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Master Thesis

Imputabilité de l'asphyxie fœtale aigue per-partum dans la paralysie cérébrale infantile

Abstract : Objective: In children with cerebral palsy (CP), acute birth-related fetal asphyxia (ABFA) is frequently implicated when parturation has been complicated. The objective of this work is to assess ABFA accountability in the occurrence of CP by applying obstetrical-pediatric criteria elaborated by ACOG-AAP in 2003. Methods: Descriptive study of 197 children with CP registered in RHEOP and borned in Isère, Savoie and Haute-Savoie from 2000 to 2007 at 34 amenorrhea weeks and more. ABFA is the selected etiology when there is a severe neonatal hypoxia (4 validated essential criteria) occured during birth-related period (at less 3 non specific validated criteria). Results: In total, a diagnosis of AFAPP has been made for one case (0,5%, IC à 95% from 0,09% to 2,9%). Cerebral palsy was due to antenatal etiology in two-thirds of cases, and to a post-natal event in the remaining one-third. Conclusion: It can be confirmed that the prevalence of AFAPP in the genesis of CP is very low (<3%), thus confirming previous results from RHEOP and others population registries. This rarity underscores the importance of extending etiological research from a PC to areas that are still under-explored, all other causes being the majority.
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https://dumas.ccsd.cnrs.fr/dumas-02280934
Contributor : Jean-Hugues Morneau <>
Submitted on : Friday, September 6, 2019 - 5:23:01 PM
Last modification on : Tuesday, May 11, 2021 - 11:36:24 AM
Long-term archiving on: : Thursday, February 6, 2020 - 10:41:01 PM

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Laure Andreani. Imputabilité de l'asphyxie fœtale aigue per-partum dans la paralysie cérébrale infantile. Gynécologie et obstétrique. 2019. ⟨dumas-02280934⟩

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