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.

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.

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)