Preterm Infants Born to Homeless Mothers.

NCT05684419 | Completed

• 1 other identifier: CHRD0522
• Study Type: observational
• Target: 50
• Locations: 1 country
• Sites: 1

Brief Summary

In recent years, the number of homeless patients who are accommodated by the SAMU social has increased. These patients are in a situation of financial, but also often social and psychological precariousness. The literature already shows us that precariousness and homelessness are a risk factor for prematurity, but also for the patients themselves, a risk of more frequent recourse to emergency services and of late consultation for advanced pathologies. The objective of this study is to evaluate the fate and quality of medical follow-up of children born very premature (≤33SA) to homeless mothers.

Conditions

Prematurity; Extreme

Keywords

Premature; Homeless; Extreme prematurity

Outcome Measures

Primary Outcomes (1)

• Assessment of the rate of infants born to homeless mothers at or below 33 SA and lost to follow-up for extreme prematurity

  Measurement of the number of children lost to follow-up at 12 months who missed their last follow-up appointment(s) organized in the context of prematurity, with no reason given or new schedule planned

  At 12 month

Secondary Outcomes (7)

• Assessment of the compliance of homeless mothers with medical prescriptions and the respect of the instructions given for the course of care (treatments, physiotherapy, appointment scheduling, etc.)

  At 12 month

• Assessment of vaccination rates in infants born at or below 33 days' gestation to homeless mothers

  At 12 month

• Assessment of the organized follow-up in the city of infants born at a term less than or equal to 33 days of age, of homeless mothers (between the PMI and the attending physicians)

  At 6 month

• Assessment of the rate of re-hospitalization and consultation in the emergency room of the René Dubos Hospital for infants born at a term less than or equal to 33 days of age, of homeless mothers

  At 12 month

• Assessment of breastfeeding duration at 6 months in infants born at or below 33 days' gestation to homeless mothers

  At 6 month

Interventions

Fate and quality of medical follow-up of children born very premature (≤33SA) to homeless mothers OTHER

Evaluation of the fate and quality of medical follow-up of children born very premature (≤33SA) to homeless mothers.

Eligibility Criteria

• Age: Up to 33 Weeks
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17)
• Sampling Method: Non-Probability Sample

Study Population

All infants born at or below 33SA: * Born between January 2019 and December 2021 * At the René Dubos Hospital in Pontoise * Whose mother did not have a fixed address at the time of discharge.

You may qualify if:

• All infants born at or below 33SA:
• Born between January 2019 and December 2021
• At the René Dubos Hospital in Pontoise
• Whose mother did not have a fixed address at the time of discharge.
• NB: Mothers who do not read French well will have the study explained to them by the doctor who follows their child during a consultation, or by telephone.

You may not qualify if:

• \- Opposition of the mothers

Sponsors & Collaborators

• Hôpital NOVO: lead

Study Sites (1)

Resuscitation and neonatal medicine department - Centre Hospitalier René Dubos

Pontoise, France

Location

MeSH Terms

Conditions

Premature Birth

Condition Hierarchy (Ancestors)

Obstetric Labor, Premature; Obstetric Labor Complications; Pregnancy Complications; Female Urogenital Diseases and Pregnancy Complications; Urogenital Diseases

Study Officials

• Dr Suzanne BORRHOMEE

  Hôpital NOVO

  PRINCIPAL INVESTIGATOR

Study Design

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

Study Record Dates

• First Submitted: December 16, 2022
• First Posted: January 13, 2023
• Study Start: July 29, 2022
• Primary Completion: January 17, 2023
• Study Completion: August 12, 2023
• Last Updated: September 19, 2024

Record last verified: 2024-01

Data Sharing

• IPD Sharing: Will not share

Locations

FR (1)