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Master Thesis

Impact de la mesure systématique de la longueur cervicale entre 16 et 24 semaines d'aménorrhée sur la prévention des accouchements prématurés

Abstract : Introduction: According to Inserm (2015) « In France and in many other developed countries, the rate of preterm births has increased from 5,9 % in 1995 to 7,4 % in 2010 ». There are several consequences on these new-borns and their families and the cost of prematurity is also quite high. Based on these observations and available treatments, Saint-Joseph maternity hospital has decided to initiate a registration consultation involving measurement of the cervical length (CL). The main purpose of this study was to assess the relevance of such a screening. The secondary goal was to consider the feasibility of this test. Material and method: A retrospective, monocentric and descriptive study was carried out, using patients’ medical files as well as a collected-information grid made of several selections such as socio-economic features, family background, pregnancy progression. Results: We observed that, CL measures were longer than those previously published. Nevertheless, a clear trend was noticed in the singleton preterm deliveries: the shorter the cervical length, the higher the preterm delivery rate. The same occurrence was observed on the overall population: the shorter the cervix, the earlier the baby was born. This trend is in line with published data. Conclusion: This study is a starting point for an analysis on clinical data over a full year, of all patients followed at Saint-Joseph maternity hospital (n = 4800 approximately).
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https://dumas.ccsd.cnrs.fr/dumas-02382857
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Submitted on : Wednesday, November 27, 2019 - 1:54:51 PM
Last modification on : Monday, July 6, 2020 - 4:04:38 PM

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Marine Momal-Manet. Impact de la mesure systématique de la longueur cervicale entre 16 et 24 semaines d'aménorrhée sur la prévention des accouchements prématurés. Gynécologie et obstétrique. 2019. ⟨dumas-02382857⟩

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