Clinical trial NCT04574986: Description of the Psychiatric Care Pathway of Pregnant Women After the Early Prenatal Interview
Official title: Early Prenatal Interview : Throwback to the Hospital of Montpellier's Experience and Description of the Psychiatric Care Pathway of Pregnant Women.
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Psychiatric Disorder
Keywords: Orientation to a psychiatric follow-up after EPP
Early Prenatal Interview
Psychiatric disorder during pregnancy
Lead sponsor: University Hospital, Montpellier
Sponsor class: OTHER
First posted: 2020-10-05
Enrollment: 1000
Sex: FEMALE
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Observational model: CASE_ONLY
Time perspective: RETROSPECTIVE
Sampling method: NON_PROBABILITY_SAMPLE
Study population: Pregnant women who had an EPP at Montpellier's hospital between March 2019 and March 2020.

Brief summary: Pregnancy and postpartum are recognized as periods of psychic fragility. However, the psychiatric disorders of women that can emerge during these periods are underdiagnosed and have consequences in particular on the development of the child, his relationship with his parents.

The need for an early diagnosis to allow appropriate treatment seems to be essential.

The pregnancy monitoring is centered on the somatic and little on psychological evaluation of the mother and the father.

In this context, the Early Prenatal Interview (EPP) was created through the perinatal plan of 2005-2007 in order to allow a more precise research of the factors of vulnerabilities likely to be predictive of a somatic, psychological or social disorder.

However, until now, only few pregnant women benefited of this interview. In May 2020, EPP became mandatory for all pregnant women. It now seems important to clearly identify the place, function, organization and usefulness of this interview in order to maximize its benefit in the monitoring of pregnancy

Detailed description: First, the investigators will describe the care pathway for pregnant women who have benefited of an early prenatal interview (EPP) between March 2019 and March 2020, namely continued classic follow-up or referral to a child psychiatrist / psychiatrist.

Then, the investigators will define two subgroups within the women oriented towards psychiatric follow-up: those who had this follow-up and those who did not.

Then, the investigators will identify the factors of failure of this referral to psychiatric follow-up and describe the eventual difficulties encountered by the lack of this follow-up.

Finally, the investigators will try to study these observations made with the perspective of maximizing the benefit of the Early Prenatal Interview in the monitoring of pregnancy.

Eligibility criteria: Inclusion criteria:

* No opposition from women to participate in the study
* Women over 18
* Women who had an EPP at Montpellier University Hospital between March 2019 and March 2020

Exclusion criteria:

- age \< 18 years

Primary outcomes:
measure: Percentage of pregnant women who have been oriented to a psychiatric follow-up after EPP.
timeFrame: 1 day
Secondary outcomes:
measure: Description of the psychiatric care path after Early Prenatal Interview
timeFrame: 1 day
measure: Identification of potential factors of failure.
timeFrame: 1 day
measure: Number of Participants with difficulties caused by the lack of follow-up
timeFrame: 1 day
Other outcomes:
Locations:
city: Montpellier
country: France
facility: Uhmontpellier
Study officials:
affiliation: University Hospital, Montpellier
name: Pauline AVIT, resident
role: PRINCIPAL_INVESTIGATOR
References: