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Master Thesis

L'hémorragie du post-partum au 19e siècle et de nos jours à Marseille

Abstract : Introduction: ln the collective imagination, it is frequently found the idea that formerly women gave birth and died in childbirth, in a pool of blood. We will see through this study if postpartum hemorrhage (PPH) was, firstly, as common in the 19th century as it can be imagined; and secondly the evolution until today regarding the frequency, risk factors,í maternal mortality and medical care. Obiective of the study : - Primary Objectives: To calculate the frequency of PPH , the percentage of maternal mortality and to identify risk factors - Secondary Objective: To describe medical care methods Materials ana methods: Retrospective, descriptive and comparative study from delivery records of the Immaculée Conception maternity in Marseille from 1868 to 1870. Children With birth weight less than 2500g were excluded. The results were compared With the current data of science. Results: Concerning the frequency of PPH: Lower values for the three years of study With 4.2%, 2.8%, 3.7% in 1868, 1869 and 1870 compared to current data that are 5% when the blood toss are quantified and 10% when they are not. Concerning maternal mortality: higher values for both years With 33% in 1869 and 11% in 1870 compared to 1.6 / 100 000 now. Maternal age > 30 years, the use of forceps and the prolonged active phase (> 10 hours) have shown risk factors for th e occurrence of PPH in the 1 9th century. Conclusion: These results illustrate the improvement of obstetric practice regarding PPH in about one century. It allowed the improvement in maternal mortality while the frequency of PPH remains important today, even more important that in the 19 h century.
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https://dumas.ccsd.cnrs.fr/dumas-01218572
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Submitted on : Tuesday, December 6, 2016 - 10:11:50 AM
Last modification on : Monday, July 6, 2020 - 4:04:07 PM

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  • HAL Id : dumas-01218572, version 1

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Océane Donati. L'hémorragie du post-partum au 19e siècle et de nos jours à Marseille. Gynécologie et obstétrique. 2015. ⟨dumas-01218572⟩

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