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Master Thesis

Les modalités d’injections du Syntocinon® par les sages-femmes dans le cadre du traitement préventif et curatif des hémorragies du post-partum

Abstract : Objective : for some years, studies concerned with postpartum hemorrhage reveal a real public health problem : follow on care sometimes not optimal and not always conform with the recommendations. The objective of this work is whether the use of Syntocinon by midwives is conform with recommendations, and if this is not the case, if one-time targeted information can change their practices? Methods : we have established a clinical audit , carried out in three stages : a Professional Practice Evaluation of midwives regarding the use of Syntocinon®, an active transmission protocols and recommendations through written information (notice in delivery room) and oral information (meeting with all the midwifes), and again a Professionnal Practice Evaluation. This study has been realized at Poissy’s hospital, between December 2014 and May 2015. Results and conclusion : the use of Syntocinon® does not comply with the recommendations on several points : the injection route of Prophylactic administration of oxytocin (administrated in Intra Venous Direct instead of Intra Venous Lent) , the establishment or not a maintenance treatment after delivery (realized almost systematically), the terms of injections in case of postpartum haemorrhage and traceability in the medical file. After targeted information, some practices have changed : the Prophylactic Administration of oxytocin is mostly made of IVL as recommended, maintenance therapy after delivery is no longer systematic, and above all there has increased traceability of data in the file.
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https://dumas.ccsd.cnrs.fr/dumas-01658184
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  • HAL Id : dumas-01658184, version 1

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Constance Vaillant. Les modalités d’injections du Syntocinon® par les sages-femmes dans le cadre du traitement préventif et curatif des hémorragies du post-partum. Gynécologie et obstétrique. 2016. ⟨dumas-01658184⟩

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