[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100639928":3},{"organization":4,"armGroups":7,"interventions":20,"overallOfficials":31,"centralContacts":38,"locations":26,"responsibleParty":48,"collaborators":26,"id":52,"slug":53,"hasResults":54,"nctId":55,"briefTitle":56,"officialTitle":57,"acronym":58,"eligibilityCriteria":59,"healthyVolunteers":54,"sex":60,"minAge":61,"maxAge":26,"enrollmentInfo":62,"targetDuration":26,"studyType":65,"phases":66,"briefSummary":68,"conditions":69,"keywords":74,"overallStatus":81,"whyStopped":26,"lastUpdateSubmitDate":82,"lastUpdatePostDateStruct":83,"startDateStruct":86,"completionDateStruct":88,"leadSponsor":90,"locationsCount":26},{"fullName":5,"class":6},"Parc de Salut Mar","OTHER",[8,14],{"label":9,"type":10,"description":11,"interventionNames":12},"Postnatal Debriefing","EXPERIMENTAL","Participants receive a structured postnatal debriefing session conducted within the first 24 hours postpartum by a senior obstetrician together with the midwife responsible for the woman's care. The session includes emotional assessment, active listening, clinical explanation of the obstetric event, validation of emotions, and opportunity for questions",[13],"Behavioral: Structured Postnatal Debriefing",{"label":15,"type":16,"description":17,"interventionNames":18},"Usual Postpartum Care","ACTIVE_COMPARATOR","Participants receive standard postpartum care, which may include a non-structured clinical explanation of events according to routine practice.",[19],"Other: Usual Care",[21,27],{"type":22,"name":23,"description":24,"armGroupLabels":25,"otherNames":26},"BEHAVIORAL","Structured Postnatal Debriefing","A structured postnatal debriefing session conducted within the first 24 hours postpartum by a senior obstetrician and the midwife responsible for the woman's care. The session takes place in the maternity ward room, in a private and supportive environment, and may include a companion chosen by the woman if she wishes. The intervention includes a structured clinical explanation of events, emotional validation, and an opportunity for the woman to ask questions and express her experience.",[9],null,{"type":6,"name":28,"description":29,"armGroupLabels":30,"otherNames":26},"Usual Care","Participants receive routine postpartum care according to standard clinical practice. This may include routine clinical follow-up and non-structured explanations regarding the obstetric event when considered necessary by healthcare professionals.",[15],[32,35],{"name":33,"affiliation":5,"role":34},"Azucena Justicia Diaz, PhD, RN","STUDY_DIRECTOR",{"name":36,"affiliation":37,"role":34},"Ramon Escuriet Peiro","Health Department in Catalonia, Spain",[39,44],{"name":40,"role":41,"phone":42,"phoneExt":26,"email":43},"Laura Martínez Verdú, RN, MSc","CONTACT","+34696591393","lmartinezverdu@hmar.cat",{"name":45,"role":41,"phone":46,"phoneExt":26,"email":47},"Elena Ferriols Pérez, MD, PhD","+34605588984","eferriols@hmar.cat",{"type":49,"investigatorFullName":50,"investigatorTitle":51,"investigatorAffiliation":5,"oldNameTitle":26,"oldOrganization":26},"PRINCIPAL_INVESTIGATOR","Laura Martínez Verdú","Principal Investigator","100639928","postnatal-debriefing-after-adverse-obstetric-events-100639928",false,"NCT07579273","Postnatal Debriefing After Adverse Obstetric Events","Effect of a Structured Postnatal Debriefing on Psychological Outcomes and Birth Experience in Women After Adverse or Unexpected Obstetric Events","DBIRTH","Inclusion Criteria:\n\n* Women aged 18 years or older.\n* Women who have experienced an adverse or unexpected obstetric event during labor or the immediate postpartum period.\n* Admitted to the maternity unit of Hospital del Mar and clinically stable within the first 24 hours postpartum.\n* Able to understand and communicate in Spanish, Catalan, or English.\n* Willing to participate and able to provide written informed consent.\n* Access to an email account for follow-up assessments.\n\nExclusion Criteria:\n\n* Inability to communicate verbally.\n* Maternal-neonatal separation due to social reasons.\n* Unstable or severe psychiatric condition.\n* Immediate perinatal loss (intrapartum fetal death or early neonatal death).\n* Admission to intensive care within the first 24 hours postpartum.","FEMALE","18 Years",{"count":63,"type":64},142,"ESTIMATED","INTERVENTIONAL",[67],"NA","Adverse or unexpected obstetric events can negatively affect women's psychological well-being and childbirth experience, increasing the risk of postpartum traumatic stress. However, structured postnatal debriefing is not routinely implemented in clinical practice, and evidence regarding its effectiveness remains limited.\n\nThis study aims to evaluate the effect of a structured postnatal debriefing conducted within the first 24 hours after childbirth in women who have experienced an adverse or unexpected obstetric event.\n\nThis quasi-experimental pretest-posttest study will include two consecutive groups: a control group receiving usual postpartum care during the pre-implementation phase and an intervention group receiving structured postnatal debriefing during the implementation phase.\n\nThe primary outcome is childbirth-related trauma at 6 weeks postpartum. Secondary outcomes include birth satisfaction, early post-traumatic stress symptoms, satisfaction with information and emotional support received after childbirth, and clinical maternal and neonatal outcomes.\n\nThis study will provide evidence on whether structured postnatal debriefing improves psychological outcomes and contributes to more patient-centered obstetric care.",[70,71,72,73],"Stress Disorders, Post-Traumatic","Psychological Trauma","Obstetric Labor Complications","Postpartum Period",[75,76,77,9,78,79,80],"Traumatic Birth","Birth Experience","Postpartum PTSD","Obstetric Debriefing","Patient-Centered Care","Maternal Mental Health","NOT_YET_RECRUITING","2026-06-22",{"date":84,"type":85},"2026-06-25","ACTUAL",{"date":87,"type":64},"2026-10",{"date":89,"type":64},"2029-01",{"name":5,"class":6}]