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Master Thesis

Morbidité maternelle du post-partum chez les grossesses gémellaires en fonction de la voie d’accouchement

Abstract : Objective The objective was to study maternal morbidity in twin pregnancies based on the expected delivery pathway. The question was whether scheduled caesarean section resulted in fewer hemorrhagic and infectious complications than attempting low-back delivery. Methods We have set up a two-centric retrospective study in two type 3 maternity wards on the Ile de France: the Argenteuil Hospital Centre (95) and the Intercommunal Hospital Centre in Poissy-St Germain (78). We collected the data over a period from January 1, 2017 to March 31, 2019. The study included all twin pregnancies that occurred from 32 Weeks of Amenorrhea, whose twins weighed more than 1500g and whose first twin (next to the cervix) was in cephalic presentation. The patients were separated into two groups: "Low Pathway Attempt" and "Programmed Caesarean”. Then we collected the obstetrical data about them. Results and conclusion Our study showed a high prevalence of maternal complications of postpartum in twin pregnancies, regardless of the expected delivery pathway. There was a non-significant increase in our primary endpoint on hemorrhage (3.28 CI 95% at the limit of significance) among patients who had an attempt at low pathway. Our results on infectious risk were not significant. Our results did not lead to a significant difference in maternal complications based on the delivery pathway.
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Camille Parant. Morbidité maternelle du post-partum chez les grossesses gémellaires en fonction de la voie d’accouchement. Gynécologie et obstétrique. 2020. ⟨dumas-03228368⟩

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