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Master Thesis

Comparaison de pratiques entre la France et l'Angleterre. Quels sont leurs impacts sur les issues maternelles et néonatales ?

Abstract : Practices comparison beetwen France and England - Objective: The aim of this study was to describe the differences between France and England concerning practices and maternal and neonatal outcomes, then to determine the impact of the practices on the outcomes. Study design: Data were obtained from a retrospective cohort from Port-Royal (PR), Paris and St. George's Hospital (SG), London, and comprised 2,249 term nulliparous women. Multiple logistic regression analyses were used. Results: Women giving birth at SG had a higher risk of Post-Partum Haemorrhage (ORaj=2.55 [1.62; 4.01]) and lower risk of ID (ORaj=0.61 [0.41; 0.92]) if they received oxytocin. At PR, oxytocin led to a higher risk of ID (ORaj=2.18 [1.41; 3.39]), and a duration of pushing from 30 to 60 minutes to a higher risk of adverse neonatal outcome (ventilated new-borns ORaj=2.87 [1.30; 6.36]). In the two centres, a duration of labor is associated with a higher risk of ID (ORaj=2.37 [1.37; 4.09] at PR, ORaj=1.64 [1.07; 2.53] at SG). Conclusion: Those results confirm differences of practices, and their effective impacts on outcomes.
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https://dumas.ccsd.cnrs.fr/dumas-01058003
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Submitted on : Monday, August 25, 2014 - 5:55:16 PM
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  • HAL Id : dumas-01058003, version 1

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Marie-Charlotte Vignon. Comparaison de pratiques entre la France et l'Angleterre. Quels sont leurs impacts sur les issues maternelles et néonatales ?. Gynécologie et obstétrique. 2014. ⟨dumas-01058003⟩

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