Skip to Main content Skip to Navigation
Master Thesis

Effet de la déambulation sous anesthésie péridurale déambulatoire sur la durée de la phase active et le déroulement du travail obstétrical : étude de cohorte prospective unicentrique

Abstract : Objectives: To evaluate the effect of ambulation under ambulatory epidural analgesia (AEA) on the duration of the active phase and the progress of obstetrical labor. Methods: The study was prospective, observational, monocentric and carried out in a type maternity 2A. 103 patients were included between August 1st, 2019 and January 15th, 2020, divided into two groups : "Ambulatory" and "Immobilization". The ambulation was defined by the adoption of vertical positions during at least 25% of the labor. All of the admitted patients had initially AEA and cervical dilation of at least 6 cm. Results: The duration of the active phase, the use of oxytocin (Syntocinon®), the rotation of the posterior varieties, the duration of the expulsive efforts, the pain rating and the mode of delivery were not significantly different between the two groups, regardless of the parity. The nulliparous walked for 1.98 hours (58.1% of the labor) and the multiparous for 1.5 hours (67.6% of the labor). Conclusion: Ambulation with AEA has neither effect on obsteric nor on the reduction of the duration of the active labor phase.
Complete list of metadata

https://dumas.ccsd.cnrs.fr/dumas-03047956
Contributor : Jean-Hugues Morneau <>
Submitted on : Wednesday, December 9, 2020 - 9:49:48 AM
Last modification on : Saturday, December 12, 2020 - 3:26:08 AM
Long-term archiving on: : Wednesday, March 10, 2021 - 6:34:44 PM

File

MS20_20_girard_laurie(1)(D)_ve...
Files produced by the author(s)

Identifiers

  • HAL Id : dumas-03047956, version 1

Citation

Laurie Girard. Effet de la déambulation sous anesthésie péridurale déambulatoire sur la durée de la phase active et le déroulement du travail obstétrical : étude de cohorte prospective unicentrique. Gynécologie et obstétrique. 2020. ⟨dumas-03047956⟩

Share

Metrics

Record views

53

Files downloads

38