Social Deprivation and Pregnancy

Study Overview
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Brief Summary
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Social deprivation during pregnancy is associated to adverse perinatal outcomes. However, prenatal screening of social deprivation by reliable measurement is not performed. Prevalence of social deprivation is yet underestimated during pregnancy and vulnerable women are not being provided optimal prenatal care. Our aim is to validate EPICES score during pregnancy.

Detailed Description
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The process of deprivation was defined first by J. Wrezinski and P. Townsend who also reported that deprivation is the main cause of inequalities in health. Several studies have already shown an association between socioeconomic deprivation and adverse birth outcomes. EPICES score is the only one that measure individual deprivation. The EPICES score should be therefore included systematically in standard follow-up of pregnant women. Descriptive analysis will assess women's characteristics and prevalence of social deprivation. Two groups of women will be compared deprived women and non-deprived women. Association between EPICES score and the adverse perinatal outcomes will be assessed by quantile regression.

Official Title
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Social Deprivation and Pregnancy

Conditions
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Prematurity, Gestational Diabetes, High Blood Pressure, Fetal Growth Restriction

Intervention / Treatment
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* Other: Epices score


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: more than 18 years old delivery at 2 maternity hospitals of Clermont-Ferrand area fluent command of spoken and written French Exclusion Criteria: Terminations of pregnancy protected women

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| deprived women<br>Two groups of women will be compared deprived women and non-deprived women | Other: Epices score<br>* Association between EPICES score and the adverse perinatal outcomes will be assessed by quantile regression<br>|
| non-deprived women<br>Two groups of women will be compared deprived women and non-deprived women | Other: Epices score<br>* Association between EPICES score and the adverse perinatal outcomes will be assessed by quantile regression<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Epices score distribution | Association between EPICES score and the adverse perinatal outcomes will be assessed by quantile regression | at day 1 | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Adverse perinatal outcomes | Association between EPICES score and the adverse perinatal outcomes will be assessed by quantile regression | at day 1 | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Social deprivation, Adverse perinatal outcomes