Optimizing Access to Care During Pregnancy in Rural Areas in a Perinatal Health Network (OPTI'SOINS)

University Hospital, Clermont-Ferrand

Status

Terminated

Conditions

Living in an Isolated Area

Pregnancy

Treatments

Other: Home visitation

Study type

Interventional

Funder types

Other

Identifiers

NCT04823104

PREPS 2019 DEBOST-LEGRAND

Details and patient eligibility

About

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.

Enrollment

105 patients

Sex

Female

Ages

12 to 50 years old

Volunteers

No Healthy Volunteers

Inclusion criteria

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

Exclusion criteria

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