Preterm Infants Born to Homeless Mothers. (PREMA-NEUF)

Hôpital NOVO

Status: Completed

Conditions: Prematurity; Extreme

Treatments: Other: Fate and quality of medical follow-up of children born very premature (≤33SA) to homeless mothers

Study type: Observational

Funder types: Other

Identifiers

NCT05684419

CHRD0522

Details and patient eligibility

About

In recent years, the number of homeless patients who are accommodated by the SAMU social has increased. These patients are in a situation of financial, but also often social and psychological precariousness. The literature already shows us that precariousness and homelessness are a risk factor for prematurity, but also for the patients themselves, a risk of more frequent recourse to emergency services and of late consultation for advanced pathologies.

The objective of this study is to evaluate the fate and quality of medical follow-up of children born very premature (≤33SA) to homeless mothers.

Full description

The hospital of Pontoise is the largest maternity hospital in the department (Val d'Oise, 95) with 4449 births in 2021. It has a type 3 neonatal intensive care unit where approximately 150 premature babies under 32 weeks of age are hospitalized each year, including 80 premature babies under 28 weeks of age. These children require a specific and prolonged follow-up after hospitalization, including medical consultations to evaluate their neurodevelopmental development, but also the prevention of RSV infection (Respiratory Syncitial Virus).

In recent years, the number of homeless patients who are accomodated by the SAMU social has increased. These patients are in a precarious financial, but also often social and psychological situation. The literature already shows us that precariousness and homelessness are a risk factor for prematurity, but also for the patients themselves, a risk of more frequent recourse to emergency services and late consultation with advanced pathologies.

The aim of this study is to evaluate the fate and quality of medical follow-up of children born very premature (≤33SA) to homeless mothers, by answering the following questions:

• What about the follow-up of their very premature child?
• How does the department organize itself to ensure optimal follow-up for these patients?

Enrollment: 50 patients

Sex: All

Ages: Under 33 weeks old

Volunteers: No Healthy Volunteers

Inclusion and exclusion criteria

Inclusion Criteria :

All infants born at or below 33SA:

• Born between January 2019 and December 2021
• At the René Dubos Hospital in Pontoise
• Whose mother did not have a fixed address at the time of discharge.

NB: Mothers who do not read French well will have the study explained to them by the doctor who follows their child during a consultation, or by telephone.

Exclusion Criteria :

• Opposition of the mothers