Requests for Voluntary Termination and Medical Termination of Pregnancy for Maternal, Psychological or Social Reasons At the Women's Center ( La Maison Des Femmes) in Saint-Denis :

Voluntary Termination and Medical Termination of Pregnancy for Maternal, Psychological or Social Reasons At Women's Center ( La Maison Des Femmes) in Saint-Denis

In France, Article L2213-1 of the Public Health Code (law of July 4, 2001) clearly establishes that "voluntary termination of pregnancy may be performed at any time if two doctors, who are part of a multidisciplinary team, certify-after this team has provided its advisory opinion-that continuing the pregnancy seriously endangers the woman's health." Consequently, when a request for termination of pregnancy is made within the first sixteen weeks of amenorrhea, patients exercise complete autonomy in their decision-making. This process is unequivocally recognized as voluntary termination of pregnancy (VTP).

If an abortion is performed after the pregnancy has ended, the patient's request must undergo a multidisciplinary assessment. This procedure is known as medical termination of pregnancy for maternal indications.

There are generally two categories of indications for this procedure:

Organic reasons such as progressive cancer or severe heart disease. Psychosocial reasons: which include psychological and social factors.

In the case of medical terminations of pregnancy for psychological or social reasons, the National College of French Gynaecologists and Obstetricians (CNGOF) recommends that these requests be formally documented within the centers where patients receive care. However, there is considerable variability in how these practices are implemented across different locations. Furthermore, the existing literature reveals a significant lack of epidemiological and clinical data on the subject, highlighting the need for more comprehensive research in this area.

Opened in 2016, the Maison des Femmes (Women's Center) in Saint-Denis houses a family planning center and a multi-professional support service for patients who have experienced violence. It provides care for many women who have sought a termination of pregnancy but have exceeded the legal time limit for abortion.

A study conducted in 2021-2022, as part of a medical thesis, revealed a significantly high prevalence of violence experienced by women seeking a pregnancy termination for non-medical reasons at Delafontaine Hospital. The findings indicated that 65% of these patients had suffered from violence.

To strengthen our epidemiological findings, we propose a study comparing this group of women with another group who had an abortion during the same timeframe.

Study Overview

• Status: Active, not recruiting
• Conditions: Pregnancy; Termination of Pregnancy; Violence; Abortion; Medical Abortion; Violence Against Women (VAW); Voluntary Termination of Pregnancy

• Study Type: Observational
• Enrollment (Estimated): 107

Contacts and Locations

Study Locations

• France
  • Seine saint denis
    • Saint Denis, Seine saint denis, France, 93200
      • Maison des femmes

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Child; Adult; Older Adult
• Accepts Healthy Volunteers: No

• Sampling Method: Non-Probability Sample

Study Population

Patients who expressed a request for an IMG for non-somatic maternal reasons

Description

Inclusion Criteria:

• Patients (minors or adults) who have been seen at the Women's center (Maison des Femmes) for assistance with a request of termination of pregnancy for maternal, psychological and/or social reasons, including patients under legal protection (guardianship, curatorship) at the time of the consultation.
• medical consultation between 01/01/2016 and 28/02/2022.

Exclusion Criteria:

• Refusal of participation (patient or guardian)
• Opposition to the use of data

Study Plan

How is the study designed?

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Demographic data	Age	1 day
Demographic data	Birth place	1 day
Demographic data	Migration history	1 day
Medical history	Term of abotion	1 day
Violence's history	Description of the violence. Current situation of violence.	1 day

Collaborators and Investigators

• Sponsor: Centre Hospitalier de Saint-Denis

Study record dates

Study Major Dates

• Study Start (Actual): December 14, 2023
• Primary Completion (Actual): March 1, 2024
• Study Completion (Estimated): December 20, 2024

Study Registration Dates

• First Submitted: November 25, 2024
• First Submitted That Met QC Criteria: November 25, 2024
• First Posted (Estimated): November 27, 2024

Study Record Updates

• Last Update Posted (Estimated): November 27, 2024
• Last Update Submitted That Met QC Criteria: November 25, 2024
• Last Verified: November 1, 2024

More Information

Terms related to this study

• Keywords: pregnancy; medical abortion; violence; abortion; termination of pregnancy; voluntary termination of pregnancy
• Other Study ID Numbers: 0057_MATER_28bis

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No
• product manufactured in and exported from the U.S.: No