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Master Thesis

Évaluation des pratiques professionnelles : étude rétrospective sur le protocole de surveillance de la glycémie chez les patientes non diabétiques recevant une cure de célestène au CHU de la Conception

Abstract : Obiective: To assess the utility in practice of a maternal glycemia monitoring protocol after betamethasone administration in non diabetic women between 24 and 34 weeks gestation, set up at la Conception hospital in 2010, according to the data collected in the High Risk Pregnancy department over 2 years and the data from the literature Materials and methods: Retrospective, single-center_study, at the Conception maternity hospital in Marseilles (University Hospital level 3). 152 female inpatients between 24 and 34 gestation weeks with no past history of diabetes, without gestational diabetes and having a betamethasone administration were included in the study. Patients characteristics and values of glycemia during the monitoring period were analysed. Results: 152 of the patients had at least one episode of hyperglycemia during the 6 days of the monitoring period and 134 at least one épisode of severe hypoglycemia. No specific risk factor was found and there was no correlation with gestational diabetes screening being performed or not. The whole glycemia mean values over the 6 days period were below 1 ,50 g/l, an agreed-upon value in the literature as possibly harmful for the fetus Conclusions: In this population of non diabetic women, corticosteroids for fetal maturation, results always in at least one episode of hyperglycemia and a severe hyperglycemian in a majority of the patients. The lack of studies on possible maternal and fetal side effects of these hyperglycemia, doesn't really allow to draw conclusions on what should be done after a course of steroids in this population.
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https://dumas.ccsd.cnrs.fr/dumas-01218799
Contributor : École Universitaire de Maïeutique Marseille Méditerranée (eu3m) <>
Submitted on : Tuesday, December 6, 2016 - 10:27:58 AM
Last modification on : Friday, October 23, 2020 - 4:37:38 PM
Long-term archiving on: : Tuesday, March 21, 2017 - 8:04:01 AM

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  • HAL Id : dumas-01218799, version 1

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Laurie Verriere. Évaluation des pratiques professionnelles : étude rétrospective sur le protocole de surveillance de la glycémie chez les patientes non diabétiques recevant une cure de célestène au CHU de la Conception. Gynécologie et obstétrique. 2015. ⟨dumas-01218799⟩

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