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Master Thesis

Les thérapies complémentaires dans la mise en travail à terme

Abstract : Introduction: Artificial induction of labour after a prolonged pregnancy can be felt as a failure among patients who had had a low-risk pregnancy and wished a natural birth with minimal intervention. Complementary therapies such as acupressure, homeopathy, raspberry leaf and sexual intercourse among others are often advised by midwives by the end of pregnancy to stimulate labour. Aim: To explore the efficacy of complementary therapies in stimulating the onset of labour in low-risk pregnancies at term, and to determine these therapies’ risk-benefit ratio. Methods: A systematic literature seach was performed using Cochrane, Pubmed, Medline and EM Premium databases with the following keywords: complementary therapies, induction of labour, cervical ripening. Results: Only breast stimulation appears to be effective in stimulationg the onset of labour in low-risk pregnancies at term. It also seems to be beneficial in preventing post partum hemorrhage. Acupuncture, raspberry leaf and sexual intercourse seem ineffective. More studies are needed to study the effect of acupressure, shiatsu, date fruit, chamomile, evening primrose and castor oil. Conclusions: Breast stimulation can be advised as a complementary therapy to stimulate the onset of labour in low-risk pregnancies at term. More randomised controlled trials are needed to study its acceptability and satisfaction among french patients, as well as the right gestational age to startand the most effective method (whole breast or nipple stimulation).
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https://dumas.ccsd.cnrs.fr/dumas-02374699
Contributor : École Universitaire de Maïeutique Marseille Méditerranée (eu3m) <>
Submitted on : Thursday, November 21, 2019 - 4:03:47 PM
Last modification on : Monday, July 6, 2020 - 4:04:38 PM

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  • HAL Id : dumas-02374699, version 1

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Alicia de Mingo. Les thérapies complémentaires dans la mise en travail à terme. Gynécologie et obstétrique. 2019. ⟨dumas-02374699⟩

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