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Master Thesis

Évaluation des pratiques professionnelles des sages-femmes du groupe hospitalier Cochin-Saint-Vincent-de-Paul concernant la tenue du partogramme

Abstract : Objectives: To assess the application degree of the National Authority for Health (HAS)'s recommendations, to identify strengths and weaknesses of both used partograms, to propose ways of improving and a new model of partogram. Methods: targeted clinical audit between February 10, 2008 and May 5, 2009 of maternities Saint-Vincent-de-Paul and Port-Royal (97 and 90 files). Results: the compliances of these maternities with recommendations are, respectively, 28% and 29% in cervical monitoring (difference NS), 39% and 56% for state of the amniotic sac and / or amniotic liquid (p <0.025), 1% and 2% for the clinical parameters of patients (difference NS), 47% and 40% for their behavior (difference NS), 11% and 5% for the intensity of their pain (difference NS) and 0% and 2% for surveillance in the immediate postpartum phase (difference NS). Conclusion: Some criteria are difficult to implement, harmful to the readability of partogram and have no real clinical relevance. The association partogram / delivery record improve the compliance with the HAS' recommendations. The study allowed the development of a new partogram model and the emergence of different improvements such as information for midwives concerning HAS recommendations.
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https://dumas.ccsd.cnrs.fr/dumas-00619447
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Submitted on : Tuesday, September 6, 2011 - 2:18:12 PM
Last modification on : Friday, October 23, 2020 - 4:49:23 PM
Long-term archiving on: : Thursday, March 30, 2017 - 2:35:26 PM

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  • HAL Id : dumas-00619447, version 1

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Fabienne Dorneus. Évaluation des pratiques professionnelles des sages-femmes du groupe hospitalier Cochin-Saint-Vincent-de-Paul concernant la tenue du partogramme. Gynécologie et obstétrique. 2011. ⟨dumas-00619447⟩

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