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Master Thesis

Prise en charge des nouveaux-nés en bonne santé en post-partum immédiat : analyse des pratiques professionnelles dans une maternité de type III

Abstract : Background: The aim of the study was to optimize newborn’s welcome and care in the immediate postpartum period following the publication of recommendations by the HAS in 2017. Study design: A descriptive unicentric cross-sectional study was conducted as an Analysis of Professional Practices (APP) via clinical pathways. A first collection took place between the 15th March 2018 and the 30th June 2018 in a maternity type III in Auvergne-Rhône-Alpes. Then, improvement actions were proposed before the second evaluation, which took place between the 15th November 2018 and the 17th February 2019. Results: Thirty-six parent-child pairs were included in each collection. All newborns benefited from skin-to-skin contact with an adequate installation and a monitoring at least every 15 minutes for 81,2%. Breastfeeding started for 51,7% then 57,0% of newborns before the first hour of life. No difference was found on skin-to-skin contact duration depending on the time of birth. Discussion: Important improvements have been found between the two collections of the APP on skin-to-skin contact with mothers and the reduction of gastric aspirations. Some non-optimal practices persisted such as the realization of care during the first hour after birth and a poor practice of cardiopulmonary auscultation by midwives. Action projects such as information and training of professionals could be implemented.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-02502575
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Manon Grampayre. Prise en charge des nouveaux-nés en bonne santé en post-partum immédiat : analyse des pratiques professionnelles dans une maternité de type III. Médecine humaine et pathologie. 2019. ⟨dumas-02502575⟩

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