This study is a non-randomized, quasi-experimental, monocentric study comparing two prenatal monitoring modes in low-risk pregnancy: including at least one remote consultation (phone or teleconsultation) versus face-to-face adapted to confinement. The quality of care perceived by the pregnant women were evaluated according to monitoring modes set up during the COVID-19 pandemic confinement period. The women included planned to give birth at the regional academic Maternity of Nancy, France.
The emergency confinement measures deployed by most industrialized countries governments to limit the impact of the coronavirus disease 2019(COVID-19) pandemic resulted in rapid and unpredictable changes in methods of obstetric monitoring. International and French government recommendations called for a reorganization of mandatory monitoring, particularly for low-risk pregnancies (limit the presence of the coparent during follow-up consultations and implement remote consultations). The potential impact of this reorganization on care perception, probably increased by the context of an unprecedented economic, social and health crisis, is unpredictable. In the absence of a previous event of comparable importance, it is impossible to anticipate differences in satisfaction with antenatal management and in stress level between women exposed to the two types of monitoring. Many factors can influence the perception of care quality, such as the socio-economic environment and the level of health literacy, that is, the individual's ability to find information on health, to understand and use this information to improve his own health or develop autonomy in health care system. The objective of this study is to determine which type of monitoring is better perceived by pregnant women, the factors associated with this perception and the links with the level of knowledge and mastery of women regarding reproductive health and digital tools.
Study Type
OBSERVATIONAL
Enrollment
108
One or more consultation is conducted by phone or teleconsultation during prenatal monitoring
Maternité Régionale Universitaire de Nancy
Nancy, France
Score of perceived quality of prenatal care
score obtained with the Quality of prenatal care questionnaire (QPCQ) as close as possible after release from containment
Time frame: Through study completion, an average of 3 months, ie either at the beginning of the second or the third trimester of pregnancy, or during immediate postpartum care
Level of stress during pregnancy
Perceived stress measured with Perceived Stress Scale-10 (PSS-10) scale
Time frame: Through study completion, an average of 3 months, ie at the beginning of the second and the third trimester of pregnancy, and during immediate postpartum care
level of health and digital literacy
level of health and digital literacy evaluated with Health Literacy Questionnaire (HLQ) and eHealth Literacy Questionnaire (eHLQ) questionnaire
Time frame: Through study completion, an average of 3 months, ie at the beginning of the second and the third trimester of pregnancy, and during immediate postpartum care
Obstetrical outcomes
core set of outcomes for maternity care
Time frame: Through study completion, an average of 6 months, ie at the end of postpartum care hospitalization
Characteristics of medical supervision during pregnancy
Number of remote, face-to-face or emergency consultations during pregnancy and requester of each consultation (patient or practitioner)
Time frame: Through study completion, an average of 6 months, ie throughout the period of pregnancy
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