Grossesses inopinées au CHU de Clermont-Ferrand : étude sur le mode d’accouchement et les complications maternelles et néonatales

Abstract : Introduction - Nowadays, a significant number of pregnancies still occur in an unintented way, even though contraception is now broadly accessible. Some women may chose to interrupt their pregnancy, others will decide to complete it. It seemed important to take an interest in these women and children's fate. Purposes - The main purpose of this study was to evaluate the mode of delivery in cases of unintended pregnancies. The secondary outcome was the evaluation of maternal and neonatal complications in unintended pregnancies. Methods - This study took place in a type III maternity ward in region Auvergne, from May 1st 2017 to June 30th 2017. An observational, historical cohort study was built based on the analysis of 615 digital patient files. Results - This study found that 15.6% of the pregnancies were unintended. These women's profils tend to show a lower socio-economic status. However, no difference was underlined in the mode of delivery nor the maternal and neonatal complications following. Conclusion - Planning for pregnancy doesn't seem to have an impact on the maternal or infant morbidity or mortality, neither during delivery nor in the postpartum state within a maternity ward. However, a prevention approach for unintended pregnancies should be developped, especially when it comes to underpriviledged social classes.
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https://dumas.ccsd.cnrs.fr/dumas-01986217
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Marine Puissant. Grossesses inopinées au CHU de Clermont-Ferrand : étude sur le mode d’accouchement et les complications maternelles et néonatales. Médecine humaine et pathologie. 2018. ⟨dumas-01986217⟩

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