Maternal-Fetal Relations
Conditions
Keywords
maternal-fetal transfer, care organization, patient pathway, maternity hospital
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.
Interventions
PROCEDUREMaternal-fetal transfers
Prospective and consecutive inclusion of all maternal-fetal transfers during the study period. The teams at the sending and receiving maternity units will complete study-related questionnaires to describe the conditions of the transfer and the outcome of the pregnancy. The study in no way alters the way parturients are cared for.
Sponsors
Centre Hospitalier Régional Metz-Thionville
Study design
Observational model
COHORT
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
FEMALE
Age
18 Years to No maximum
Healthy volunteers
No
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
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| The percentage of "avoidable" maternal-foetal transfer (MFT) | after delivery, up to 6 weeks after the maternal-foetal transfer | The main evaluation criterion is "avoidable" maternal-foetal transfer (MFT), i.e. resulting in a delivery that met the acceptance criteria of the original maternity hospital |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Obstetrical indication for maternal-foetal transfer (MFT) | Up to 48 hours after the maternal-foetal transfer | as documented in the patient file |
| Organizational arrangements for maternal-foetal transfer | Up to 6 months after inclusion of a maternity unit in the study | Organizational arrangements for maternal-foetal transfer in the various centers, assessed by a specific questionnaire sent to maternity units. |
Countries
France
Contacts
PRINCIPAL_INVESTIGATORLaetitia HONORE-ROUGE, MD
CHR Metz Thionville Hopital Femme Mère Enfant
Outcome results
None listed