Infant Death, Pregnancy Loss
Conditions
Brief summary
Infant mortality is still relevant despite the improvement and the accessibility of hospital care. Premature birth are two fold higher than in metropolitan France. Some factors has been suspected such as precariousness, alcoholism, congenital malformation, care accessibility, epidemic environment ... Nevertheless, the impact of these factors on foetal death or new-born death are not yet sufficiently quantified to provide appropriate care and prevention action in Reunion Island.
Detailed description
Through the analysis of interview of the mothers that have lost their infant during pregnancy or just after birth, the study aims to draw a picture of the pregnancy cares offer and pregnancy conditions in Reunion Island. This study is an non interventional case-control study. Socio-economic conditions, pregnancy care and prevention are screened to identified the major cause of foetal or new-born death in Reunion Island. These data are still lacking and will be useful to identify which public health actions that should be organized.
Interventions
OTHERFoetal death
A midwife is in charge to interview the mother during the month following the lost of her infant.
OTHERNew-born death
A midwife is in charge to interview the mother during the month following the lost of her infant.
OTHERBirth control for foetal death
A midwife is in charge to interview the mother during her hospital stay
OTHERBirth control for new-born death
A midwife is in charge to interview the mother during her hospital stay
Sponsors
Centre Hospitalier Universitaire de la Réunion
Study design
Observational model
OTHER
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
FEMALE
Age
16 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Case: foetal death (foetus weighing more than 500 g or more than 22-amenorrhea weeks old) or new-born death (premature: more than 23-amenorrhea weeks old or mature) * Control: premature (more than 23-amenorrhea weeks old) or mature new-born, alive when the leave the hospital
Exclusion criteria
* medical abortion * second pregnancy during the study period * case under forensic expertise
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Rate of suboptimal care | within 4 weeks after birth (control) or lost (case) | The main suboptimal care are searched: * lack or inefficient corticotherapy during pregnancy * infant birth in an under equipped hospital, without facilities for premature birth * prenatal diagnosis of serious congenital malformations involving specific care at birth * lack of B-streptococcus detection * unexpected caesarean section during delivery * unexpected dystocia |
Countries
Reunion
Outcome results
None listed