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Master Thesis

Indications des premières césariennes en 2013 au CHU de Grenoble

Abstract : Objectives: To characterize the indications of primary ceserean sections and discuss the different ways of reducing it. Material and methods:Retrospective study, carried out over a period of 1 year at the regional teaching hospital of Grenoble. All patients who underwent primary ceserean section in 2013 were included. Two groups were defined by parity at the ceserean section: nulliparous patients (group 1) and multiparous patients (group 2). We have assessed the indication of every primary ceserean section and health status of newborns in each group. Results:Three hundred sixty nine patients were allocated in group 1and 130 in group 2. The ceserean section rate in 2013 was 24.7% with a primary ceserean section rate of 17%. The primary ceserean rate was 27.3% for nulliparous patients and 8.2% for multiparous patients with a significant statistical difference. Sixty three percents of primary ceserean sections concerned primiparous women at term with a singleton gestation in cephalic presentation. The most common indications of primary ceserean section were non reassuring fetal heart rate (47.1%), failure to progress (24.8%) and fetal malpresentation (9.6%). Concerning newborns, 7.1% had an Apgar score lower than 7 at 5 minutes of lifetime, 19.5% had an umbilical arterial pH less than or equal to 7,20. Conclusion: There are different ways to try to decrease the primary ceserean section rate without increasing maternal and foetal morbidity.
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Master Thesis
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Submitted on : Friday, October 31, 2014 - 9:25:57 AM
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Pauline Zelli. Indications des premières césariennes en 2013 au CHU de Grenoble. Médecine humaine et pathologie. 2014. ⟨dumas-01076610⟩

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