Decision-making Regarding the Possibility of Medical Termination of Pregnancy

NCT05202639 | Completed

• 1 other identifier: 69HCL21_0580
• Study Type: observational
• Target: 74
• Locations: 1 country
• Sites: 1

Brief Summary

The aim of this study is to improve professional practices by better understanding parents who face the choice of medical termination of pregnancy. The hypothesis of the study is that the decision to continue the pregnancy with a serious fetal pathology is more based on the belief and the representations of parents than on the diagnosis or prognosis criteria of the fetus. A better understanding of the parents' motivations on their decision making by knowing what they expect from the caregivers would allow the division of representations, a better prenatal advice and a better perinatal support.

Conditions

Medical Termination of Pregnancy

Outcome Measures

Primary Outcomes (1)

• Quantitative auto-questionnaire (Likert scale)

  Quantitative comparison of motivations related to the condition of the fetus versus motivations related to the beliefs and representations of the parents evaluated with a quantitative auto-questionnaire (Likert scale) completed more than one year after the diagnosis of severe fetal pathology. Each item of the questionnaire completed by parents who continued or terminated the pregnancy will be scored with a Likert scale. The sums of the Likert scores for the items concerning the fetus and the parental beliefs and representations will be compared.

  1 year

Study Arms (2)

Continuation of pregnancy

The parents who have chosen to continue pregnancy will be asked to complete a questionnaire.

Other: Questionnaire

Medical termination of pregnancy

The parents who have chosen to terminate pregnancy will be asked to complete a questionnaire.

Other: Questionnaire

Interventions

Questionnaire OTHER

A questionnaire will be sent by e-mail to the mother and to the father separately. A return of the completed questionnaire is expected within 6 weeks via a secure internal platform pertained to the HCL ("Hospices Civils de Lyon"). The aim of this questionnaire is to identify the factors associated with the continuation or not of pregnancy after diagnosis of severe fetal pathology and after legal authorization of medical termination of pregnancy given by the Multidisciplinary Center of Prenatal Diagnosis.

Continuation of pregnancy; Medical termination of pregnancy

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

The study population will be couples whose files were presented to the Multidisciplinary Prenatal Diagnosis Centers of two level 3 maternity hospitals in Lyon during 2019 for a severe fetal pathology, and for which the authorization of medical termination of pregnancy was delivered.

You may qualify if:

• Adults without age limit
• Couples or single mothers seen at hospital in 2019
• Couples or single mothers who have been taken care at the Antenatal Diagnosis Center
• Couples or single mothers whose file has been presented to a Multidisciplinary Prenatal Diagnosis Center (MPDC)
• MPDC's legal authorization of medical termination of pregnancy for severe fetal pathology (fetal reason)

You may not qualify if:

• MPDC's legal authorization of medical termination of pregnancy for maternal reason
• Parents who have requested an opinion on another MPDC (with continuation of care in another center)
• Fetal death in utero before couple's decision to continue or terminate the pregnancy
• Psychiatric pathology preceding the pregnancy
• Non-affiliation to health insurance plan
• No possible communication (language barrier)
• Participation refusal
• Adult patient protected under the terms of the law (Public Health Code)

Sponsors & Collaborators

• Hospices Civils de Lyon: lead

Study Sites (1)

Service d'obstétrique et de néonatologie, psychiatrie périnatale - Hôpital de la Croix-Rousse

Lyon, 69004, France

Location

MeSH Terms

Interventions

Surveys and Questionnaires

Intervention Hierarchy (Ancestors)

Data Collection; Epidemiologic Methods; Investigative Techniques; Health Care Evaluation Mechanisms; Quality of Health Care; Health Care Quality, Access, and Evaluation; Public Health; Environment and Public Health

Study Officials

• Sylvie VIAUX-SAVELON, MD

  Service d'obstétrique et de néonatologie, psychiatrie périnatale - Hôpital de la Croix-Rousse - Hospices Civils de Lyon

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: OTHER
• Time Perspective: RETROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: December 14, 2021
• First Posted: January 21, 2022
• Study Start: December 15, 2021
• Primary Completion: February 22, 2022
• Study Completion: February 22, 2022
• Last Updated: September 7, 2022

Record last verified: 2022-08

Locations

FR (1)