Social Deprivation and Pregnancy

• Conditions: Gestational Diabetes; Prematurity; Fetal Growth Restriction; High Blood Pressure
• Interventions: Other: Epices score

• Registration Number: NCT03121196
• Lead Sponsor: University Hospital, Clermont-Ferrand

Brief Summary

Social deprivation during pregnancy is associated to adverse perinatal outcomes. However, prenatal screening of social deprivation by reliable measurement is not performed. Prevalence of social deprivation is yet underestimated during pregnancy and vulnerable women are not being provided optimal prenatal care.

Our aim is to validate EPICES score during pregnancy.

Detailed Description

The process of deprivation was defined first by J. Wrezinski and P. Townsend who also reported that deprivation is the main cause of inequalities in health. Several studies have already shown an association between socioeconomic deprivation and adverse birth outcomes. EPICES score is the only one that measure individual deprivation. The EPICES score should be therefore included systematically in standard follow-up of pregnant women.

Descriptive analysis will assess women's characteristics and prevalence of social deprivation. Two groups of women will be compared deprived women and non-deprived women.

Association between EPICES score and the adverse perinatal outcomes will be assessed by quantile regression.

Study Timeline

• Status Verified: 2017-04
• Study First Submitted: 2017-04-14
• Study First Submitted QC: 2017-04-14
• Last Update Submitted: 2017-04-14
• Study First Posted: 2017-04-20
• Last Update Posted: 2017-04-20
• Study Start: 2017-05
• Primary Completion: 2017-12
• Study Completion: 2018-05

Recruitment & Eligibility

• Status: UNKNOWN
• Sex: Female
• Target Recruitment: 615

Inclusion Criteria

• more than 18 years old
• delivery at 2 maternity hospitals of Clermont-Ferrand area
• fluent command of spoken and written French

Exclusion Criteria

• Terminations of pregnancy
• protected women

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
deprived women	Epices score	Two groups of women will be compared deprived women and non-deprived women
non-deprived women	Epices score	Two groups of women will be compared deprived women and non-deprived women

Primary Outcome Measures

Name	Time	Method
Epices score distribution	at day 1	Association between EPICES score and the adverse perinatal outcomes will be assessed by quantile regression

Secondary Outcome Measures

Name	Time	Method
Adverse perinatal outcomes	at day 1	Association between EPICES score and the adverse perinatal outcomes will be assessed by quantile regression

Trial Locations

Locations (1)

CHU Clermont-Ferrand; 🇫🇷 Clermont-Ferrand, France