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Master Thesis

État des lieux de la pratique de l'amniotomie au cours du travail spontané à terme

Abstract : Objectives - The practice of amniotomy is controversial. Although it could accelerate the labor, it has some deleterious effects. The objective of this retrospective descriptive mono-centric study was to provide an overview of the amniotomy practice during the spontaneous labor. Matérials and methods - The sample was composed of 170 patients having a spontaneous labor with singleton live birth, in cephalic presentation, after 37 completed weeks of amenorrhea and benefiting from an amniotomy. These data were extracted from the obstetrical paper record of the patients. The main objectives were to establish the amniotomy prevalence and the indications linked to this one. The secondary objectives were to evaluate prevalence of amniotomies without indication and the characteristics of these. Results - The amniotomy prevalence was 43.1%. An amniotomy was realized for 28.2% of patients for anomaly of the dilation progress, 17.6% for complete dilation, 8.8% for indication of active management. The amniotomy without indication prevalence was 19.5% and 87.0% were realized under loco regional analgesia, 46.8% between 5cm included and 8cm excluded of dilation and in 66.2% of the cases the presentation was fixed. Conclusion - The amniotomy is a common gesture which must be put to good use.
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Contributor : Jean-Hugues Morneau <>
Submitted on : Wednesday, July 15, 2015 - 10:16:51 AM
Last modification on : Tuesday, May 11, 2021 - 11:36:18 AM
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  • HAL Id : dumas-01176212, version 1


Florine d'Agostin. État des lieux de la pratique de l'amniotomie au cours du travail spontané à terme. Gynécologie et obstétrique. 2015. ⟨dumas-01176212⟩



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