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Master Thesis

Incidence de l’obésité sur les complications obstétricales et néonatales en salle de naissance, chez des femmes sans aucun facteur de risque : étude de cohorte au CH de Sallanches en 2018

Abstract : Objectives: Determine if early pregnancy obesity is a factor of labor, delivery and neonatal complications on women without any risk factor that could alternate the obstetrical management. Methods: Retrospective study on a year, in the gynecology and obstetric department of Sallanches (level 2a). The inclusion criteras were the birth of a living singleton. The exclusion criteras were pathologies prior to the pregnancy (thyroid diseases, cardiac diseases, coagulation diseases, imune dependant diseases, arterial hypertension, type 1 and 2 diabetes), previous bariatric surgeries, myomectomy, cesareans, pregnancy pathologies (gestational diabetes, pregnancy hypertension, preeclampsia, eclampsia, HELLP syndrom, pregnancy cholestasis), inserted low placenta, accreta, percreta. Two groups : one obese (BMI > 30) and the other not (BMI between 18.5 and 24.9) were matched for age and parity. Results: We did’nt highlight any statistycally significant different between our two populations. We have concordant trends with scientific literature about delivery issues with more ceserean, more delivery’s haemorhage, a less adaptation of new-born and most important rate of macrosome. However, we find conflicting trends : same prematurity, less term exceeded and unclunching, a labour more long and more use of epidural analgesia. Conclusion: An etude more powerfull should be redone by collecting new parameters (size of patients, lenght of latency/active/expulsion phases, the use of oxytocine and meconial liquid). That would allow to evaluate if and how the pregancy of obese women should be considerate as « a risk », independtly of others maternal complications.
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https://dumas.ccsd.cnrs.fr/dumas-03052631
Contributor : Jean-Hugues Morneau Connect in order to contact the contributor
Submitted on : Friday, December 11, 2020 - 9:41:30 AM
Last modification on : Sunday, December 13, 2020 - 3:21:08 AM
Long-term archiving on: : Friday, March 12, 2021 - 6:26:56 PM

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  • HAL Id : dumas-03052631, version 1
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Mélina Valette. Incidence de l’obésité sur les complications obstétricales et néonatales en salle de naissance, chez des femmes sans aucun facteur de risque : étude de cohorte au CH de Sallanches en 2018. Gynécologie et obstétrique. 2020. ⟨dumas-03052631⟩

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