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Master Thesis

Les professionnels de la naissance face à la pratique de l’épisiotomie

Abstract : Ojective : The CNGOF’s quantitative objective about episiotomy rate having been reached, it appears us interesting to study the qualitative aspect about episiotomy practice, in particular about incision angles. After having identified an angle to limit the risk of OASIS and postpartum pain, we expounded suggestions in aim to standardise episiotomy practice. Methods : A descriptive study conducting by questionnaire has been performed to 159 professionals who came from 10 hospitals in France bewteen the 26th March 2018 and the 15th July 2018. An exhaustive review of literature about episiotomy practice has been done. Incision angles distribution used by professionals has been studied. What is more, an analysis of auto-evaluation by professionals of the formation recieved during studies and their ease in episiotomy practice according to clinical experience has been carried out using the logical R for analysis. Results and conclusion : Among the 159 professionals questionned, 1% used an angle of 0°, 3% an angle of 25°, 26% an angle of 35°, 45% an angle of 45°, 19% an angle of 60° et 6% an angle of 75°, without significant difference according to the years of experience (p=0,959). The ease in episiotomy practice significantly increase with clincal experience (p<0,00001). A large variablity in episiotomy practice has been observed. In our view point, it agrees to make known the CNGOF’s new recommandation published in 2018, to reinforce initial and continue formations about episiotomy practice, to propose educational workshop and training programme, to update hospitals’ protocols and to generalise the use of the angled scissors Episcisors®. After the standardisation of episiotomy technique, other studies bigger and with an appropriate methodology will be able to be achieved.
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Submitted on : Tuesday, February 18, 2020 - 4:51:45 PM
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Laura Pelletier. Les professionnels de la naissance face à la pratique de l’épisiotomie. Gynécologie et obstétrique. 2019. ⟨dumas-02483473⟩



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