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Master Thesis

Comparaison des protocoles de maturation cervicale, à Port-Royal et Robert Debré, chez les patientes nullipares à partir de 41 SA

Abstract : Port-Royal and Robert Debré maternity wards: a comparison of cervical ripening protocols in nulliparous women at 41 weeks gestation or beyond.
The benefit of cervical ripening in labor induction has been demonstrated many times. But there are few studies evaluating the impact of the length of induction on maternal and neonatal outcomes. We have conducted a retrospective comparative study about maternal and neonatal outcomes in nulliparous women who were ripened at or beyond 41 weeks gestation at Port-Royal (N=147) and Robert Debré (N=145) maternity wards from 2007 to 2011. Differences observed on maternal and neonatal issues are the consequences of variations in the way of managing labor and delivery. C-section rate is increased when the length of cervical ripening is more than 24 hours (p=0,02) and remains the same for PPH (p=0,04). No evidence of an impact on Neonatal outcomes was found. We found no benefit in increasing the length of cervical ripening beyond 24 hours. An upscale study must be performed to precise the interest of increasing the length of cervical ripening to enhance spontaneous delivery rate.
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https://dumas.ccsd.cnrs.fr/dumas-00858108
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Submitted on : Wednesday, September 4, 2013 - 4:20:14 PM
Last modification on : Friday, June 26, 2020 - 4:44:02 PM
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  • HAL Id : dumas-00858108, version 1

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Cyrielle Crampe-Casnabet. Comparaison des protocoles de maturation cervicale, à Port-Royal et Robert Debré, chez les patientes nullipares à partir de 41 SA. Gynécologie et obstétrique. 2013. ⟨dumas-00858108⟩

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