Outpatient Birth
Conditions
Brief summary
The diminution of the average length stay (ALS) in French maternity is a clear evolution, the objective of the draft law on social security is to reduce the ALS to equal other OECD countries. The over-medicalization of maternal health raises the question of relevant and iatrogeny of Professional practices. Furthermore, pregnant woman, future parents expressed their wish for an individual support and more physiological respectful. A more-effective Professional coordination is expected where the midwife is a major player.
Detailed description
The aim of the study is to identify and evaluate an outpatient birth path during the first 24 hours after the birth.
Interventions
OTHEROutpatient birth
Maternity out the same date or the next day of the birth and home-based follow up with a liberal midwife
Sponsors
Centre Hospitalier Régional Metz-Thionville
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Eligibility
Sex/Gender
FEMALE
Age
18 Years to 35 Years
Healthy volunteers
No
Inclusion criteria
* With no multiple pregnancy, of less than 20 weeks of gestation * With a BMI between 17,5 and 35 kg/m² * is able to understand research's informations * affiliated member of the social security system * Have given an informed consent
Exclusion criteria
* With psychological vulnerability, social vulnerability, addictions and high dependency * With an unbalanced chronic pathology or susceptible to contraindicated a physiologic birth * With history of caesarean, foeto-maternal incompatibility, gestational hypertension, pre-eclampsia, HELLP syndrome or retro-placental hematoma, sphincter tear * With history of birth with perinatal asphyxia and sequelae or an unexplained perinatal death * With history of puerperal psychosis * Under guardianship
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Output rate | Day 1 | Output rate within 24 hours of birth |
Countries
France
Outcome results
None listed