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Master Thesis

Les échecs de déclenchement sur l'année 2008 au CHU d'Angers

Abstract : OBJECTIVE: The objective of this study is to analyze whether the parameters of artificial induction of labor which could increase the rate of caesarean section.

METHODS: In 2008, we conducted a retrospective study at the University Hospital of Angers. Only the records of women who had a caesarean section after induction of labor were selected. Other criteria were a single birth with a term exceeding 34 SA and fetal cephalic presentation.

RESULTS: Labor induction was unsuccessful in a significant number of women (13%). Our population is composed of 67% of primiparous pregnancy and 44% of this group was triggered after 41 SA. The Bishop score was unfavourable in 71% of cases. The methods most used were Propess ® and oxytocin. The two main causes of C-section are the stagnation, especially before 4 cm, and the abnormal fetal heartbeat.

CONCLUSION: the primiparous pregnancy, an advanced gestational age and a BMI greater than 25 are parameters in an unfavorable induction of labor. For the evaluation of the patient, these elements complement the Bishop score, which itself has two negative criteria, namely, low cervical dilation and the significant length of the cervix.

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Submitted on : Friday, January 14, 2011 - 3:53:16 PM
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  • HAL Id : dumas-00555904, version 1



Antoine Neil. Les échecs de déclenchement sur l'année 2008 au CHU d'Angers. Gynécologie et obstétrique. 2010. ⟨dumas-00555904⟩



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