Abortion, Psychosocial Health
Conditions
Brief summary
Abortion is a fundamental right for women in France, where the legal time limit was extended from 14 to 16 weeks' gestation. This extension allows women, whose psychosocial determinants are poorly known, and who face various obstacles (personal, administrative, medical, or other), to access abortion. However, it may also expose them to psychological troubles and difficulties in accessing healthcare. This study aims to identify the psychosocial determinants and disruptions in the primary care pathway associated with late abortions (≥14 weeks' gestation \[WG\]) in order to propose preventive actions, particularly regarding contraception, screening, and referral, directly applicable in general practice.
Interventions
BEHAVIORALHealth survey
It consists of a single anonymous questionnaire, to be completed once only, on a secure online platform, accessed using a QR code provided directly by the healthcare professional. The questionnaire consists of 39 main questions, predominantly with closed-ended response options. The average completion time is estimated between 10 and 20 minutes.
Sponsors
Centre Hospitalier Henri Duffaut - Avignon
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
OTHER
Masking
NONE
Eligibility
Sex/Gender
FEMALE
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Patient aged ≥ 18 years * Pregnancy ≥ 14 weeks' gestation * Patient attending Avignon Hospital for a surgical abortion * Willing to participate in the study
Exclusion criteria
* Medical abortion (non-surgical means of abortion) * Ectopic pregnancy * Inability to complete the questionnaire * Patients under legal protection measures (guardianship, curatorship, or court-ordered protection)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Describe the sociodemographic profile of patients undergoing late-term abortion at Avignon Hospital. | Inclusion |
Secondary
| Measure | Time frame |
|---|---|
| Proportion of patients who attended the hospital for a late-term abortion following a general practitioner's recommendation. | Inclusion |
| Proportion of patients who involved their general practitioner in the care pathway for late-term abortions. | Inclusion |
| Descriptive analysis of patients' medical follow-up, medical history and contraceptive practices. | Inclusion |
| Frequency of reasons leading to pregnancy and circumstances of pregnancy discovery. | Inclusion |
| Descriptive analysis of patients' relationships with their entourage regarding this pregnancy (partner, family, healthcare professionals, etc.). | Inclusion |
| Frequency of reasons for choosing abortion. | Inclusion |
| Frequency of late-term abortions performed with the support of a general practitioner. | Inclusion |
| Frequency of late abortions performed under coercion. | Inclusion |
| Frequency of late abortions related to issues in the care pathway. | Inclusion |
| Descriptive analysis of patients' difficulties in accessing this type of healthcare. | Inclusion |
Countries
France
Contacts
CONTACTMarilyne Grinand, PhD
PRINCIPAL_INVESTIGATORPerrine Mazet, MD
Centre Hospitalier d'Avignon, Service de Gynécologie
Outcome results
None listed