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Master Thesis

Influence de l'accompagnement global au cours de la parturition : exemple de la prise en charge au sein de la Casa de Naissance

Abstract : Context: The iatrogenic effects of overmedication and the patients's desire of a rore natural birth have led up to the opening of physiological sector such as « La Casa de Naissance » (CDN). Objectives: Describe and compare the immediate maternal and neonatal morbidity between CDN support and type I maternity care (La Ciotat hospital) and measure the influence of type of management on the use of analgesia and on the labor and delivery modalities. Materials and Methods: Retrospective and comparative study of patients with a low risk pregnancy having given birth on the technical plathform or at La Ciotat maternity. 86 patients were included in the CDN and 172 in La Ciotat on the same selection criteria. Results: Apart from the perineal condition, there was no statistically significant difference in maternal and neonatal morbidity. The use of epidural analgesia is significantly lower at the CDN. The working time and duration of expulsive efforts in primiparae are longer at the CDN. Conclusion: The NDC responds to the parents request who have an alternative birth project. This study illustrates the value of global support at birth and bring back into question the current monitoring of low-risk pregnancies.
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https://dumas.ccsd.cnrs.fr/dumas-01634081
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Submitted on : Monday, November 13, 2017 - 4:46:17 PM
Last modification on : Monday, July 6, 2020 - 4:04:07 PM
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  • HAL Id : dumas-01634081, version 1

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Laurie Ferranti. Influence de l'accompagnement global au cours de la parturition : exemple de la prise en charge au sein de la Casa de Naissance. Gynécologie et obstétrique. 2017. ⟨dumas-01634081⟩

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