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Master Thesis

Étude exposée / non-exposée : impact de l’éloignement géographique sur la médicalisation du début de travail et sur l’issue de la grossesse pour le nouveau-né

Abstract : OBJECTIVES: To measure the association between the length of hospitalization before delivery, pregnancy outcomes and the approximate duration of the journey from home to motherhood. MATERIALS AND METHODS: We conducted an exposed/non-exposed study. Patients who have delivered a live singleton of at least 22 weeks of amenorrhea between 01/07/2016 and 31/12/2016 at the Couple Enfant Hospital (HCE) in Grenoble have been included in the study. Patient selection was based on data from the Medical Information Systems Program (PMSI) and data was extracted from patient’s computerized records. RESULTS: 1270 patients were included: 1071 in the group living within 30 minutes of the HCE and 199 in the group living 30 minutes or more. Patients living 30 minutes or more from the HCE were more likely to be under 20 years of age, to be employed and to smoke. While the length of hospitalization before delivery did not differentiate between the two groups (OR = 1.76, 95% CI[-2.62 ; 6.14], p=0.43), patients living 30 minutes or more from the HCE consulted less often in emergency during pregnancy (Coeff = -0.28, 95% CI[-0.52 ; 0.04], p=0.02) and their newborn was born more often premature, before 37 weeks of amenorrhea (OR=0.54, 95% CI[0.3 ; 0.9], p=0.02). CONCLUSION: This study shows that there are more risks for patients living 30 minutes or more from the HCE, particularly prematurity.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-01908681
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Submitted on : Tuesday, October 30, 2018 - 2:02:01 PM
Last modification on : Wednesday, July 15, 2020 - 9:38:04 AM

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  • HAL Id : dumas-01908681, version 1

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Lucie Terrier. Étude exposée / non-exposée : impact de l’éloignement géographique sur la médicalisation du début de travail et sur l’issue de la grossesse pour le nouveau-né. Médecine humaine et pathologie. 2018. ⟨dumas-01908681⟩

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