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CTRI Number  CTRI/2024/09/073652 [Registered on: 09/09/2024] Trial Registered Prospectively
Last Modified On: 09/09/2024
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Cross Sectional Study 
Study Design  Other 
Public Title of Study   Effect of stress during pregnancy on mode of delivery, birth weight and gestational age of newborn babies 
Scientific Title of Study   Effect of maternal stress on mode of delivery and birth outcomes of newborns an observational study 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Malayaka Khah 
Designation  Student 
Affiliation  Maharishi Markandeshwar Medical College and Hospital, Kumarhatti, Solan 
Address  Maharishi Markandeshwar University, Department of Orthopaedics, Physiotherapy department, Room number 510, Kuamrhatti, Solan

Solan
HIMACHAL PRADESH
173229
India 
Phone  8368934008  
Fax    
Email  malayakakhah@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr. Pooja Mehra 
Designation  Assistant Professor 
Affiliation  Maharishi Markandeshwar Medical College and Hospital, Kumarhatti, Solan 
Address  Maharishi Markandeshwar University, Department of Orthopaedics, Physiotherapy department, Room number 510, Kuamrhatti, Solan

Solan
HIMACHAL PRADESH
173229
India 
Phone  9896644741  
Fax    
Email  mehra.drpooja@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr. Pooja Mehra 
Designation  Assistant Professor 
Affiliation  Maharishi Markandeshwar Medical College and Hospital, Kumarhatti, Solan 
Address  Maharishi Markandeshwar University, Department of Orthopaedics, Physiotherapy department, Room number 510, Kuamrhatti, Solan


HIMACHAL PRADESH
173229
India 
Phone  9896644741  
Fax    
Email  mehra.drpooja@gmail.com  
 
Source of Monetary or Material Support  
Maharishi Markandeshwar Medical College and Hospital, Kumarhatti, Solan, 173229, India 
 
Primary Sponsor  
Name  Malayaka Khah 
Address  Maharishi Markandeshwar Medical College and Hospital, Kumarhatti, Solan 
Type of Sponsor  Other [Self] 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Pooja Mehra  Maharishi Markandeshwar University  Maharishi Markandeshwar University, Department of Obstetrics and Gynecology, Kuamrhatti, Solan
Solan
HIMACHAL PRADESH 
9896644741

mehra.drpooja@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethical Committee MM Medical College and Hospital  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: O998||Other specified diseases and conditions complicating pregnancy, childbirth and the puerperium,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  NIL  NIL 
Comparator Agent  NIL  NIL 
 
Inclusion Criteria  
Age From  20.00 Year(s)
Age To  35.00 Year(s)
Gender  Female 
Details  1. Mothers aged 20 to 35 years.
2. Pregnant women with singleton pregnancy.
3. Mode of delivery: Vaginal delivery (Spontaneous or Assisted), Caesarean Section (Elective or Emergency)
4. Fetal outcomes: Day 1 of delivery (Gestational age, Apgar score, Birth weight,
Complications during delivery).  
 
ExclusionCriteria 
Details  1. Pre-existing medical conditions.
2. Pregnancy complications.
3. Mental health conditions (if diagnosed).
4. Drug or Alcohol abuse during pregnancy.
5. Smoking during pregnancy.
6. Language barrier.  
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Percieved stress scale  baseline one time 
 
Secondary Outcome  
Outcome  TimePoints 
Birth weight
APGAR score
Gestational age 
One time 
 
Target Sample Size   Total Sample Size="174"
Sample Size from India="174" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   N/A 
Date of First Enrollment (India)   20/09/2024 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="0"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)   Not Yet Recruiting 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary   Women often experience certain events or situations during their pregnancies known as pregnancy-related stress. Numerous factors can promote stress during pregnancy, such as physical health issues like illness and discomfort, changes in lifestyle, insufficient social support, unintended pregnancies, low income, shifting roles, hormonal and physiological changes, and expectation of childbirth, and violence from partners before and after pregnancy. Pregnancy is a critical time for neurodevelopment of newborns; it is an exceptionally delicate time. Over this period, it has been found that several stress-related events in mothers can have long-term consequences on an infant’s behavior and brain development, which may have an effect on both mental and physical health. In previous studies, information is focused on postpartum stress and its effects on mother’s health and infant’s development. But this study focuses on maternal stress during/throughout the pregnancy. Studying the effect of maternal stress on mode of delivery and birth outcomes of newborns is crucial for several reasons as maternal stress can influence fetal development through physiological pathways, such as hormonal changes, which can impact the growth and development of the fetus. High maternal stress levels are associated with adverse birth outcomes, including preterm birth and low birth weight. Early life stress exposure can have long-term effects on a child’s health, including cognitive development, behaviour, and susceptibility to chronic diseases. Understanding these links can help in developing long term strategies for child health and development.  
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