Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
This study aims to evaluate the impact of financial support on improving the management of prenatal care in pregnant women with low incomes. The judgment criterion is clinically pertinent: complications of pregnancy. This study also aims to evaluate attitudes to this approach through a qualitative survey.
It is planned to include 4000 women distributed into two arms of 2000 each. One group will receive financial support (prepaid payment card credited for each consultation attended according to the scheduled follow-up as recommended by the Haute Autorité de Santé); the other group will not. The management of the pregnancy for both groups will not be modified.
Not provided
Not provided
Not provided
Not provided
Not provided
| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Group Intervention: Financial support | Experimental |
| |
| Group Control: no financial support | Active Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Delivery of a prepaid payment card | Other | Delivery of a prepaid payment card credited according to consultations attended |
|
| Measure | Description | Time Frame |
|---|---|---|
| Occurence of complication(s) of pregnancy, wether maternal, fetal or neonatal | Participants will be followed for the duration of hospital stay and for a maximum of one month after the term date. |
| Measure | Description | Time Frame |
|---|---|---|
| Neonatal morbidity, mortality and rate of transfer of the newborn to a neonatal care unit. | A composite outcome measure consisting of multiple measures: neonatal morbidity, mortality and rate of tranfer of the newborn to a neonatal care unit | Participants will be followed for the duration of hospital stay and for a maximum of one month after the term date. |
| Measure | Description | Time Frame |
|---|---|---|
| Maternal morbidity, mortality and rate of caesarean sections | A composite outcome measure consisting of multiple measures: maternal mobidity, mortality and rate og caesarean sections | Participants will be followed for the duration of hospital stay and for a maximum of one month after the term date. |
| Number of scheduled consultations attended in agreement with the minimal follow-up recommendations of the Haute Autorité de Santé |
Inclusion Criteria:
Exclusion Criteria:
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| CHRU de BESANCON | Besançon | 25030 | France | |||
| CHRU de BREST |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 36990483 | Derived | Bardou M, Meunier-Beillard N, Godard-Marceau A, Deruelle P, Virtos C, Eckman-Lacroix A, Debras E, Schmitz T; NAITRE Study group. Women and health professionals' perspectives on a conditional cash transfer programme to improve pregnancy follow-up: a qualitative analysis of the NAITRE randomised controlled study. BMJ Open. 2023 Mar 29;13(3):e067066. doi: 10.1136/bmjopen-2022-067066. | |
| 29084796 |
Not provided
Not provided
Not provided
| ID | Term |
|---|---|
| D007407 | Interviews as Topic |
| ID | Term |
|---|---|
| D003625 | Data Collection |
| D004812 | Epidemiologic Methods |
| D008919 | Investigative Techniques |
| D017531 | Health Care Evaluation Mechanisms |
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Interview with a sociologist | Other | For a sub-group of 40 womens |
|
| No intervention | Other |
|
| Participants will be followed for the duration of hospital stay and for a maximum of one month after the term date. |
| Interview with a sociologist to evaluate perception of the intervention and evaluation of its perceived impact in follow-up of the pregnancy | About 6 weeks after delivery |
| Differential cost-effectiveness ratio associated with the financial support compared with the absence of support and expressed in terms of cost per complication avoided | Participants will be followed for the duration of hospital stay and for a maximum of one month after the term date. |
| Brest |
| 29609 |
| France |
| CHU de DIJON | Dijon | 21079 | France |
| APHP maternité Kremlin Bicêtre | Le Kremlin-Bicêtre | 94270 | France |
| CHRU de LILLE | Lille | 59037 | France |
| APHM Hôpital Nord | Marseille | 13015 | France |
| APHP Hopital Robert Debré | Paris | 75018 | France |
| Chu Saint Etienne | Saint-Etienne | 42055 | France |
| Chu Tours | Tours | 37044 | France |
| Derived |
| Bardou M, Crepon B, Bertaux AC, Godard-Marceaux A, Eckman-Lacroix A, Thellier E, Falchier F, Deruelle P, Doret M, Carcopino-Tusoli X, Schmitz T, Barjat T, Morin M, Perrotin F, Hatem G, Deneux-Tharaux C, Fournel I, Laforet L, Meunier-Beillard N, Duflo E, Le Ray I; NAITRE Study Group. NAITRE study on the impact of conditional cash transfer on poor pregnancy outcomes in underprivileged women: protocol for a nationwide pragmatic cluster-randomised superiority clinical trial in France. BMJ Open. 2017 Oct 30;7(10):e017321. doi: 10.1136/bmjopen-2017-017321. |
| D011787 | Quality of Health Care |
| D017530 | Health Care Quality, Access, and Evaluation |
| D011634 | Public Health |
| D004778 | Environment and Public Health |