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Master Thesis

Surveillance échographique élevée des grossesses à bas risque : fréquence, motifs et déterminants associés

Abstract : Introduction: A significant part of women with low-risk pregnancies would have a greater number of prenatal ultrasound scans than the three exams currently recommended in France, without proven health benefits. The determinants of this high surveillance are unknown. The objective was to estimate, in low-risk women, the number of those who had a high ultrasound monitoring, and to study the indications and the factors associated with this monitoring.
Material and methods: Cross-sectional study in two Parisian maternity units, including 200 women with a low-risk pregnancy. Data came from medical records and postpartum interviews. High ultrasound monitoring was defined as a number of five or more obstetrical scans during pregnancy.
Results: 36.5% of women had a high ultrasound monitoring. This were mainly "potentially avoidable" (40.8%) scans, that do not follow the recommendations. The determinants of this monitoring were both individual (high socioeconomic level) and organizational factors (prenatal visits by an obstetrician).
Conclusion: Our study shows that a high number of women have a high ultrasound monitoring and highlights the associated factors. Inform professional and women on the indications for these scans and on the usefulness of the other components of the prenatal surveillance is important, to reduce health care costs and the number of scans that have not proven their benefits on health.
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Submitted on : Tuesday, September 15, 2015 - 4:32:12 PM
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  • HAL Id : dumas-01193134, version 1

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Deborah Perrot. Surveillance échographique élevée des grossesses à bas risque : fréquence, motifs et déterminants associés. Gynécologie et obstétrique. 2015. ⟨dumas-01193134⟩

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