Requests for Medical Termination of Pregnancy for Psychological or Social Maternal Reasons

Requests for Medical Termination of Pregnancy for Psychological or Social Maternal Reasons at the "Maison Des Femmes" in Saint-Denis : Retrospective Study Between 2016 and 2022

When the request for termination of pregnancy is made at a term of less than sixteen weeks of amenorrhea, the patients have complete decision-making autonomy. This is called voluntary termination of pregnancy. On the other hand, when they are made after this term, their requests must be subject to a multidisciplinary assessment. This is called medical termination of pregnancy for maternal indication. Schematically, there are two categories of indications: "organic" (progressive cancer, severe heart disease, etc.) and "psycho-social". In the latter case, and although the recommendations of the CNGOF recommend a formalization of these requests in the centers where the patients are received, strong disparities are observed in practice. In addition, there are few epidemiological and clinical data concerning these medical terminations of pregnancy with a psychological or social maternal indication in the literature.

The objective of this work is to describe the demographic characteristics of patients who have made a request for termination of pregnancy after the legal deadline for psychological or social maternal reasons, and to specify the care pathways of these patients.

Study Overview

• Status: Not yet recruiting
• Conditions: Pregnancy Related

Detailed Description

Retrospective cohort (from 01/01/2016 to 02/28/2022) single-centre involving data from patients followed at the Maison des Femmes, and eligible for the study.

The demographic and care pathway variables will be the subject of a descriptive statistical analysis.

Expected results: improvement of knowledge relating to patients who consulted for termination of pregnancy after sixteen weeks of amenorrhea and their care pathway.

Outlook:

• Improving the knowledge of health professionals and therefore of care pathways, with a view to a more homogeneous use of legal systems.
• Improvement and simplification of care pathways.

• Study Type: Observational
• Enrollment (Anticipated): 120

Contacts and Locations

• Study Contact: Name: Anne BEDU, JD; Phone Number: 01.42.35.61.28; Email: annebedu.ab@gmail.com
• Study Contact Backup: Name: Tiphaine DE FOUCHER DE CAREIL, MD; Phone Number: 01.42.35.61.28; Email: tiphaine.defoucherdecareil@ch-stdenis.fr

Study Locations

• France
  • Ile De France
    • Saint-denis, Ile De France, France, 93200
      • Hôpital Delafontaine
      • Contact: Stéphanie COSSEC; Phone Number: 6962 01 42 35 61 40; Email: coordination.rechercheclinique@ghtpdfr.fr
      • Principal Investigator: Anne BEDU, JD

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: ADULT; OLDER_ADULT; CHILD
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: Female

• Sampling Method: Non-Probability Sample

Study Population

Patients followed at the Maison des Femmes, having consulted between 01/01/2016 and 02/28/2022, having undergone a medical termination of pregnancy for psychological or social maternal reasons

Description

Inclusion Criteria:

• Minor or adult patients who have been seen at the Maison des Femmes in the context of a request for termination of pregnancy for psychological and/or social maternal reasons, including patients subject to a legal protection measure (guardianship , curators) during the consultation
• Consultation between 01/01/2016 and 02/28/2022

Exclusion Criteria:

• Refusal of inclusion in a study explained in the medical file (patient or guardian)
• Objection to the use of data or refusal to participate (patient or guardian)

Study Plan

How is the study designed?

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
age	epidemiology of patients who have undergone medical termination of pregnancy for psychological or social maternal reasons	Day 1
place of life	epidemiology of patients who have undergone medical termination of pregnancy for psychological or social maternal reasons	Day 1
social security	epidemiology of patients who have undergone medical termination of pregnancy for psychological or social maternal reasons	Day 1
level of studies	epidemiology of patients who have undergone medical termination of pregnancy for psychological or social maternal reasons	Day 1
occupation / resources	epidemiology of patients who have undergone medical termination of pregnancy for psychological or social maternal reasons	Day 1
marital status	epidemiology of patients who have undergone medical termination of pregnancy for psychological or social maternal reasons	Day 1
number of children	epidemiology of patients who have undergone medical termination of pregnancy for psychological or social maternal reasons	Day 1
native country	epidemiology of patients who have undergone medical termination of pregnancy for psychological or social maternal reasons	Day 1
recent life events	epidemiology of patients who have undergone medical termination of pregnancy for psychological or social maternal reasons	Day 1

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
migratory route	care pathway for patients who have undergone medical termination of pregnancy for psychological or social maternal reasons	Day 1
medical and surgical history	care pathway for patients who have undergone medical termination of pregnancy for psychological or social maternal reasons	Day 1
gynecological follow-up, and follow-up of the current pregnancy	care pathway for patients who have undergone medical termination of pregnancy for psychological or social maternal reasons	Day 1

Collaborators and Investigators

• Sponsor: Centre Hospitalier de Saint-Denis

Publications and helpful links

Helpful Links

• Women victims of violence
• Psycho-social Medical termination of pregnancy - Position of the CNGOF
• Article L2213-1 - Code de la santé publique - Légifrance

Study record dates

Study Major Dates

• Study Start (ANTICIPATED): August 17, 2022
• Primary Completion (ANTICIPATED): August 17, 2022
• Study Completion (ANTICIPATED): November 30, 2022

Study Registration Dates

• First Submitted: August 11, 2022
• First Submitted That Met QC Criteria: August 11, 2022
• First Posted (ACTUAL): August 12, 2022

Study Record Updates

• Last Update Posted (ACTUAL): August 12, 2022
• Last Update Submitted That Met QC Criteria: August 11, 2022
• Last Verified: August 1, 2022

More Information

Terms related to this study

• Keywords: Medical termination of pregnancy; Psychic or social reason
• Other Study ID Numbers: CHSD_0028_MATER

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No