Pre-anesthetic Teleconsultations During Pregnancy

NCT07542197 | Not Yet Recruiting

• 1 other identifier: CHUBX 2025/049
• Study Type: interventional
• Target: 250
• Locations: 1 country
• Sites: 1

Brief Summary

Quality of teleconsultation in comparison to face-to-face consultation for pre anesthetic evaluation in pregnant persons before delivery will be evaluated. Quality is evaluated with a composite criterion comprising 7 elements required for security of anesthesia. Discordance between this composite criterion during the pre anesthesia visit the day of delivery and pre anesthesia consultation several weeks before delivery will be assessed.

Conditions

Pregnancy; Anesthesia; Satisfaction; Telemedicine

Keywords

pre anesthetic consultation; anesthesia; obstetrics; carbon footprint; e-health; electronic medical records; telehealth; telemedicine

Outcome Measures

Primary Outcomes (1)

• Composite quality criterion

  The primary endpoint will be the discordance between the pre-anesthetic consultation and the pre-anesthetic visit based on a composite quality criterion comprising 7 elements: * Assessment of difficult intubation, defined as a mouth opening \<35 mm * Description of pre-anesthesia medication reconciliation (except therapeutic adjustments in anticoagulants and antidiabetic treatments) * Anesthetic strategy associated with a documented chronic condition if a specific strategy is needed * Adherence to pre-transfusion assessment protocols * Documentation of hematologic assessment in the 6th month, or prescription of assessment in case of absence * Therapeutic approach in case of anemia described * Criteria of difficulty in performing epidural anesthesia This primary criterion will be assessed at the conclusion of the pre-anesthetic visit.

  during pre-anesthetic visit, up to 2 months after inclusion (pre-anesthetic consultation)

Secondary Outcomes (5)

• Patient satisfaction

  2 weeks after inclusion (pre-anesthetic consultation)

• Anesthesiologist satisfaction

  at inclusion (pre anesthetic consultation)

• missed appointment

  at inclusion (pre anesthetic consultation)

• Epidural anesthesia difficult to perform

  up to 2 month after inclusion

• Carbon footprint

  at inclusion (pre anesthetic consultation)

Study Arms (2)

Teleconsultation

EXPERIMENTAL

Patients randomized in teleconsultation arm.

Procedure: Teleconsultation

In-person consultation

ACTIVE COMPARATOR

Patients randomized in on-site consultation arm

Procedure: on-site consultation

Interventions

Teleconsultation PROCEDURE

pre-anesthetic consultation conducted conducted at the Bordeaux University Hospital by an obstetric anesthesia physician using the teleconsultation software provided by the hospital.

Teleconsultation

on-site consultation PROCEDURE

In-person consultation conducted at the Bordeaux University Hospital according to the usual procedure.

In-person consultation

Eligibility Criteria

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

You may qualify if:

• Pregnant patients scheduled to give birth at the Bordeaux University Hospital, ASA score 1 or 2, for their primary pregnancy, who have booked an anesthesia appointment on one of the half-days when teleconsultation is available in the department
• Have access to the internet and functional computer equipment (smartphone, computer)
• Have a valid email address and telephone number

You may not qualify if:

• Individuals not affiliated with or beneficiaries of a social security scheme
• Patients who do not speak French
• Persons under legal guardianship
• Psychiatric conditions that impair the ability to consent to or participate in the study
• Severe spinal pathology (scoliosis requiring a brace or surgery, ankylosing spondylitis), history of spinal surgery
• Comorbidities with ASA score ≥3

Sponsors & Collaborators

• University Hospital, Bordeaux: lead

Study Sites (1)

CHU de Bordeaux

Bordeaux, France

Location

MeSH Terms

Conditions

Personal Satisfaction

Interventions

Remote Consultation

Condition Hierarchy (Ancestors)

Behavior

Intervention Hierarchy (Ancestors)

Referral and Consultation; Professional Practice; Organization and Administration; Health Services Administration; Telemedicine; Delivery of Health Care; Patient Care Management

Study Officials

• Marion GRITON

  University Hospital, Bordeaux

  PRINCIPAL INVESTIGATOR

• Karine NOUETTE-GAULAIN

  University Hospital, Bordeaux

  STUDY DIRECTOR

• Florence SAILLOUR

  University Hospital, Bordeaux

  STUDY CHAIR

Central Study Contacts

Marion GRITON, MD

CONTACT

05 57 82 17 22; marion.griton@chu-bordeaux.fr

Hela KLAY

CONTACT

05 40 45 12 34; hela.klay@chu-bordeaux.fr

Study Design

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

Study Record Dates

• First Submitted: April 14, 2026
• First Posted: April 21, 2026
• Study Start (Estimated): June 30, 2026
• Primary Completion (Estimated): June 1, 2028
• Study Completion (Estimated): June 1, 2028
• Last Updated: April 28, 2026

Record last verified: 2026-04

Locations

FR (1)