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Master Thesis

L'accouchement en présentation du siège à terme : comparaison de deux prises en charge différentes et de leurs conséquences néonatales et maternelles

Abstract : The term breech delivery: a comparison between two practices and their neonatal and maternal results. In 2000, the Hannah's study, based on worldwide data, has claimed that the choice of a normal spontaneous vaginal delivery in the case of a breech presentation resulted in more neonatal mortality and morbidity rates than the caesarian. Since then, many maternity hospital systematically favor this surgery when facing the breech presentation. My thesis is a comparison between Necker and Port-Royal maternities of neonatal and maternal results in the case of term breech presentation delivery. The Port Royal's maternity actually applies the spontaneous vaginal delivery procedure only it some conditions are met. On the other hand, the Necker maternity also adopted a systematic approach to the caesarian methodology. My study, based on a 2-year database ending on December 31st 2010, includes 300 records divided as follows: 130 from Necker and 170 from Port Royal. My analysis is that Port Royal's protocol is more suitable to the breech presentation as there is no significant difference observed in terms of mortality and morbidity between those two practices. Our study proves an increase of neonatal respiratory distress and urinary infections of the mothers linked with systematic caesarian practice.
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https://dumas.ccsd.cnrs.fr/dumas-00724928
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Submitted on : Thursday, August 23, 2012 - 11:50:27 AM
Last modification on : Friday, June 26, 2020 - 4:44:02 PM
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  • HAL Id : dumas-00724928, version 1

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Anne-Sophie Martel. L'accouchement en présentation du siège à terme : comparaison de deux prises en charge différentes et de leurs conséquences néonatales et maternelles. Gynécologie et obstétrique. 2012. ⟨dumas-00724928⟩

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