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Master Thesis

L'accouchement dans l'eau : une étude descriptive évaluant les issues maternelles et néonatales

Abstract : Introduction: water birth is a controversial practice, few publications and many assumptions exist on this subject. At a time when we see a return of physiological childbirth, women seek for an alternative in care that seems too medicalized. This is why labor and childbirth in water is being developed. We therefore conducted a study addressing the overall conduct of childbirth in water, analyzing labor, maternal and neonatal outcomes, with specific questions about the perineum damage, postpartum haemorrhage or maternal and newborn infections. Material and Method: this is a single-center retrospective study performed on files and including 185 women who delivered in water between July 1st 2008 and February 29, 2012. The study was conducted in a type I maternity: Pierre Roques "The Bluets" in the 12th arrondissement of Paris. Results: our study population was a highly selected population of low-risk patients. Not only was it not representative of the general population, but also unrepresentative of the population of the Bluets. This validates our first hypothesis. Labor was short and fast with an average of 3 hours and 10 minutes. If many fear an increase in maternal and neonatal infections due to the risk of water which may be contaminated, in our population, no maternal infections have been reported, validating our second hypothesis. Finally we looked more closely to some specific maternal criteria: if the episiotomy rate is well below the national average (1.6% versus 14.2% for multiparous and 50% for primiparous, according to ENP 2010), perineum damage such as scuffing and simple tears are most important in our study population (68% versus 42%). The study does not show more postpartum haemorrhage than in the general population (8.6% versus 6.7% in the Pythagore study, p = 0.219). Conclusion: with the results obtained, we can conclude that water birth present no greater risk than a conventional childbirth. However this method requires a selection of women with no risk and safety measures necessary to ensure maternal and fetal wellbeing
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  • HAL Id : dumas-00825841, version 1

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Camille Henrion. L'accouchement dans l'eau : une étude descriptive évaluant les issues maternelles et néonatales. Gynécologie et obstétrique. 2012. ⟨dumas-00825841⟩

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