Pregnancy
Conditions
Keywords
Couverture Maladie Universelle, Couverture Maladie Universelle-Complémentaire, free health care
Brief summary
This study aims to evaluate the impact of financial support on improving the management of prenatal care in pregnant women with low incomes. The judgment criterion is clinically pertinent: complications of pregnancy. This study also aims to evaluate attitudes to this approach through a qualitative survey. It is planned to include 4000 women distributed into two arms of 2000 each. One group will receive financial support (prepaid payment card credited for each consultation attended according to the scheduled follow-up as recommended by the Haute Autorité de Santé); the other group will not. The management of the pregnancy for both groups will not be modified.
Interventions
OTHERDelivery of a prepaid payment card
Delivery of a prepaid payment card credited according to consultations attended
For a sub-group of 40 womens
OTHERNo intervention
Sponsors
Centre Hospitalier Universitaire Dijon
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Masking
NONE
Eligibility
Sex/Gender
FEMALE
Age
18 Years to No maximum
Inclusion criteria
* Pregnant women * Age \> 18 years * 1st consultation before the 26th week of amenorrhea * Recipient of free health care (Couverture Maladie Universelle, Couverture Maladie Universelle-Complémentaire) * Who have provided written informed consent to take part in the study
Exclusion criteria
* Persons without national health insurance cover * Persons unable to understand the information on the study, despite the help of a translator or a person of trust if necessary * Persons under guardianship
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Occurence of complication(s) of pregnancy, wether maternal, fetal or neonatal | Participants will be followed for the duration of hospital stay and for a maximum of one month after the term date. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Neonatal morbidity, mortality and rate of transfer of the newborn to a neonatal care unit. | Participants will be followed for the duration of hospital stay and for a maximum of one month after the term date. | A composite outcome measure consisting of multiple measures: neonatal morbidity, mortality and rate of tranfer of the newborn to a neonatal care unit |
Other
| Measure | Time frame | Description |
|---|---|---|
| Maternal morbidity, mortality and rate of caesarean sections | Participants will be followed for the duration of hospital stay and for a maximum of one month after the term date. | A composite outcome measure consisting of multiple measures: maternal mobidity, mortality and rate og caesarean sections |
| Number of scheduled consultations attended in agreement with the minimal follow-up recommendations of the Haute Autorité de Santé | Participants will be followed for the duration of hospital stay and for a maximum of one month after the term date. | — |
| Interview with a sociologist to evaluate perception of the intervention and evaluation of its perceived impact in follow-up of the pregnancy | About 6 weeks after delivery | — |
| Differential cost-effectiveness ratio associated with the financial support compared with the absence of support and expressed in terms of cost per complication avoided | Participants will be followed for the duration of hospital stay and for a maximum of one month after the term date. | — |
Countries
France
Outcome results
None listed