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Master Thesis

Conformité du dépistage du diabète gestationnel dans deux maternités de Haute-Savoie : évaluation des pratiques professionnelles

Abstract : Aims: The main objective of this study is to measure the compliance rate of the practices about gestational diabetes’s (GDM) screening edited in 2010 by the CNGOF (National Council of French’s Gynaecologist and Obstetrician) in a health center with two maternities wards. Methods: This is an observational, monocentric, retrospective study, conducted from 26/09/2019 to 08/11/2019 at the CHANGE (Annecy-Genevois Hospital Center), in computerized medical records ORBIS®, of all patients who gave birth between the 01/06/2019 and the 30/06/2019. Results: Of 105 patients, 74 were screened for GDM, while only 66 women needed it. Among these 66 patients, 65 had 1 to 3 pre-gestational risk factors about GDM, with, 18 out of 36 (50%) at least a BMI> 25kg/m². The prevalence of GDM was 22.3%. The compliant screening’s rate was 47.6%. Among the non-compliant screenings, we calculated an over screening’s rate (screening without risk factors) at 27.3% and an under-screening’s rate (absence of screening with risk factors) at 50.9%. Among the patients who beneficed of an over-screened, 3 women presented a GDM. Finally, the traceability compliance rate in accordance with the service’s protocol on the ORBIS® file was 38.1%. Conclusion: We found a still high rate of non-compliance (52.4%). Some areas of improvement were proposed (transmission of results, training, brochures, etc.) with the aim of increasing the number of tests in line with the recommendations.
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https://dumas.ccsd.cnrs.fr/dumas-03023120
Contributor : Jean-Hugues Morneau <>
Submitted on : Wednesday, November 25, 2020 - 10:46:41 AM
Last modification on : Sunday, November 29, 2020 - 3:15:13 AM
Long-term archiving on: : Friday, February 26, 2021 - 6:38:31 PM

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  • HAL Id : dumas-03023120, version 1

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Frédérique Chaillard. Conformité du dépistage du diabète gestationnel dans deux maternités de Haute-Savoie : évaluation des pratiques professionnelles. Gynécologie et obstétrique. 2020. ⟨dumas-03023120⟩

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