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Master Thesis

Accouchements inopinés hors de la maternité d'origine. Revue des cas de 2007 à 2010 et étude cas-témoins à la maternité Port-Royal

Abstract : Unexpected deliveries outside of home hospital are sources of complications on the medical, psychological and organizational level. Patients about to give birth are welcomed in an unknown environment, and supported by an obstetrical team who doesn't have any medical file about them. Is it possible to identify in antenatal those women at risk of giving birth out of their maternity home, do these situations involve obstetrical and neonatal complications, and are some of them preventable? In order to answer these questions, we conducted a retrospective case-control study on women who registered at the Port-Royal maternity, whose theoretical term was between January 1st 2007 and September 31st 2010 and have not given birth at Port-Royal maternity. Then we compared those women to the patients who were followed at Port-Royal maternity and had given birth at the same date and time of the day. 80 patients were included in the study. Patients who didn't give birth in Port-Royal maternity were mostly multiparous, with a particular psychosocial context, living the farthest from the maternity and whose medical supervision of the pregnancy was not as good as the one provided to patients who delivered at the Port-Royal maternity. Maternal and neonatal outcomes were similar in both groups. Our study allow us to conclude that these patients have risk factors particularly related to parity and distance between their home and the maternity. However unexpected deliveries outside maternity home are fortunately rare and do not influence on maternal and neonatal outcomes.
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https://dumas.ccsd.cnrs.fr/dumas-00617851
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Submitted on : Tuesday, August 30, 2011 - 4:04:14 PM
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  • HAL Id : dumas-00617851, version 1

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Marion Coisnard. Accouchements inopinés hors de la maternité d'origine. Revue des cas de 2007 à 2010 et étude cas-témoins à la maternité Port-Royal. Gynécologie et obstétrique. 2011. ⟨dumas-00617851⟩

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