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Master Thesis

Impact de la voie d'accouchement des fœtus en présentation podalique en travail spontané prématuré entre 28 et 32 semaines d'aménorrhée et 6 jours

Abstract : Objectives: To evaluate the impact of the mode of delivery of preterm breech between 28 weeks' gestation (WG) and 32WG and 6 days in spontaneous labor. The primary objective was the evaluation of neonatal morbidity and mortality in the short term, and the secondary objective was the assessment of maternal morbidity and the future of children up to 2 years corrected age. Materials and Methods: Retrospective study from 2004 to 2011, comparing two populations with a singleton pregnancy between 28 and 32 weeks and 6 days inclusive, with a breech premature birth after a spontaneous labor. The 2 populations were distributed either intention of mode of delivery: intention of vaginal delivery (IVTB) or intention of caesarean section (ITC). Results: 25 patients treated ITVB and 24 ITC. Arterial pH of birth is significantly lower (p = 0.0391) in the group IVTB with a median at 7.25 [7.16 to 7.30] against 7.34 [7.26 to 7.35] for ITC. There is a tendency to increased neonatal intra cranial pathologies and maternal deep infections for ITC. The evaluation of the morbidity of children at 2 years was similar for the 2 groups. Conclusion: Our study shows that there is no strong argument for encouraging systematic caesarean section for this population of preterm infants.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-00744743
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Submitted on : Tuesday, October 23, 2012 - 5:31:30 PM
Last modification on : Tuesday, May 11, 2021 - 11:36:17 AM
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  • HAL Id : dumas-00744743, version 1

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Anne-Laure Coston. Impact de la voie d'accouchement des fœtus en présentation podalique en travail spontané prématuré entre 28 et 32 semaines d'aménorrhée et 6 jours. Médecine humaine et pathologie. 2012. ⟨dumas-00744743⟩

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