Study of the Value of Maternal-fetal Transfers and Their Complexity of Their Implementation

Recruiting

• Conditions: Maternal-Fetal Relations

• Registration Number: NCT06480916
• Lead Sponsor: Centre Hospitalier Régional Metz-Thionville

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.

Study Timeline

• Study Start: 2024-04-01
• Status Verified: 2024-06
• Study First Submitted: 2024-06-19
• Study First Submitted QC: 2024-06-25
• Last Update Submitted: 2024-06-25
• Study First Posted: 2024-06-28
• Last Update Posted: 2024-06-28
• Primary Completion: 2025-04-01
• Study Completion: 2025-04-01

Recruitment & Eligibility

• Status: RECRUITING
• Sex: Female
• Target Recruitment: 500

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

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
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 Outcome Measures

Name	Time	Method
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.
Obstetrical indication for maternal-foetal transfer (MFT)	Up to 48 hours after the maternal-foetal transfer	as documented in the patient file

Trial Locations

Locations (8)

Maternité CH Léon Bourgeois; 🇫🇷 Châlons-en-Champagne, France

CHR Metz Thionville Hopital Femme Mère Enfant; 🇫🇷 Metz, France

Maternité - Hôpital Maurice Camuset; 🇫🇷 Romilly-sur-Seine, France

Matérnité Saint Dizier; 🇫🇷 Saint-Dizier, France

CHR Metz-Thionville Hopital Bel Air; 🇫🇷 Thionville, France

Hopital Saint Nicolas; 🇫🇷 Verdun, France

Clinique Saint Nabor; 🇫🇷 Saint-Avold, France

Hopital Maillot; 🇫🇷 Briey, France