Female Urogenital Diseases and Pregnancy Complications; Urogenital Diseases; Stress Disorders, Traumatic; Trauma and Stressor Related Disorders; Mental Disorders; Infant, Newborn, Diseases; Congenital, Hereditary, and Neonatal Diseases and Abnormalities; Wounds and Injuries

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Target Duration: 2 Years
• Sponsor Type: OTHER GOV
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Associated professor

Study Record Dates

• First Submitted: February 2, 2022
• First Posted: April 29, 2022
• Study Start: October 1, 2021
• Primary Completion (Estimated): December 1, 2026
• Study Completion (Estimated): December 1, 2026
• Last Updated: April 29, 2022

Record last verified: 2022-04

Data Sharing

• IPD Sharing: Will not share

Locations

SE (1)