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This study is a non-randomized, quasi-experimental, monocentric study comparing two prenatal monitoring modes in low-risk pregnancy: including at least one remote consultation (phone or teleconsultation) versus face-to-face adapted to confinement. The quality of care perceived by the pregnant women were evaluated according to monitoring modes set up during the COVID-19 pandemic confinement period. The women included planned to give birth at the regional academic Maternity of Nancy, France.
The emergency confinement measures deployed by most industrialized countries governments to limit the impact of the coronavirus disease 2019(COVID-19) pandemic resulted in rapid and unpredictable changes in methods of obstetric monitoring. International and French government recommendations called for a reorganization of mandatory monitoring, particularly for low-risk pregnancies (limit the presence of the coparent during follow-up consultations and implement remote consultations). The potential impact of this reorganization on care perception, probably increased by the context of an unprecedented economic, social and health crisis, is unpredictable. In the absence of a previous event of comparable importance, it is impossible to anticipate differences in satisfaction with antenatal management and in stress level between women exposed to the two types of monitoring. Many factors can influence the perception of care quality, such as the socio-economic environment and the level of health literacy, that is, the individual's ability to find information on health, to understand and use this information to improve his own health or develop autonomy in health care system.
The objective of this study is to determine which type of monitoring is better perceived by pregnant women, the factors associated with this perception and the links with the level of knowledge and mastery of women regarding reproductive health and digital tools.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Experimental group | During prenatal monitoring, at least one consultation by remote consultation (phone or teleconsultation) |
| |
| Control group | Prenatal monitoring by face-to-face consultations adapted to confinement (absence of clinical signs or notion of travel, occupation, contact, clustering (TOCC), no attendant, limited movements inside the hospital and precautions of "droplet" and "contact" type) |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Remote consultation | Other | One or more consultation is conducted by phone or teleconsultation during prenatal monitoring |
|
| Measure | Description | Time Frame |
|---|---|---|
| Score of perceived quality of prenatal care | score obtained with the Quality of prenatal care questionnaire (QPCQ) as close as possible after release from containment | Through study completion, an average of 3 months, ie either at the beginning of the second or the third trimester of pregnancy, or during immediate postpartum care |
| Measure | Description | Time Frame |
|---|---|---|
| Level of stress during pregnancy | Perceived stress measured with Perceived Stress Scale-10 (PSS-10) scale | Through study completion, an average of 3 months, ie at the beginning of the second and the third trimester of pregnancy, and during immediate postpartum care |
| level of health and digital literacy |
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Inclusion Criteria:
Exclusion Criteria:
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Pregnant women with low obstetrical risk expecting to give birth in the Maternité régionale universitaire de Nancy, France.
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| Name | Affiliation | Role |
|---|---|---|
| Gaëlle Ambroise | CHRU Nancy | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Maternité Régionale Universitaire de Nancy | Nancy | 54035 | France |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 35882366 | Derived | Avercenc L, Ngueyon Sime W, Bertholdt C, Baumont S, Freitas AC, Morel O, Guillemin F, Ambroise Grandjean G. Improving prenatal care during lockdown: Comparing telehealth and in-person care for low-risk pregnant women in the PROTECT pilot study. J Gynecol Obstet Hum Reprod. 2022 Nov;51(9):102445. doi: 10.1016/j.jogoh.2022.102445. Epub 2022 Jul 24. |
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| ID | Term |
|---|---|
| D000086382 | COVID-19 |
| ID | Term |
|---|---|
| D011024 | Pneumonia, Viral |
| D011014 | Pneumonia |
| D012141 | Respiratory Tract Infections |
| D007239 | Infections |
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| ID | Term |
|---|---|
| D019114 | Remote Consultation |
| ID | Term |
|---|---|
| D012017 | Referral and Consultation |
| D011364 | Professional Practice |
| D009934 | Organization and Administration |
| D006298 | Health Services Administration |
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level of health and digital literacy evaluated with Health Literacy Questionnaire (HLQ) and eHealth Literacy Questionnaire (eHLQ) questionnaire |
| Through study completion, an average of 3 months, ie at the beginning of the second and the third trimester of pregnancy, and during immediate postpartum care |
| Obstetrical outcomes | core set of outcomes for maternity care | Through study completion, an average of 6 months, ie at the end of postpartum care hospitalization |
| Characteristics of medical supervision during pregnancy | Number of remote, face-to-face or emergency consultations during pregnancy and requester of each consultation (patient or practitioner) | Through study completion, an average of 6 months, ie throughout the period of pregnancy |
| D014777 |
| Virus Diseases |
| D018352 | Coronavirus Infections |
| D003333 | Coronaviridae Infections |
| D030341 | Nidovirales Infections |
| D012327 | RNA Virus Infections |
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |
| D017216 | Telemedicine |
| D003695 | Delivery of Health Care |
| D010346 | Patient Care Management |