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Master Thesis

Comparaison de l’adaptation à la vie extra-utérine chez les nouveaux-nés nés en siège, entre tentative de voie basse et césarienne prophylactique : étude épidémiologique, rétrospective, monocentrique, exposés – non exposés, réalisée à l’hôpital couple-enfant du CHU de Grenoble

Abstract : Objectives : Comparison of adaptation to extra-uterine life of newborns born in breech presentation, between attempted vaginal delivery and planned caesarean section. Materials and Methods : We have managed a descriptive, retrospective, monocentric study at Grenoble hospital. The data were collected with the medical records thanks to the software Cristal Link, for the period from January 2015 to July 2017. Results : The sample consisted of 149 cases, with 75 newborns in the planned caesarean group and 74 newborns in the attempted vaginal delivery group. The later was composed of 29 children born by an unscheduled c-section and 45 children born after a vaginal delivery. The Apgar score at 5 minutes, wich was the primary endpoint didn’t show any difference between the 2 groups with 2,8% of newborns borns after attempted vaginal delivery and 1,4% borns by a planned c-section who had Apgar scores < 7. But both the apgar score at 1 and 3 minutes of life and arterial pH were higher in the planned c-section group (17,4% of the attempted vaginal delivery had a pH < 7,15 against 1,4% of the planned c-section). No difference was highlighted for the Apgar score at 5 and 10 minutes, the veinous pH, the resuscitation gestures, the transfer rate in neonatology, as well as the presence of trauma and injury following birth. Conclusion : Our study didn’t show any statistical difference in global adaptation to extrauterine life of the newborns born in breech presentation between attempted vaginal delivery and planned caesarean section.
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https://dumas.ccsd.cnrs.fr/dumas-01882236
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Submitted on : Wednesday, September 26, 2018 - 4:53:39 PM
Last modification on : Wednesday, July 15, 2020 - 9:38:04 AM
Long-term archiving on: : Thursday, December 27, 2018 - 5:36:20 PM

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  • HAL Id : dumas-01882236, version 1

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Fanny Lenci. Comparaison de l’adaptation à la vie extra-utérine chez les nouveaux-nés nés en siège, entre tentative de voie basse et césarienne prophylactique : étude épidémiologique, rétrospective, monocentrique, exposés – non exposés, réalisée à l’hôpital couple-enfant du CHU de Grenoble. Gynécologie et obstétrique. 2018. ⟨dumas-01882236⟩

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