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Master Thesis

État des lieux de la pratique de la délivrance artificielle et de la révision utérine par les sages-femmes des hôpitaux publics d'Auvergne

Abstract : Post-partum haemorrhage (PPH) is one of the main delivery complications and the first cause of maternal mortality in France. His taking over must be quick and efficient. First acts to carry out are manual removal of placenta (MRP) and uterine check (UC). This acts concern post-partum haemorrhage prevention too in case of retained placenta or incomplete placental delivery. MRP and UC midwives responsibilities and must be mastered by them. Our study had for purpose to do a statement of MRP and UC practice by midwives of Auvergne public hospitals. It’s a transverse and descriptive study about midwives working in delivery room in nine maternity hospitals in Auvergne. The mean number of endo uterine acts per midwife a year is 3,85. The main indication of MRP or UC by midwives is PPH. 84,5%oh midwives have already had problems with this acts. For a non-haemorrhagic case, 43% of midwives relie on another actor for a MRP and an UC and 26% for an UC only. However, midwives do this acts only most often, in case of PPH or not. 48,5% of midwives didn’t feel ready to achieve MRP or UC after school. This results show that midwives are not totally independents with practice of this essentials acts. Formation seems to be the solution to improve practices with a theoretical part and a practical part: high fidelity simulation. The purpose of this formation would be to encourage and consolidate MRP and UC learning.
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https://dumas.ccsd.cnrs.fr/dumas-01338883
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Submitted on : Wednesday, June 29, 2016 - 12:19:22 PM
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Oriane Viala. État des lieux de la pratique de la délivrance artificielle et de la révision utérine par les sages-femmes des hôpitaux publics d'Auvergne. Gynécologie et obstétrique. 2015. ⟨dumas-01338883⟩

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