Skip to Main content Skip to Navigation
Master Thesis

Prévention anténatale de l'allo-immunisation foeto-maternelle anti-RH1 : état des lieux des connaissances et pratiques professionnelles au sein de différents réseaux de périnatalité d'Ile-de-France

Abstract : Objective: The main aim of this study was to evaluate health care providers' knowledge and practices concerning prevention of anti-RH1 fetomaternal allo-immunization. Materials and methods: We carried out a prospective and multicentric study from October 15, 2013 to January 15, 2014 within different perinatality networks of Ile-de-France. We followed the national guidelines for the prevention of fetomaternal rhesus-D allo-immunization as outlined in 2005 by the National French College of Obstetrics and Gynecology to draft an anonymous questionnaire. We included in this study midwifes, obstetrician-gynecologists and general practitioners. Results: 140 questionnaires were collected. This study allowed us highlighting heterogeneity of practices, particularly concerning systematic immunoprophylaxia witch is only prescribed by 58% of our study population. We also noted that fetal RhD genotyping in maternal plasma is still unknown since 24% of the professionals questioned haven't knowledge of it. Conclusion: Heterogeneity of practices and the lack of knowledge about some aspects of fetomaternal anti-RH1 allo-immunization's prevention show the importance of the continuous medical evaluation and medical education. The potential inclusion of fetal RhD genotyping in maternal plasma and monoclonal antibodies might standardize practices.
Complete list of metadata

Cited literature [23 references]  Display  Hide  Download

https://dumas.ccsd.cnrs.fr/dumas-01002733
Contributor : Uvsq Bibliothèques Universitaires <>
Submitted on : Friday, June 6, 2014 - 4:17:46 PM
Last modification on : Monday, April 26, 2021 - 10:36:49 AM
Long-term archiving on: : Saturday, September 6, 2014 - 12:25:22 PM

Identifiers

  • HAL Id : dumas-01002733, version 1

Citation

Aurore Lacambra. Prévention anténatale de l'allo-immunisation foeto-maternelle anti-RH1 : état des lieux des connaissances et pratiques professionnelles au sein de différents réseaux de périnatalité d'Ile-de-France. Gynécologie et obstétrique. 2014. ⟨dumas-01002733⟩

Share

Metrics

Record views

364

Files downloads

7930