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Master Thesis

Évaluation des pratiques professionnelles concernant la prise en charge des nouveau-nés issus de grossesses de mères basedowiennes au sein de l’hôpital couple enfant du CHU de Grenoble

Abstract : Objectives : The main objective of this study is to evaluate the professional pratices about management of neonates born to women with Graves’ disease, at HCE, according to guidelines of the Collège National des Gynécologues et Obstétriciens Français (2004). Materials ans methods : This is a study of epidemiology observational, descriptive, monocentric retrospective clinical audit. The sample was all the neonates born to women with Graves’ disease at HCE from January 1st 2004 to June 30th 2015. Various groups were established according to the maternel characteristics, and for every group we were interested in the conformity of the management according to the recommendations of the CNGOF. Results : On 87 neonates, 31 were at high risk of dysthyroidism (group 1), 36 at low risk of dysthyroidism (group 2) and 20 neonates whose risk of dysthyroidism was unknown (group 3). In group 1a, 73,7% had a compliance with the composite endpoint ≥ 3/5, for the group 1b the whole sample had a compliance with composite endpoint ≥2/5 (100%) and for the groupe 1c, 87,5% of the neonates had a compliance with the composite endpoint ≤ 2/5. The group 2 had a rate of 53% conformity. And 50% of neonates of the group 3 had biological dosages in neonatal period. Conclusion : This study done in a maternity level 3 showed that the neonatal management was good, however the conformity with protocols could be improved, in particular from the point of view of the traceability of the medical data.
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https://dumas.ccsd.cnrs.fr/dumas-01367180
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Submitted on : Thursday, September 15, 2016 - 5:09:11 PM
Last modification on : Wednesday, July 15, 2020 - 9:38:04 AM
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  • HAL Id : dumas-01367180, version 1

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Lise Junique. Évaluation des pratiques professionnelles concernant la prise en charge des nouveau-nés issus de grossesses de mères basedowiennes au sein de l’hôpital couple enfant du CHU de Grenoble. Gynécologie et obstétrique. 2016. ⟨dumas-01367180⟩

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