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Master Thesis

Examen clinique du nouveau-né pratiqué par les sages-femmes en salle de naissance : étude descriptive par observations directes

Abstract : Objectives: Our objectives were to do a check of the midwifes practices about the clinical newborn examination in delivery room ; in order to know if the practiced examinations are complete and learn what are the pratical gestures always executed and those wich are rarely done. Then, we take care also about the context and the qualification of the examinators for the final result. The aim was to improve written transmission record. Material and methods :It was a clinical audit of practices, prospective, transversal and monocentric in the maternity on the CHMS of Chambéry. Our descriptive study was done by direct observation of graduate midwives and student midwives which praticed the cinical examination of the healthy and full-therm newborn infant. Résults: 94.4 % of the examinations were not completed. The very frequently practised gestures included the quotation of the Apgar score and the integrity check of: the skull, the face, the « labio-Palatine », the nostrils, the perinal and anal, limbs and spine. However, the less frequent moves done and to improve included the complete and neurological cardio-respiratory, abdominal, locomotive examinations detailed. The newborn’s environment was globally respected but informations were rarely given to the parents. 36 about 55 examinations were praticed by the midwives and students midwives Conclusion: The clinical examinations of the newborn infant in childbirth room are not complete but allow to detect the anomalies and the vital emergency pathologies. The axes of improvement are practical weakly realized. The writen transmissions record is update.
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Submitted on : Friday, September 21, 2018 - 3:25:23 PM
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Emma Beigbeder. Examen clinique du nouveau-né pratiqué par les sages-femmes en salle de naissance : étude descriptive par observations directes. Gynécologie et obstétrique. 2018. ⟨dumas-01878852⟩



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