Antenatal Palliative Care

Study Overview
=================
Brief Summary
-----------------
In France, according to current legislation, termination of pregnancy could be performed without any upper gestational age limit, if there is a strong probability that the fetus will be affected by a particularly severe and incurable disease. When there is a lethal fetal diagnosis most of parents wish to terminate their pregnancy. However, and despite some medical resistance a few of them do wish to continue pregnancy. In these situations, palliative care seems to be a good way to prepare to welcome the child and surround him until death. The aim of the study is to describe parents' experience for a better understanding and a better care.

Official Title
-----------------
Lethal Fetal Abnormality : the Experience of Pregnancy by Parents Who Have Chosen to Carry to Term With Palliative Care.

Conditions
-----------------
Fetal Death, Fetal Anomaly

Intervention / Treatment
-----------------
* Behavioral: Semi-structured interviews


Participation Criteria
=================
Eligibility Criteria
-----------------
Inclusion Criteria: The woman must be between the ages of 18 and 50 and the adult, Participants must have received the information and not have objected to participating in the study, the lethal / adverse short-term prognosis of the fetal pathology must have been confirmed by a committee of experts (CPDPN), The choice to continue the pregnancy should have been clearly expressed, The birth of the child should not be older than 24 months. The child's death must be more than 6 months old (or not have occurred) Exclusion Criteria: Non-mastery of the French language, Measure of legal protection of one of the members of the couple (guardianship, trusteeship, ...), Severe psychiatric or neurological disorders inducing significant cognitive impairment.

Ages Eligible for Study
-----------------
Minimum Age: 18 Years

Sexes Eligible for Study
-----------------
All

Accepts Healthy Volunteers
-----------------
Accepts Healthy Volunteers

Study Plan
=================
How is the study designed?
-----------------

Arms and Interventions

| Intervention/Treatment |
| --- |
|Behavioral: Semi-structured interviews|The purpose of this study is to describe the experience of pregnancy by parents who have chosen to carry to term despite a lethal fetal diagnosis. Therefore, semi-structured interviews will be conducted to explore the links between context, feeling, involvement, decision and actions during pregnancy, whether within the couple or in its environment.|

What is the study measuring?
-----------------
Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Description of the pregnancy by parents who have chosen to carry to term despite a lethal fetal diagnosis | The purpose of this study is to describe the experience of pregnancy by parents who have chosen to carry to term despite a lethal fetal diagnosis. Therefore, semi-structured interviews will be conducted to explore the links between context, feeling, involvement, decision and actions during pregnancy, whether within the couple or in its environment. | About 1 hour and 30 minutes |