Influence du remplissage vasculaire maternel en salle de naissance sur la perte de poids des nouveau-nés allaités

Abstract : Introduction: In a previous study, we showed that the obstetric complications rate after IVF pregnancy was about 40%. The main objective of our study was to determine prognosis maternal factors that influence the IVF pregnancy outcome. Methods: We conducted a retrospective quantitative study using a descriptive and comparative method. We studied 150 records of patients who gave birth at term (low-risk pregnancy) of a single healthy new born with breastfeeding in a university hospital center between January 1, 2016 and July 31, 2016. Maternal, obstetrical and neonatal characteristics were used to determine the influence of vascular filling by univariate and multivariate analysis, factors that may lead to increased neonatal weight loss. Results: 150 mother-child couples were studied. Parturient newborns who received at least 1500mL of solute during labor lose significantly more weight until the third day of life (p<0. 001) compared to parturient women who received less than 1500mL, also observed for neonatal weight loss greater than 8% (p=0. 043). In addition, the obstetrical factors most significantly responsible for an increase in the volume of solute injected were the duration of labour (p<0. 001), the fact that labour was supervised (p<0. 001), the introduction of epidural analgesia (p=0. 01) and the use of emergency Caesarean section during labour (p<0. 001). Conclusion: We found a link between vascular volume injected during labor and increased risk of neonatal weight loss. Taking this factor into account when monitoring labour in the birth room is essential to prevent and adapt neonatal management in the event of excessive weight loss.
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Margot Giudicelli. Influence du remplissage vasculaire maternel en salle de naissance sur la perte de poids des nouveau-nés allaités. Gynécologie et obstétrique. 2018. ⟨dumas-01946655⟩



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