Patients’ Choice of Health Care Provider for Monitoring Their Pregnancy

Overview

The aim of this study is to understand and interpret the determinants that lead pregnant women to refer more to a health professional in order to better meet the patient's request.

Full Title of Study: “Patients’ Choice of Health Care Provider for Monitoring Their Pregnancy”

Study Type

• Study Type: Interventional
• Study Design
  • Allocation: N/A
  • Intervention Model: Single Group Assignment
  • Primary Purpose: Other
  • Masking: None (Open Label)
• Study Primary Completion Date: September 2023

Detailed Description

Pregnancy is a natural phenomenon that occurs without complication in the majority of pregnant women. Pregnancy monitoring is necessary to detect possible complications and improve the comfort and experience of all pregnant women. For several years now, pregnant women have wanted to benefit from pregnancy monitoring as well as a less medical and physiological delivery according to the perinatal plan 2005-2007. Perinatal plans have been implemented and evaluated for over 30 years. Progress has been made in terms of obstetrical and perinatal safety. The latest plan advocates a "humanisation of birth" which leaves more room for the parents' wishes. Pregnancy monitoring is currently carried out by doctors or midwives as part of seven compulsory prenatal examinations. This medical follow-up is completed by a preparation for birth with group classes, based on these general and obstetrical assessments. After declaring their pregnancy, women can consult various health professionals to monitor their pregnancy. The aim of this study is to understand and interpret the determinants that lead pregnant women to be more oriented towards one health professional or another. Each determinant will be analysed and quantified in order to better respond to patient demand. The investigator chose to interview women who had just given birth and not pregnant women because the health professional may change during the course of the pregnancy, and the investigator assumes that the women will have more perspective on their experience and their choice once they have given birth.

Interventions

• Other: Patient questionnaire
  • Patients included in the study will complete an online questionnaire (LimeSurvey).

Arms, Groups and Cohorts

• Other: Patient questionnaire
  • Patients included in the study will complete an online questionnaire (LimeSurvey).

Clinical Trial Outcome Measures

Primary Measures

• Determine which healthcare professional would be preferred by women who have just given birth, for the follow-up of their next possible pregnancy.
  • Time Frame: At the end of the study, an average of 6 month
  • The healthcare professional preferred by the patients for the monitoring of their next pregnancy will be determined by the online questionnaire: question n°20

Secondary Measures

• Assessment of the influence of the presence or absence of risk factors on the choice of healthcare professional
  • Time Frame: At the end of the study, an average of 6 month
  • The presence or absence of risk factors (hypertension, obesity, history of premature birth, history of caesarean section, etc.) will be sought in the patient’s medical file
• Assessment of the influence of the acquaintance of the healthcare professional before pregnancy monitoring on the choice of healthcare professional
  • Time Frame: At the end of the study, an average of 6 month
  • The evaluation of the influence of the acquaintance of the healthcare professional on the choice of the healthcare professional for the monitoring of their next pregnancy will be determined by the online questionnaire: questions n°10 and 11.
• Assessment of the influence of the gender of the healthcare professional on the choice of healthcare professional
  • Time Frame: At the end of the study, an average of 6 month
  • The evaluation of the influence of the gender of the health professional on the choice of the health professional for the monitoring of their next pregnancy will be determined by the online questionnaire: questions n°10 and 12.
• Assessment of the influence of the age of the healthcare professional on the choice of healthcare professional
  • Time Frame: At the end of the study, an average of 6 month
  • The evaluation of the influence of the age of the health professional on the choice of the health professional for the monitoring of their next pregnancy will be determined by the online questionnaire: questions n°10 and 13.
• Assessment of the influence of the availability of the healthcare professional on the choice of healthcare professional
  • Time Frame: At the end of the study, an average of 6 month
  • The evaluation of the influence of the availability (particularly delay to make an appointment) of the health professional on the choice of the health professional for the monitoring of their next pregnancy will be determined by the online questionnaire: questions n°10 and 14.
• Assessment of the influence of the reachability of the healthcare on the choice of healthcare professional
  • Time Frame: At the end of the study, an average of 6 month
  • The evaluation of the influence of the reachability of the health professional on the choice of the health professional for the monitoring of their next pregnancy will be determined by the online questionnaire: questions n°10 and 15.
• Assessment of the influence of the distance from physician’s office to home (or work) on the choice of healthcare professional
  • Time Frame: At the end of the study, an average of 6 month
  • distance from physician’s office to home (or work) on the choice of the health professional for the monitoring of their next pregnancy will be determined by the online questionnaire: questions n°10 and 16.
• Assessment of the influence of the price of the consultation of the healthcare professional on the choice of healthcare professional
  • Time Frame: At the end of the study, an average of 6 month
  • The evaluation of the influence of the price of the consultation on the choice of the health professional for the monitoring of their next pregnancy will be determined by the online questionnaire: questions n°10 and 17.
• Assessment of the influence of time spent with the healthcare professional on the choice of healthcare professional
  • Time Frame: At the end of the study, an average of 6 month
  • The evaluation of the of time spent with the healthcare professional on the choice of the health professional for the monitoring of their next pregnancy will be determined by the online questionnaire: questions n°10 and 18.
• Assessment of the influence of the healthcare professional’s skills on the choice of healthcare professional
  • Time Frame: At the end of the study, an average of 6 month
  • The evaluation of the influence of the healthcare professional’s skills on the choice of the health professional for the monitoring of their next pregnancy will be determined by the online questionnaire: questions n°10 and 19.
• Assessment of the influence of the ultrasound practice in the physician’s office on the choice of healthcare professional
  • Time Frame: At the end of the study, an average of 6 month
  • The evaluation of the influence of ultrasound practice in the physician’s office on the choice of the health professional for the monitoring of their next pregnancy will be determined by the online questionnaire: question n°10.
• Assessment of the influence of the possibility of following the child after birth on the choice of healthcare professional
  • Time Frame: At the end of the study, an average of 6 month
  • The evaluation of the influence of the possibility of following the child after birth on the choice of the health professional for the monitoring of their next pregnancy will be determined by the online questionnaire: question n°10.
• Assessment of the influence of the setting of the physician’s office on the choice of healthcare professional
  • Time Frame: At the end of the study, an average of 6 month
  • The evaluation of the influence of the setting of the physician’s office (equipment, size of the office, Secretariat) on the choice of the health professional for the monitoring of their next pregnancy will be determined by the online questionnaire: question n°10.
• Assessment of the influence of the follow-up with the attending physician on the choice of healthcare professional
  • Time Frame: At the end of the study, an average of 6 month
  • The evaluation of the influence of the follow-up with the attending physician on the choice of the health professional for the monitoring of their next pregnancy will be determined by the online questionnaire: questions n°21 to 28.

Participating in This Clinical Trial

Inclusion Criteria :

• Woman in post-natal care at the NOVO hospital – Pontoise site – Women aged 18 and over Exclusion Criteria : – Women who do not speak or understand French language (written and oral) – Woman under legal protection (guardianship, curatorship…) – Refusal to participate

Gender Eligibility: Female

The study is aimed at women who have just given birth at the NOVO hospital – Pontoise site

Minimum Age: 18 Years

Maximum Age: N/A

Are Healthy Volunteers Accepted: No

Investigator Details

• Lead Sponsor
  • Centre Hospitalier René Dubos
• Provider of Information About this Clinical Study
  • Sponsor
• Overall Official(s)
  • Pr Christophe Poncelet, Principal Investigator, Hospital NOVO – Pontoise site
• Overall Contact(s)
  • Maryline Delattre, +33 1 30 75 41 31, maryline.delattre@ght-novo.fr