Teleconsultation: pre-anesthetic consultation conducted conducted at the Bordeaux University Hospital by an obstetric anesthesia physician using the teleconsultation software provided by the hospital.
on-site consultation: In-person consultation conducted at the Bordeaux University Hospital according to the usual procedure.
Study summary
Quality of teleconsultation in comparison to face-to-face consultation for pre anesthetic evaluation in pregnant persons before delivery will be evaluated. Quality is evaluated with a composite criterion comprising 7 elements required for security of anesthesia. Discordance between this composite criterion during the pre anesthesia visit the day of delivery and pre anesthesia consultation several weeks before delivery will be assessed.
Eligibility
Sex
FEMALE
Min age
18 Years
Max age
—
Healthy volunteers
No
Inclusion Criteria:
* Pregnant patients scheduled to give birth at the Bordeaux University Hospital, ASA score 1 or 2, for their primary pregnancy, who have booked an anesthesia appointment on one of the half-days when teleconsultation is available in the department
* Have access to the internet and functional computer equipment (smartphone, computer)
* Have a valid email address and telephone number
Exclusion Criteria:
* Minor patient (under 18 years old at the time of inclusion)
* Individuals not affiliated with or beneficiaries of a social security scheme
* Patients who do not speak French
* Persons under legal guardianship
* Psychiatric conditions that impair the ability to consent to or participate in the study
* Severe spinal pathology (scoliosis requiring a brace or surgery, ankylosing spondylitis), history of spinal surgery
* Comorbidities with ASA score ≥3
Primary outcome measure(s)
Composite quality criterion — during pre-anesthetic visit, up to 2 months after inclusion (pre-anesthetic consultation) The primary endpoint will be the discordance between the pre-anesthetic consultation and the pre-anesthetic visit based on a composite quality criterion comprising 7 elements:
* Assessment of difficult intubation, defined as a mouth opening \<35 mm
* Description of pre-anesthesia medication reconciliation (except therapeutic adjustments in anticoagulants and antidiabetic treatments)
* Anesthetic strategy associated with a documented chronic condition if a specific strategy is needed
* Adherence to pre-transfusion assessment protocols
* Documentation of hematologic assessment in the 6th month, or prescription of assessment in case of absence
* Therapeutic approach in case of anemia described
* Criteria of difficulty in performing epidural anesthesia
This primary criterion will be assessed at the conclusion of the pre-anesthetic visit.
Trial sites (1)
Facility
City
Region
Status
CHU de Bordeaux
Bordeaux
France
More University Hospital, Bordeaux trials in France
This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.
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