Obstetrical Outcomes for Planned Deliveries in a French Birth Center

Study Overview
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Brief Summary
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The main objective of this work is to study the obstetrical and neonatal outcomes of women who planned to deliver in the birth centre of Nancy. The birth centre of Nancy is one of the nine french birth centres opened since 2015 on an experimental basis. The women who plan to deliver at the birth centre must meet several conditions according to their medical history, pregnancy follow-up, and delivery progress. The women can be transferred before, during or after (pre-, per- or post-) delivery to the hospital.

Official Title
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Obstetrical Outcomes for Planned Deliveries in a French Birth Center

Conditions
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Delivery Complication

Intervention / Treatment
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* Other: delivery


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: women who want to deliver at the birth center Un nid pour naître Exclusion Criteria: Refusal to participate in the study.

Ages Eligible for Study
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Minimum Age: 19 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 |
| --- | --- |
| Women who planned to deliver at the brith center un nid pour naître<br>Women who planned to deliver at the brith center un nid pour naître | Other: delivery<br>* delivery<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Comparison of the cesarean birth rate of women who planned to deliver in the birth centre according to the final place of labor (hospital or birth centre). | rate of cesarean section | 4 years | 
| Comparison of the instrumental birth rate of women who planned to deliver in the birth centre according to the final place of labor (hospital or birth centre). | rate of instrumental birth (vacuum or forceps delivery) | 4 years | 
| Comparison of the post-partum haemorrhage rate of women who planned to deliver in the birth centre according to the final place of labor (hospital or birth centre). | rate of post-partum haemorrhage define by blood loss >= 500 cc | 4 years | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Comparison of the antepartum or peripartum stillbirth rate of women who planned to deliver in the birth center according to the final place of labor (hospital or birth centre). |  | 4 years | 
| Comparison of the hypoxemic encephalopathy rate of women who planned to deliver in the birth center according to the final place of labor (hospital or birth centre). |  | 4 years | 
| Comparison of the five-minute Apgar score of babies from women who planned to deliver in the birth centre according to the final place of labor (hospital or birth centre). | Apgar score is a score that records the physical condition of a baby just after it is born, with ten points being the highest possible score and zero point the lowest. | 4 years | 
| Comparison of the umbilical artery blood pH score of babies from women who planned to deliver in the birth centre according to the final place of labor (hospital or birth centre). |  | 4 years |