Description of the Psychiatric Care Pathway of Pregnant Women After the Early Prenatal Interview

• ClinicalTrials.gov Identifier: NCT04574986
• Recruitment Status: Completed
• First Posted: October 5, 2020
• Last Update Posted: October 6, 2020
• Sponsor: University Hospital, Montpellier
• Information provided by (Responsible Party): University Hospital, Montpellier

Study Description

Brief Summary:

Pregnancy and postpartum are recognized as periods of psychic fragility. However, the psychiatric disorders of women that can emerge during these periods are underdiagnosed and have consequences in particular on the development of the child, his relationship with his parents.

The need for an early diagnosis to allow appropriate treatment seems to be essential.

The pregnancy monitoring is centered on the somatic and little on psychological evaluation of the mother and the father.

In this context, the Early Prenatal Interview (EPP) was created through the perinatal plan of 2005-2007 in order to allow a more precise research of the factors of vulnerabilities likely to be predictive of a somatic, psychological or social disorder.

However, until now, only few pregnant women benefited of this interview. In May 2020, EPP became mandatory for all pregnant women. It now seems important to clearly identify the place, function, organization and usefulness of this interview in order to maximize its benefit in the monitoring of pregnancy

Condition or disease
Psychiatric Disorder

Detailed Description:

First, the investigators will describe the care pathway for pregnant women who have benefited of an early prenatal interview (EPP) between March 2019 and March 2020, namely continued classic follow-up or referral to a child psychiatrist / psychiatrist.

Then, the investigators will define two subgroups within the women oriented towards psychiatric follow-up: those who had this follow-up and those who did not.

Then, the investigators will identify the factors of failure of this referral to psychiatric follow-up and describe the eventual difficulties encountered by the lack of this follow-up.

Finally, the investigators will try to study these observations made with the perspective of maximizing the benefit of the Early Prenatal Interview in the monitoring of pregnancy.

Study Design

• Study Type: Observational
• Actual Enrollment: 1000 participants
• Observational Model: Case-Only
• Time Perspective: Retrospective
• Official Title: Early Prenatal Interview : Throwback to the Hospital of Montpellier's Experience and Description of the Psychiatric Care Pathway of Pregnant Women.
• Actual Study Start Date: March 1, 2019
• Actual Primary Completion Date: March 1, 2020
• Actual Study Completion Date: March 30, 2020

Groups and Cohorts

Outcome Measures

Primary Outcome Measures :

1. Percentage of pregnant women who have been oriented to a psychiatric follow-up after EPP. [ Time Frame: 1 day ]
   Percentage of pregnant women who have been oriented to a psychiatric follow-up after EPP.

Secondary Outcome Measures :

1. Description of the psychiatric care path after Early Prenatal Interview [ Time Frame: 1 day ]

   Description of the psychiatric care path after Early Prenatal Interview so :

   • percentage of pregnant women who were referred to a midwife
   • percentage of pregnant women who were referred to a child psychiatrist
   • percentage of pregnant women who were referred to an adult psychiatrist
   • percentage of pregnant women who were referred to an other follow-up
2. Identification of potential factors of failure. [ Time Frame: 1 day ]
   Identification of potential factors of failure : In the number of women who were referral to a child psychiatrist / psychiatrist, search the number of women who didn't see the child or adult psychiatrist and try to identify why for each of these women
3. Number of Participants with difficulties caused by the lack of follow-up [ Time Frame: 1 day ]

   Number of Participants with difficulties caused by the lack of follow-up as :

   Search for each women who were referral to a child or adult psychiatrist ;

   • mode of delivery and term
   • complications of delivery for the baby or mother
   • hospitalization in psychiatry
   • prolongation of stay in the maternity Then compare for these criterias in women who see the child or adult psychiatrist or women who didn't see him and see if the difficulties are more present in women who didn't have the follow-up

Eligibility Criteria

• Ages Eligible for Study: 18 Years and older (Adult, Older Adult)
• Sexes Eligible for Study: Female
• Accepts Healthy Volunteers: No
• Sampling Method: Non-Probability Sample

Study Population

Pregnant women who had an EPP at Montpellier's hospital between March 2019 and March 2020.

Criteria

Inclusion criteria:

• No opposition from women to participate in the study
• Women over 18
• Women who had an EPP at Montpellier University Hospital between March 2019 and March 2020

Exclusion criteria:

- age < 18 years

Contacts and Locations

Locations

France

Uhmontpellier

Montpellier, France, 34295

Sponsors and Collaborators

University Hospital, Montpellier

Investigators

• Principal Investigator: Pauline AVIT, resident; University Hospital, Montpellier

More Information

• Responsible Party: University Hospital, Montpellier
• ClinicalTrials.gov Identifier: NCT04574986
• Other Study ID Numbers: RECHMPL20_0452
• First Posted: October 5, 2020
• Last Update Posted: October 6, 2020
• Last Verified: September 2020

Individual Participant Data (IPD) Sharing Statement:

• Plan to Share IPD: Undecided
• Plan Description: NC

• Studies a U.S. FDA-regulated Drug Product: No
• Studies a U.S. FDA-regulated Device Product: No

Keywords provided by University Hospital, Montpellier:

Orientation to a psychiatric follow-up after EPP; Early Prenatal Interview; Psychiatric disorder during pregnancy

Additional relevant MeSH terms:

Mental Disorders; Problem Behavior; Behavioral Symptoms