Clinical trial NCT05774353: Patients' Choice of Health Care Provider for Monitoring Their Pregnancy
Official title: Patients' Choice of Health Care Provider for Monitoring Their Pregnancy
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Pregnancy Related
Keywords: Pregnancy
Pregnancy monitoring
Healthcare professional
Lead sponsor: Hôpital NOVO
Sponsor class: OTHER
First posted: 2023-03-17
Enrollment: 400
Sex: FEMALE
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: NA
Intervention model: SINGLE_GROUP
Primary purpose: OTHER

Brief summary: The aim of this study is to understand and interpret the determinants that lead pregnant women to refer more to a health professional in order to better meet the patient's request.

Detailed description: Pregnancy is a natural phenomenon that occurs without complication in the majority of pregnant women. Pregnancy monitoring is necessary to detect possible complications and improve the comfort and experience of all pregnant women. For several years now, pregnant women have wanted to benefit from pregnancy monitoring as well as a less medical and physiological delivery according to the perinatal plan 2005-2007.

Perinatal plans have been implemented and evaluated for over 30 years. Progress has been made in terms of obstetrical and perinatal safety. The latest plan advocates a "humanisation of birth" which leaves more room for the parents' wishes. Pregnancy monitoring is currently carried out by doctors or midwives as part of seven compulsory prenatal examinations. This medical follow-up is completed by a preparation for birth with group classes, based on these general and obstetrical assessments.

After declaring their pregnancy, women can consult various health professionals to monitor their pregnancy. The aim of this study is to understand and interpret the determinants that lead pregnant women to be more oriented towards one health professional or another. Each determinant will be analysed and quantified in order to better respond to patient demand. The investigator chose to interview women who had just given birth and not pregnant women because the health professional may change during the course of the pregnancy, and the investigator assumes that the women will have more perspective on their experience and their choice once they have given birth.

Eligibility criteria: Inclusion Criteria :

* Woman in post-natal care at the NOVO hospital - Pontoise site
* Women aged 18 and over

Exclusion Criteria :

* Women who do not speak or understand French language (written and oral)
* Woman under legal protection (guardianship, curatorship...)
* Refusal to participate

Primary outcomes:
measure: Determine which healthcare professional would be preferred by women who have just given birth, for the follow-up of their next possible pregnancy.
timeFrame: At the end of the study, an average of 6 month
Secondary outcomes:
measure: Assessment of the influence of the presence or absence of risk factors on the choice of healthcare professional
timeFrame: At the end of the study, an average of 6 month
measure: Assessment of the influence of the acquaintance of the healthcare professional before pregnancy monitoring on the choice of healthcare professional
timeFrame: At the end of the study, an average of 6 month
measure: Assessment of the influence of the gender of the healthcare professional on the choice of healthcare professional
timeFrame: At the end of the study, an average of 6 month
measure: Assessment of the influence of the age of the healthcare professional on the choice of healthcare professional
timeFrame: At the end of the study, an average of 6 month
measure: Assessment of the influence of the availability of the healthcare professional on the choice of healthcare professional
timeFrame: At the end of the study, an average of 6 month
measure: Assessment of the influence of the reachability of the healthcare on the choice of healthcare professional
timeFrame: At the end of the study, an average of 6 month
measure: Assessment of the influence of the distance from physician's office to home (or work) on the choice of healthcare professional
timeFrame: At the end of the study, an average of 6 month
measure: Assessment of the influence of the price of the consultation of the healthcare professional on the choice of healthcare professional
timeFrame: At the end of the study, an average of 6 month
measure: Assessment of the influence of time spent with the healthcare professional on the choice of healthcare professional
timeFrame: At the end of the study, an average of 6 month
measure: Assessment of the influence of the healthcare professional's skills on the choice of healthcare professional
timeFrame: At the end of the study, an average of 6 month
measure: Assessment of the influence of the ultrasound practice in the physician's office on the choice of healthcare professional
timeFrame: At the end of the study, an average of 6 month
measure: Assessment of the influence of the possibility of following the child after birth on the choice of healthcare professional
timeFrame: At the end of the study, an average of 6 month
measure: Assessment of the influence of the setting of the physician's office on the choice of healthcare professional
timeFrame: At the end of the study, an average of 6 month
measure: Assessment of the influence of the follow-up with the attending physician on the choice of healthcare professional
timeFrame: At the end of the study, an average of 6 month
Other outcomes:
Locations:
city: Pontoise
country: France
facility: Gynaecology and obstetrics department - Hospital NOVO - Pontoise site
Study officials:
affiliation: Hospital NOVO - Pontoise site
name: Pr Christophe Poncelet
role: PRINCIPAL_INVESTIGATOR
References: