NCT06896214

Brief Summary

This study was planned to evaluate the effect of standardised nursing care given to women with perinatal loss using the nursing process on perinatal grief, posttraumatic stress and postpartum depression. H01: There is no difference between pre-test, post-test and follow-up tests in terms of perinatal grief scale mean scores in the intervention group. H02: There is no difference between pre-test, post-test and follow-up tests in terms of IES-R mean scores in the intervention group. H03: There is no difference between pre-test, post-test and follow-up tests in terms of EPDS mean scores in the intervention group. H04: There is no difference between the pre-test post-test and follow-up tests in terms of the mean scores of the Complicated Grief Scale in the intervention group.

  • At the first encounter with women, the mean scores of PMI, IESR and EPDS will be evaluated.
  • The mean EPDS score will be evaluated on the 10th postpartum day, 1st, 3rd and 6th month.
  • The mean I-ESR scale score will be evaluated at postpartum 1st, 3rd and 6th month.
  • At postpartum 1st and 3rd month, the mean score of PMS will be evaluated.
  • At the postpartum 6th month, the mean score of the PBI scale will be evaluated.

Trial Health

35
At Risk

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Enrollment
58

participants targeted

Target at P25-P50 for not_applicable

Timeline
Completed

Started Apr 2025

Shorter than P25 for not_applicable

Status
not yet recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

February 14, 2025

Completed
1 month until next milestone

First Posted

Study publicly available on registry

March 26, 2025

Completed
20 days until next milestone

Study Start

First participant enrolled

April 15, 2025

Completed
3 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

June 30, 2025

Completed
6 months until next milestone

Study Completion

Last participant's last visit for all outcomes

December 30, 2025

Completed
Last Updated

March 26, 2025

Status Verified

March 1, 2025

Enrollment Period

3 months

First QC Date

February 14, 2025

Last Update Submit

March 19, 2025

Conditions

Keywords

perinatal grief, perinatal loss,Postpartum Depressionpost-traumatic stress disorder

Outcome Measures

Primary Outcomes (4)

  • Peritanal grief scale

    \- The mean PGS score will be evaluated at the 1st and 3rd postpartum months.

    at the 1st and 3rd postpartum months. The perinatal grief scale is scored between 32-160

  • Edinburgh Postpartum depression scale

    \- The mean EPDS score will be evaluated at postpartum day 10, 1, 3 and 6 months.

    Postpartum day 10, 1, 3 and 6 month. The Edinburgh Postpartum Depression Scale is scored between 0 and 30.

  • Impact of Events Scale-revised

    \- The mean IESR score will be evaluated at 1, 3 and 6 months.

    Postpartum 1, 3 and 6 months. The Impact of Events Scale is scored between 0 and 88.

  • Complicated grief scale

    At the 6th postpartum month, the mean score of the CGS will be evaluated.

    At the 6th postpartum month.The Complicated Grief Scale is scored between 0 and 55. As the score increases, the severity of grief increases.

Study Arms (2)

İntervention(Nursing care)

EXPERIMENTAL

After the women are discharged, tele-nursing care will be provided by evaluating them through a telephone application that allows online interviews. In this context, three interviews will be conducted on the second day, seventh day and 15th day after discharge. EPDS will be administered on the 10th day after discharge, EPDS, I-ESR, PMS will be administered at the 1st month, 3rd month, 6th month, and prolonged grief scale (PBS) will be administered only at the 6th month. The scales will be converted into an online questionnaire and sent to the participants and will be filled in.

Other: Standardised nursing care intervention

Control (Standard care)

NO INTERVENTION

Women in the control group will receive the standard care provided in the hospital. EPDS will be administered on the 10th day after discharge, EPDS, I-ESR, PMS at the 1st month, 3rd month, 6th month and prolonged grief scale (PBS) only at the 6th month. The scales will be converted into an online questionnaire and sent to the participants and will be filled in.

Interventions

Standardised nursing care intervention

İntervention(Nursing care)

Eligibility Criteria

Age18 Years - 50 Years
Sexfemale(Gender-based eligibility)
Gender Eligibility DetailsOnly women will be included in the study.
Healthy VolunteersNo
Age GroupsAdult (18-64)

You may qualify if:

  • Being married (according to the woman's declaration)
  • Not having an existing psychiatric illness (according to the woman's declaration)
  • Not having communication problems (knowing Turkish, being literate, not having vision, speech or hearing problems, etc.)
  • Spontaneous conception
  • Singleton pregnancy
  • No substance addiction

Contact the study team to confirm eligibility.

Sponsors & Collaborators

MeSH Terms

Conditions

Depression, PostpartumStress Disorders, Post-Traumatic

Condition Hierarchy (Ancestors)

Puerperal DisordersPregnancy ComplicationsFemale Urogenital Diseases and Pregnancy ComplicationsUrogenital DiseasesDepressive DisorderMood DisordersMental DisordersStress Disorders, TraumaticTrauma and Stressor Related Disorders

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
INVESTIGATOR, OUTCOMES ASSESSOR
Masking Details
In this study, two of the researchers will carry out the application and the other researchers will be blinded. However, participant blinding will not be possible.
Purpose
SUPPORTIVE CARE
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Dr.

Study Record Dates

First Submitted

February 14, 2025

First Posted

March 26, 2025

Study Start

April 15, 2025

Primary Completion

June 30, 2025

Study Completion

December 30, 2025

Last Updated

March 26, 2025

Record last verified: 2025-03

Data Sharing

IPD Sharing
Will share
Shared Documents
STUDY PROTOCOL