RecruitingNot ApplicableNCT05586334

Development and Clinical Evaluation of an Innovative Medical Device to Predict Preterm Birth (PrediMAP)

Development and Clinical Evaluation of an Innovative Medical Device to Predict Preterm Birth: From Basic Research to Obstetric Emergencies


Sponsor

Assistance Publique - Hôpitaux de Paris

Enrollment

3,600 participants

Start Date

Jun 8, 2023

Study Type

INTERVENTIONAL

Conditions

Summary

The purpose of this study is to clinically validate the predictive performance (sensitivity and specificity) of the PrediMAP in-vitro diagnostic medical device to predict delivery within 7 days in the target population of women consulting obstetric emergencies for preterm labor (PTL).


Eligibility

Sex: FEMALEMin Age: 18 Years

Inclusion Criteria8

  • Pregnant with live fetus(es)
  • Emergency room visit between 22 and 34 days of pregnancy + 6 days
  • For a suspicion of PTL defined by :
  • Uterine contractions (UC) objectified during the consultation (questioning, clinical examination, external tocography),
  • And/or clinical or ultrasound changes of the uterine cervix;
  • OR for any other reason but with EC and/or clinical or ultrasound changes of the cervix on clinical examination
  • Social security coverage or AME: patients receiving AME are at higher risk of PAD and preterm delivery.
  • Signature of consent

Exclusion Criteria7

  • Age \< 18 years;
  • Premature rupture of membranes
  • Patient in labor with imminent delivery.
  • Total absence of social care
  • Minor or protected adult (guardianship or curatorship)
  • Persons who do not speak French and not accompanied by a French-speaking third party
  • Multiple pregnancy \>= 3

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Interventions

BIOLOGICALCollection of vaginal secretions

In all women included: Vaginal secretion sampling at the time of the obstetrical emergency consultation.

BIOLOGICALCollection of the placenta and the membranes

In cohort 1, for 30 patients at the Port Royal Maternity Hospital, the placenta and membranes will be collected after delivery

OTHERAdministration of EPDS questionnaire

In cohort 3, the EPDS questionnaire will be administered to all participants after the consultation in the emergency department.


Locations(1)

Louis Mourier Hospital

Colombes, France

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NCT05586334


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