Clinical trial NCT06480916: Study of the Value of Maternal-fetal Transfers and Their Complexity of Their Implementation
Official title: Study of the Value of Maternal-fetal Transfers and Their Complexity of Their Implementation
Study type: OBSERVATIONAL
Overall status: RECRUITING
Conditions: Maternal-Fetal Relations
Keywords: maternal-fetal transfer
care organization
patient pathway
maternity hospital
Lead sponsor: Centre Hospitalier Régional Metz-Thionville
Sponsor class: OTHER
First posted: 2024-06-28
Enrollment: 500
Sex: FEMALE
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Observational model: COHORT
Time perspective: RETROSPECTIVE
Sampling method: NON_PROBABILITY_SAMPLE
Study population: Maternal-fetal transfers (MFTs) for threatened premature delivery

Brief summary: It is an observational, descriptive, prospective, multicenter study of 8 maternity units in Lorraine and Champagne-Ardenne, aimed at comparing the percentage of "avoidable" maternal-fetal transfers (MFTs), defined as transfers in which the delivery finally meets the acceptance criteria of the sending maternity unit, according to the obstetrical indications for these MFTs.

Detailed description: Over the past year, an audit carried out on the Mercy maternity unit, covering 130 transfers to the Nancy regional maternity hospital, showed that patients transferred for threat of premature delivery (MAP) with a cervix \> 15 mm do not give birth at the receiving maternity unit, but return home after 48 hours' hospitalization.

When maternal-fetal transfer (MFT) is requested, numerous calls are made to private ambulance services, and in the end, many emergency rapid response units (SMUR) are called out, requiring a major human, logistical and time investment for a questionable benefit to the patient. Tensions in terms of logistics (lack of ambulance, SMUR) and human resources (lack of personnel) can, conversely, compromise good care of the parturient.

Eligibility criteria: Inclusion Criteria:

* Pregnant woman cared for in a participating maternity unit
* Over 18 years of age
* Requested for maternal-fetal transfer (finally performed, or not)

Exclusion Criteria:

* missing data on transfer outcome

Primary outcomes:
measure: The percentage of "avoidable" maternal-foetal transfer (MFT)
timeFrame: after delivery, up to 6 weeks after the maternal-foetal transfer
Secondary outcomes:
measure: Obstetrical indication for maternal-foetal transfer (MFT)
timeFrame: Up to 48 hours after the maternal-foetal transfer
measure: Organizational arrangements for maternal-foetal transfer
timeFrame: Up to 6 months after inclusion of a maternity unit in the study
Other outcomes:
Locations:
city: Briey
country: France
facility: Hopital Maillot
city: Châlons-en-Champagne
country: France
facility: Maternité CH Léon Bourgeois
city: Metz
country: France
facility: CHR Metz Thionville Hopital Femme Mère Enfant
city: Romilly-sur-Seine
country: France
facility: Maternité - Hôpital Maurice Camuset
city: Saint-Avold
country: France
facility: Clinique Saint Nabor
city: Saint-Dizier
country: France
facility: Matérnité Saint Dizier
city: Thionville
country: France
facility: CHR Metz-Thionville Hopital Bel Air
city: Verdun
country: France
facility: Hopital Saint Nicolas
Study officials:
affiliation: CHR Metz Thionville Hopital Femme Mère Enfant
name: Laetitia HONORE-ROUGE, MD
role: PRINCIPAL_INVESTIGATOR
References: