Remise systématique d’un document d’information sur l’exposition fœtale à l’alcool aux femmes lors de la réalisation d’un test de HCG : étude de faisabilité

Abstract : Introduction: Prenatal alcohol exposure is the leading non-genetic cause of mental disability within the children population. The recommendation of “zero alcohol during pregnancy” is well known across the population, however a third of the women consumes alcohol during pregnancy. This alcohol consumption is most of the time stopped following a positive pregnancy test. The biomedical laboratory (BL) is one of the first place for pregnancy diagnosis but no studies have been done to evaluate the BL as a relevant place for preventing alcohol-exposed pregnancy. The main objective of this study is to investigate the capacity of BL to provide an information flyer (IF) about alcohol and pregnancy for any woman doing an HCG (Human Chorionic Gonadotrophin) test. Additionally, the second objective is to evaluate the acceptability and the impact of the prevention done on women and BL professionals. Methods: During a period of 2 months, every women (over the age of majority) doing a HCG test in the BL have been selected for a prospective, observational and multicentric study. IF and questionnaire have been distributed to every women and BL professionals have received a questionnaire at the end of the study. The first endpoint was to identify the proportion of IF distributed over the number of HCG test done. Then, the endpoints of the second objective were to define the proportion of women accepting or not the IF and the questionnaire, and finally, rating the level of satisfaction of the questionnaire from the women and professionals. Results : 753 women identified during the period and 391 IF and questionnaires distributed. The capacity to deliver an IF by the laboratories was 51.9%. 90.3% of the women did accept to receive the IF and 81.9% for the questionnaire. 65% of the women found the IF and questionnaire useful and very clear. This communication did encourage 48% of the women to talk to a health professional and/or to visit a dedicated website. 45.5% of professionals found it very useful and 54.5% found useful the alcohol-exposed pregnancy prevention within BL. Conclusion: The systematic delivery of an IF to each woman doing a biological pregnancy test is feasible but has material limitation. A preventing intervention in BL is well accepted by women and professionals. A recurrent message associated with the results of HCG test is an interesting idea proposed by the professionals.
Document type :
Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-01565300
Contributor : Bu Carreire Université de Bordeaux <>
Submitted on : Wednesday, July 19, 2017 - 5:05:37 PM
Last modification on : Wednesday, August 23, 2017 - 4:41:50 PM

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Emmanuelle Barthou. Remise systématique d’un document d’information sur l’exposition fœtale à l’alcool aux femmes lors de la réalisation d’un test de HCG : étude de faisabilité. Médecine humaine et pathologie. 2017. ⟨dumas-01565300⟩

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