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Requests for Medical Termination of Pregnancy for Psychological or Social Maternal Reasons

Conditions
Pregnancy Related
Registration Number
NCT05499325
Lead Sponsor
Centre Hospitalier de Saint-Denis
Brief Summary

When the request for termination of pregnancy is made at a term of less than sixteen weeks of amenorrhea, the patients have complete decision-making autonomy. This is called voluntary termination of pregnancy. On the other hand, when they are made after this term, their requests must be subject to a multidisciplinary assessment. This is called medical termination of pregnancy for maternal indication. Schematically, there are two categories of indications: "organic" (progressive cancer, severe heart disease, etc.) and "psycho-social". In the latter case, and although the recommendations of the CNGOF recommend a formalization of these requests in the centers where the patients are received, strong disparities are observed in practice. In addition, there are few epidemiological and clinical data concerning these medical terminations of pregnancy with a psychological or social maternal indication in the literature.

The objective of this work is to describe the demographic characteristics of patients who have made a request for termination of pregnancy after the legal deadline for psychological or social maternal reasons, and to specify the care pathways of these patients.

Detailed Description

Retrospective cohort (from 01/01/2016 to 02/28/2022) single-centre involving data from patients followed at the Maison des Femmes, and eligible for the study.

The demographic and care pathway variables will be the subject of a descriptive statistical analysis.

Expected results: improvement of knowledge relating to patients who consulted for termination of pregnancy after sixteen weeks of amenorrhea and their care pathway.

Outlook:

* Improving the knowledge of health professionals and therefore of care pathways, with a view to a more homogeneous use of legal systems.

* Improvement and simplification of care pathways.

Recruitment & Eligibility

Status
UNKNOWN
Sex
Female
Target Recruitment
120
Inclusion Criteria
  • Minor or adult patients who have been seen at the Maison des Femmes in the context of a request for termination of pregnancy for psychological and/or social maternal reasons, including patients subject to a legal protection measure (guardianship , curators) during the consultation
  • Consultation between 01/01/2016 and 02/28/2022
Exclusion Criteria
  • Refusal of inclusion in a study explained in the medical file (patient or guardian)
  • Objection to the use of data or refusal to participate (patient or guardian)

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
place of lifeDay 1

epidemiology of patients who have undergone medical termination of pregnancy for psychological or social maternal reasons

level of studiesDay 1

epidemiology of patients who have undergone medical termination of pregnancy for psychological or social maternal reasons

number of childrenDay 1

epidemiology of patients who have undergone medical termination of pregnancy for psychological or social maternal reasons

recent life eventsDay 1

epidemiology of patients who have undergone medical termination of pregnancy for psychological or social maternal reasons

marital statusDay 1

epidemiology of patients who have undergone medical termination of pregnancy for psychological or social maternal reasons

ageDay 1

epidemiology of patients who have undergone medical termination of pregnancy for psychological or social maternal reasons

social securityDay 1

epidemiology of patients who have undergone medical termination of pregnancy for psychological or social maternal reasons

occupation / resourcesDay 1

epidemiology of patients who have undergone medical termination of pregnancy for psychological or social maternal reasons

native countryDay 1

epidemiology of patients who have undergone medical termination of pregnancy for psychological or social maternal reasons

Secondary Outcome Measures
NameTimeMethod
migratory routeDay 1

care pathway for patients who have undergone medical termination of pregnancy for psychological or social maternal reasons

medical and surgical historyDay 1

care pathway for patients who have undergone medical termination of pregnancy for psychological or social maternal reasons

gynecological follow-up, and follow-up of the current pregnancyDay 1

care pathway for patients who have undergone medical termination of pregnancy for psychological or social maternal reasons

Trial Locations

Locations (1)

Hôpital DELAFONTAINE

🇫🇷

Saint-denis, Ile De France, France

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