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Master Thesis

Étude descriptive de la prise en charge de la douleur pendant les phases du travail chez les patientes sans anesthésie locorégionale au centre hospitalier Alpes-Léman

Abstract : Objectives: To describe the pain management in parturients when they do not benefit from locoregional anesthesia. To analyze which methods among those described are preferred depending on to the stage of labour. Methods: Descriptive, retrospective and monocentric study. Includes patients who vaginally gave birth to a singleton child with cephalic presentation and with a term greater or equal to 35 weeks of amenorrhea between 1 January 2018 and 31 December 2018 at the Centre Hospitalier Alpes-Léman. Results: Nine methods have been described: 2 pharmacological pain relief methods (nitrous oxide and opioids) and 7 non-pharmacological pain relief methods grouped in parallel methods (acupuncture/acupressure, hypnosis, sophrology) and well-being and comfort methods (immersion in water, balloon, massage, mobility). Well-being and comfort methods have been implemented in the first stage of labour, and nitrous oxide inhalation has mainly been used during the second stage of labour. Conclusion: The panel of methods used was diverse and corresponded to the current recommendations of health institutions, although it is likely that these practices were underestimated due to a lack of traceability in the files.
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https://dumas.ccsd.cnrs.fr/dumas-02284704
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Submitted on : Thursday, September 12, 2019 - 9:51:12 AM
Last modification on : Wednesday, July 15, 2020 - 9:38:04 AM
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  • HAL Id : dumas-02284704, version 1

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Mélanie Fontaine. Étude descriptive de la prise en charge de la douleur pendant les phases du travail chez les patientes sans anesthésie locorégionale au centre hospitalier Alpes-Léman. Gynécologie et obstétrique. 2019. ⟨dumas-02284704⟩

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