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Master Thesis

Une prise en charge différente pour un accouchement moins médicalisé : les maisons de naissance sont-elles possibles en France ?

Abstract : Objective : This study aims reviewing maternal and neonatal outcomes after labor and delivery in birth centers. We want to know wether complications are more common after this type of less medicalized assistance, than after a more traditional support in the hospital. Methods : This paper is a retrospective case-control study based on medical records, from the maternity of Pontoise. We recruited all the patients who were in labor in Pontoise birth center over the period from January to August 2013, which represents 48 women. After matching, we have the same number of patients in the control group from the hospital delivery room. Results and conclusion : Birth centers' midwives intervene much less during labor and this turns out to have no negative impact on maternal and neonatal outcomes. Of the 48 women who began their labor in birth center, 96% were able to give birth there, and among them, 93% had a physiological postpartum. They usually have an intact perineum. Regarding newborns, they do not have more adaptation difficulties to extrauterine life and are not facing more risks of fetal asphyxia or infection due to a longer labor. However, the difference in prevalence with the delivery room is not significant due to the lack of power of our study. Given their context, the three transfers made to the obstetrical unit (two while in labor and one for a retained placenta issue) were necessary and justified. Birth centers assistance is thus adapted to those low-risk pregnant women.
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https://dumas.ccsd.cnrs.fr/dumas-01003442
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Submitted on : Tuesday, June 10, 2014 - 12:05:31 PM
Last modification on : Wednesday, April 22, 2020 - 10:36:21 AM
Long-term archiving on: : Wednesday, September 10, 2014 - 11:45:59 AM

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  • HAL Id : dumas-01003442, version 1

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Justine Peltier. Une prise en charge différente pour un accouchement moins médicalisé : les maisons de naissance sont-elles possibles en France ?. Gynécologie et obstétrique. 2014. ⟨dumas-01003442⟩

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