Decision-making Regarding the Possibility of Medical Termination of Pregnancy

Completed

• Conditions: Medical Termination of Pregnancy
• Interventions: Other: Questionnaire

• Registration Number: NCT05202639
• Lead Sponsor: Hospices Civils de Lyon

Brief Summary

The aim of this study is to improve professional practices by better understanding parents who face the choice of medical termination of pregnancy.

The hypothesis of the study is that the decision to continue the pregnancy with a serious fetal pathology is more based on the belief and the representations of parents than on the diagnosis or prognosis criteria of the fetus.

A better understanding of the parents' motivations on their decision making by knowing what they expect from the caregivers would allow the division of representations, a better prenatal advice and a better perinatal support.

Detailed Description

Not available

Basic Information
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Recruitment & Eligibility
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Study & Design
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Trial Locations

Study Timeline

• Study First Submitted: 2021-12-14
• Study Start: 2021-12-15
• Study First Submitted QC: 2022-01-07
• Study First Posted: 2022-01-21
• Primary Completion: 2022-02-22
• Study Completion: 2022-02-22
• Status Verified: 2022-08
• Last Update Submitted: 2022-09-05
• Last Update Posted: 2022-09-07

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 74

Inclusion Criteria

• Adults without age limit
• Couples or single mothers seen at hospital in 2019
• Couples or single mothers who have been taken care at the Antenatal Diagnosis Center
• Couples or single mothers whose file has been presented to a Multidisciplinary Prenatal Diagnosis Center (MPDC)
• MPDC's legal authorization of medical termination of pregnancy for severe fetal pathology (fetal reason)

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Exclusion Criteria

• MPDC's legal authorization of medical termination of pregnancy for maternal reason
• Parents who have requested an opinion on another MPDC (with continuation of care in another center)
• Fetal death in utero before couple's decision to continue or terminate the pregnancy
• Psychiatric pathology preceding the pregnancy
• Non-affiliation to health insurance plan
• No possible communication (language barrier)
• Participation refusal
• Adult patient protected under the terms of the law (Public Health Code)

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Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
Continuation of pregnancy	Questionnaire	The parents who have chosen to continue pregnancy will be asked to complete a questionnaire.
Medical termination of pregnancy	Questionnaire	The parents who have chosen to terminate pregnancy will be asked to complete a questionnaire.

Primary Outcome Measures

Name	Time	Method
Quantitative auto-questionnaire (Likert scale)	1 year	Quantitative comparison of motivations related to the condition of the fetus versus motivations related to the beliefs and representations of the parents evaluated with a quantitative auto-questionnaire (Likert scale) completed more than one year after the diagnosis of severe fetal pathology.; Each item of the questionnaire completed by parents who continued or terminated the pregnancy will be scored with a Likert scale. The sums of the Likert scores for the items concerning the fetus and the parental beliefs and representations will be compared.

Trial Locations

Locations (1)

Service d'obstétrique et de néonatologie, psychiatrie périnatale - Hôpital de la Croix-Rousse; 🇫🇷 Lyon, France