Study of the Prevalence of Complications Occurring in the Mother-newborn Couple During the First Month After Returning Home, Since the Introduction of Standard Outpatients (According to HAS 2014 Recommendations) at the Amiens-Picardie University Hospital

NCT03114930 | Completed

• 1 other identifier: PI2015_843_0023
• Study Type: interventional
• Target: 177
• Locations: 1 country
• Sites: 1

Brief Summary

Prior to the HAS recommendations of March 2014, the "mother - newborn" couple was discharged from the maternity home at 4 days after delivery by AVB and 5 days after caesarean section. The stay in maternity allowed a follow-up of the newborn whose weight gain and the occurrence of a jaundice; And monitoring of the mother whose milky ascent and psychological feelings. In March 2014, the HAS published new recommendations on maternity leave arrangements for the "mother - newborn" couple, the organization of postpartum follow - up for the mother and pediatric follow - up for the newborn. The HAS then defines so-called "optimal" conditions for so-called "standard" outputs, with 9 criteria to respect respectively for the mother and the newborn. If the mother-to-newborn couple respects these so-called optimal conditions and is eligible according to the respective criteria, the latter leaves at home after 72 hours and before 96 hours for an AVB and after 96 completed hours and Before 120 hours for caesarean delivery. As no pediatric discharge was done in the afternoons at the maternity hospital of Amiens, an arbitrary choice was made to allow a "standard" release to the "mother-newborn" couple only if the child was born between 00H00 and 11H59 so that his clinical examination of exit is carried out at 72 hours of the birth as recommended by the recommendations of the HAS. These recommendations being recent (2014), no study has studied the impact and consequences on the triad "father / mother-newborn" of these exits including the occurrence of possible complications or events: re-hospitalizations again The early termination of breastfeeding, and whether the follow-up procedures advocated by the HAS are being followed.

Conditions

Mother-Child Relations; Maternity

Outcome Measures

Primary Outcomes (1)

• The occurrence of complications in the first month of life in the "mother-newborn" couple.

  1 month

Study Arms (2)

Standard output

OTHER

Other: To study the absence of increased complications and events occurring in the "mother-newborn"

Non standard output

OTHER

Other: To study the absence of increased complications and events occurring in the "mother-newborn"

Interventions

To study the absence of increased complications and events occurring in the "mother-newborn" OTHER

To study the absence of increased complications and events occurring in the "mother-newborn" couple who made a "standard" exit compared to the "mother-newborn" couples who had benefited from an extra day of " Hospitalization in maternity.

Non standard output; Standard output

Eligibility Criteria

• Sex: female
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• Be taken care of in the Maternity Department of the Amiens-Picardie University Hospital.
• Parents' agreement
• Mother and Newborn who meet the eligibility criteria of the HAS for a "standard" exit.
• Mother :
• \. Absence of a situation of psychological, social vulnerability, behaviors of addiction and severe dependencies
• \. Adequate family and / or social support
• \. Absence of chronic ill-balanced pathology
• \. Absence of complications or pathologies requiring observation or continuous medical treatment
• \. Absence of haemorrhage of the delivery, this one was checked and treated (if necessary)
• \. Absence of active infection or signs of infection
• \. Absence of thromboembolic signs
• \. Controlled Pain
• \. Satisfactory mother-child interactions
• Child:
• \. Newborn at term ≥ 37 weeks of amenorrhea, singleton and eutroph

You may not qualify if:

• Patient not speaking French
• Patient who does not meet the HAS criteria: newborn or ineligible mother (minor mother, non-singleton birth)
• Assumption in another department than the Maternity department of the CHU Amiens-Picardie.

Sponsors & Collaborators

• Centre Hospitalier Universitaire, Amiens: lead

Study Sites (1)

CHU Amiens Picardie

Amiens, Picardie, 80054, France

Location

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: NONE
• Purpose: OTHER
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: April 4, 2017
• First Posted: April 14, 2017
• Study Start: March 30, 2016
• Primary Completion: December 1, 2018
• Study Completion: December 1, 2018
• Last Updated: November 19, 2025

Record last verified: 2025-11

Locations

FR (1)