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

Centre Hospitalier Régional Metz-Thionville

Status: Enrolling

Conditions: Maternal-Fetal Relations

Treatments: Procedure: Maternal-fetal transfers

Study type: Observational

Funder types: Other

Identifiers

NCT06480916

2024-04Obs-CHRMT

Details and patient eligibility

About

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.

Full 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.

Enrollment: 500 estimated patients

Sex: Female

Ages: 18+ years old

Volunteers: No Healthy Volunteers

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