Study of the Value of Maternal-fetal Transfers and Their Complexity of Their Implementation

Over the past year, an audit carried out on the Mercy maternity unit, covering 130 transfers to the Nancy regional maternity hospital, showed that patients transferred for threat of premature delivery (MAP) with a cervix > 15 mm do not give birth at the receiving maternity unit, but return home after 48 hours' hospitalization.

When maternal-fetal transfer (MFT) is requested, numerous calls are made to private ambulance services, and in the end, many emergency rapid response units (SMUR) are called out, requiring a major human, logistical and time investment for a questionable benefit to the patient. Tensions in terms of logistics (lack of ambulance, SMUR) and human resources (lack of personnel) can, conversely, compromise good care of the parturient.

• Maternal-fetal transfers (Procedure): Prospective and consecutive inclusion of all maternal-fetal transfers during the study period. The teams at the sending and receiving maternity units will complete study-related questionnaires to describe the conditions of the transfer and the outcome of the pregnancy. The study in no way alters the way parturients are cared for.

Primary outcomes

• The percentage of "avoidable" maternal-foetal transfer (MFT) [after delivery, up to 6 weeks after the maternal-foetal transfer]: The main evaluation criterion is "avoidable" maternal-foetal transfer (MFT), i.e. resulting in a delivery that met the acceptance criteria of the original maternity hospital

Secondary outcomes

• Obstetrical indication for maternal-foetal transfer (MFT) [Up to 48 hours after the maternal-foetal transfer]: as documented in the patient file
• Organizational arrangements for maternal-foetal transfer [Up to 6 months after inclusion of a maternity unit in the study]: Organizational arrangements for maternal-foetal transfer in the various centers, assessed by a specific questionnaire sent to maternity units.

Sex: Female, ages: 18 Years to any

Inclusion Criteria:

* Pregnant woman cared for in a participating maternity unit
* Over 18 years of age
* Requested for maternal-fetal transfer (finally performed, or not)

Exclusion Criteria:

* missing data on transfer outcome

• Laetitia HONORE-ROUGE, MD, Principal investigator, CHR Metz Thionville Hopital Femme Mère Enfant