The management of patients with primary immune deficiency is increasingly codified, however contraception and pregnancy have not yet extensively studied or codified, and the medical monitoring and the prevention of infectious complications thus remains at the discretion of the practitioner. The aim the research is to study the obstetric features and outcome of patients with primary immune defects.
Primary immune deficiencies constitute a large group of immune system disorders of genetic origin which can associate, to varying degrees, an increased susceptibility to infections and immunopathological manifestations: allergy, inflammation, autoimmunity, lymphoproliferation, tumors malignant. Although their prevalence remains underestimated, there has been an increase in the number of cases diagnosed in the past 10 years. The national average prevalence is 8.6 patients per 100,000 inhabitants and the diagnostic incidence is 400 new cases per year in France. Major improvement in the management of primary immunodeficiencies have drastically changed patients outcome. Most patients now reach adulthood and the possibility of carrying out a pregnancy project, that has already reported for patients suffering from hypogammaglobulinemia or variable common immune deficiency, is now increasingly reported for other types of inherited immunodeficiencies. Whereas the management of patients with hereditary immunodeficiencies is increasingly codified, contraception and pregnancy have not yet been the subject of recommendations: medical monitoring and the prevention of infectious complications thus remain at the discretion of the practitioner. The aim the research is to study the obstetric experiences of patients with a primary immune deficiency, paying particular attention to infectious complications.
Study Type
OBSERVATIONAL
Enrollment
99
Questionnaire intended for patients on the course of pregnancy and postpartum, the neonatal period and contraceptive modalities.
Hôpital Necker-Enfants Malades
Paris, France
Infectious events
Number of infectious events at any time during pregnancy and post-partum
Time frame: 18 months
Infectious gynecological complications
Number of infectious gynecological complications during contraception
Time frame: Up to 50 years
Onset of pregnancy
Number of pregnancies during reproductive age period
Time frame: Up to 50 years
Pregnancy outcomes
Rate of early or late miscarriage, completed pregnancy, live birth and childbearing
Time frame: Up to 9 months
Treatments
Number of treatments aiming at preventing infections
Time frame: 9 months
Screening of infections
Presence/absence of screening for infections
Time frame: 9 months
Occurrence of obstetric complications
Rate of obstetric complications
Time frame: 9 months
Contraception effectiveness
Number of unwanted pregnancies
Time frame: Up to 50 years
Contraception complications
Number of non-infectious complications of contraception
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Time frame: Up to 50 years
Deaths and complications in the neonatal period
Number of complications during neonatal period, including death
Time frame: 3 months