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Master Thesis

Satisfaction des patientes selon le type de suture cutanée choisi lors de la césarienne : fils résorbables versus agrafes

Abstract : Introduction: from 2010 to 2016, the rate of caesarean section in France remained constant, around 20,6%. This surgical procedure leads to a birth but also increases the risk of maternal morbidity and mortality because of the risks of complications. In our study, we’ve focused on the sutures with staples or with subcuticular sutures. Regardless of the articles or the CNGOF’s recommendations, there is no consensus and the choice remains to the operator preferences. In the articles that we read about the sutures, the outcomes are often the pain perception and the wound complications or cosmesis. Patient satisfaction was whether not evaluated or as a secondary outcome. Objective: to compare patient satisfaction with the perception of pain, their ability to move and their body image, according to their group. Study design: prospective study in 3 hospitals in Paris, carried out from April 2018 to March 2019. With women who had a caesarean section (emergency or a scheduled one), a singleton, at 37SA of term. At 3 days and 6 weeks after the caesarean, the women had to complete a survey. The primary outcome was the patient satisfaction, by evaluating their answer about different topics. Results: at the end of the study, 162 women answered: 75 in the subcuticular group and 87 for the staples. There was no difference between the group for satisfaction (p=0,23). For the perception of pain, patient with subcuticular suture are more likely to feel pain at the first lift (Pain score 7 vs 5; p= 0,01). There is no significative difference between the two groups in terms of mobilization, and mother involvement in newborn’s care. Conclusion: the suture closure chose for the skin, during a caesarean delivery, wouldn’t have impact on the maternal satisfaction.
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Noa-Lyse Perroni. Satisfaction des patientes selon le type de suture cutanée choisi lors de la césarienne : fils résorbables versus agrafes. Gynécologie et obstétrique. 2019. ⟨dumas-02305873⟩



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