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It is an observational, descriptive, prospective, multicenter study of 8 maternity units in Lorraine and Champagne-Ardenne, aimed at comparing the percentage of "avoidable" maternal-fetal transfers (MFTs), defined as transfers in which the delivery finally meets the acceptance criteria of the sending maternity unit, according to the obstetrical indications for these MFTs.
Over the past year, an audit carried out on the Mercy maternity unit, covering 130 transfers to the Nancy regional maternity hospital, showed that patients transferred for threat of premature delivery (MAP) with a cervix > 15 mm do not give birth at the receiving maternity unit, but return home after 48 hours' hospitalization.
When maternal-fetal transfer (MFT) is requested, numerous calls are made to private ambulance services, and in the end, many emergency rapid response units (SMUR) are called out, requiring a major human, logistical and time investment for a questionable benefit to the patient. Tensions in terms of logistics (lack of ambulance, SMUR) and human resources (lack of personnel) can, conversely, compromise good care of the parturient.
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Maternal-fetal transfers | Procedure | Prospective and consecutive inclusion of all maternal-fetal transfers during the study period. The teams at the sending and receiving maternity units will complete study-related questionnaires to describe the conditions of the transfer and the outcome of the pregnancy. The study in no way alters the way parturients are cared for. |
| Measure | Description | Time Frame |
|---|---|---|
| The percentage of "avoidable" maternal-foetal transfer (MFT) | The main evaluation criterion is "avoidable" maternal-foetal transfer (MFT), i.e. resulting in a delivery that met the acceptance criteria of the original maternity hospital | after delivery, up to 6 weeks after the maternal-foetal transfer |
| Measure | Description | Time Frame |
|---|---|---|
| Obstetrical indication for maternal-foetal transfer (MFT) | as documented in the patient file | Up to 48 hours after the maternal-foetal transfer |
| Organizational arrangements for maternal-foetal transfer |
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Inclusion Criteria:
Exclusion Criteria:
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Maternal-fetal transfers (MFTs) for threatened premature delivery
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| Name | Affiliation | Role |
|---|---|---|
| Laetitia HONORE-ROUGE, MD | CHR Metz Thionville Hopital Femme Mère Enfant | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hopital Maillot | Briey | France | ||||
| Maternité CH Léon Bourgeois |
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Organizational arrangements for maternal-foetal transfer in the various centers, assessed by a specific questionnaire sent to maternity units.
| Up to 6 months after inclusion of a maternity unit in the study |
| Châlons-en-Champagne |
| France |
| CHR Metz Thionville Hopital Femme Mère Enfant | Metz | 57085 | France |
| Maternité - Hôpital Maurice Camuset | Romilly-sur-Seine | France |
| Clinique Saint Nabor | Saint-Avold | France |
| Matérnité Saint Dizier | Saint-Dizier | France |
| CHR Metz-Thionville Hopital Bel Air | Thionville | France |
| Hopital Saint Nicolas | Verdun | France |