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Master Thesis

Impact des modalités de maturation cervicale sur le mode d’accouchement des fœtus petits pour l’âge gestationnel après 34SA : comparaison de la méthode mécanique par sonde de Foley aux méthodes pharmacologiques par prostaglandines

Abstract : Objective: The aim of this study was to compare the effectiveness and safety of the Foley catheter, compared to PGE2 (PGE2 insert or PGE2 gel) in IUGR and/or SGA fetuses after 34 weeks gestation. Methods: This study was a monocentric retrospective cohort study between Jan 1, 2014, and Dec 31, 2016 in the maternity hospital Armand Trousseau AP-HP. Women with a singleton pregnancy in cephalic presentation beyond 34 weeks gestation with suspected IUGR, who underwent induction of labor by Foley catheter or PGE2 (PGE2 insert or PGE2 gel) were enrolled. Results: 96 women were induced with a Foley catheter and 85 women with PGE2 (72 with PGE2 inserts and 13 with PGE2 gel). There were more vaginal deliveries after mechanical induction (71,9%) than after PGE2 induction (61,2%). There were more uterine hyperstimulation and abnormal fetal heart rates in the PGE2 group. Conclusion: Foley catheter is more effective than PGE2 in the induction of labor of IUGR and/or SGA fetuses beyond 34 weeks gestation.
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https://dumas.ccsd.cnrs.fr/dumas-01591280
Contributor : Nadège Leray <>
Submitted on : Thursday, September 21, 2017 - 11:09:22 AM
Last modification on : Sunday, March 17, 2019 - 10:44:23 AM

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  • HAL Id : dumas-01591280, version 1

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Isabelle de Chabert-Ostland. Impact des modalités de maturation cervicale sur le mode d’accouchement des fœtus petits pour l’âge gestationnel après 34SA : comparaison de la méthode mécanique par sonde de Foley aux méthodes pharmacologiques par prostaglandines. Gynécologie et obstétrique. 2017. ⟨dumas-01591280⟩

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