Optimizing Access to Care During Pregnancy in Rural Areas in a Perinatal Health
试验速览
- 阶段
- 不适用
- 状态
- 终止
- 发起方
- 入组人数
- 105
- 试验地点
- 2
- 主要终点
- adequate pregnancy follow-up according to the French recommendations
研究概览
简要总结
Pregnant women who live in rural area have fewer prenatal consultations. It has been demonstrated that maternal and neonatal morbidity and mortality increase if time travel to a maternity ward is longer than 30 min.
Home visitation in isolated area may improve prenatal follow-up as it gives full access to women to health care professionals as well as biological and ultrasound exams without travelling.
Our aim is to assess the impact of home visitation on prenatal follow-up as compared to prenatal follow-up in maternity ward and in primary care.
Isolated areas will be randomized, for women living in areas included in the intervention group, home visitations will be planned for prenatal follow-up. Ultrasound screening as well as blood exams will be performed during home visitations. For women living in control areas, they will be free to choose prenatal follow-up modalities.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- None
入排标准
- 年龄范围
- 12 Years 至 50 Years（Child, Adult）
- 性别
- Female
- 接受健康志愿者
- 否
入选标准
- •At the first antenatal consultation, confirming the pregnancy.
- •Pregnant women who live in an area of geographic vulnerability covered by a perinatal network
- •The women must be informed about the study, understand, read, and speak French, and must be able to consent to participate in medical research
排除标准
- •Pregnant women who live outside an area of geographic vulnerability covered by a perinatal network
- •Women who give birth in a maternity ward outside Auvergne
- •Women from another region giving birth in a maternity ward in Auvergne
结局指标
主要结局
adequate pregnancy follow-up according to the French recommendations
时间窗: 9 months
number of consultations, In all, 8 consultations should take place in a pregnancy that goes to term
次要结局
- adverse neonatal outcome(9 months)
- adverse maternal outcome(10 months)
- economic analyse of the intervention(24 months)
- Adherence to antenatal care consultations of women(9 months)
- Adherence to antenatal care complementary exams of women by the mobile antenatal care clinic(9 months)