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Abortion is a fundamental right for women in France, where the legal time limit was extended from 14 to 16 weeks' gestation. This extension allows women, whose psychosocial determinants are poorly known, and who face various obstacles (personal, administrative, medical, or other), to access abortion. However, it may also expose them to psychological troubles and difficulties in accessing healthcare. This study aims to identify the psychosocial determinants and disruptions in the primary care pathway associated with late abortions (≥14 weeks' gestation [WG]) in order to propose preventive actions, particularly regarding contraception, screening, and referral, directly applicable in general practice.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Health survey | Experimental | This is a health survey. Following patient recruitment, the physician will explain the study and its objectives. If the patient agrees to participate, a QR code will be provided to allow anonymous access to the study questionnaire. The patient will be invited to complete the questionnaire after the medical consultation. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Health survey | Behavioral | It consists of a single anonymous questionnaire, to be completed once only, on a secure online platform, accessed using a QR code provided directly by the healthcare professional. The questionnaire consists of 39 main questions, predominantly with closed-ended response options. The average completion time is estimated between 10 and 20 minutes. |
| Measure | Description | Time Frame |
|---|---|---|
| Describe the sociodemographic profile of patients undergoing late-term abortion at Avignon Hospital. | Inclusion |
| Measure | Description | Time Frame |
|---|---|---|
| Proportion of patients who attended the hospital for a late-term abortion following a general practitioner's recommendation. | Inclusion | |
| Proportion of patients who involved their general practitioner in the care pathway for late-term abortions. | Inclusion |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Marilyne Grinand, PhD | Contact | (+33)432759392 | grinand.marilyne@ch-avignon.fr |
| Name | Affiliation | Role |
|---|---|---|
| Perrine Mazet, MD | Centre Hospitalier d'Avignon, Service de Gynécologie | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Centre Hospitalier d'Avignon, Hôpital Henri Duffaut | Avignon | 84000 | France |
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| ID | Term |
|---|---|
| D006306 | Health Surveys |
| ID | Term |
|---|---|
| D011795 | Surveys and Questionnaires |
| D003625 | Data Collection |
| D004812 | Epidemiologic Methods |
| D008919 | Investigative Techniques |
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|
| Descriptive analysis of patients' medical follow-up, medical history and contraceptive practices. | Inclusion |
| Frequency of reasons leading to pregnancy and circumstances of pregnancy discovery. | Inclusion |
| Descriptive analysis of patients' relationships with their entourage regarding this pregnancy (partner, family, healthcare professionals, etc.). | Inclusion |
| Frequency of reasons for choosing abortion. | Inclusion |
| Frequency of late-term abortions performed with the support of a general practitioner. | Inclusion |
| Frequency of late abortions performed under coercion. | Inclusion |
| Frequency of late abortions related to issues in the care pathway. | Inclusion |
| Descriptive analysis of patients' difficulties in accessing this type of healthcare. | Inclusion |
| D017531 | Health Care Evaluation Mechanisms |
| D011787 | Quality of Health Care |
| D017530 | Health Care Quality, Access, and Evaluation |
| D011634 | Public Health |
| D004778 | Environment and Public Health |