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Master Thesis

Infections néonatales bactériennes précoces et immersion dans le bain pendant le travail dans un contexte de rupture des membranes à terme : Revue systématique de la littérature

Abstract : Introduction / Objective: There are many advantages of immersion in warm water and many women choose to bath during labor. However, midwives have different opinions on its use when women have ruptured membranes especially because there is no recommendation on this practice, and there are concerns about the infectious risk for the newborn. Our objective is to determine if there is an increase of neonatal infections and their infectious morbidity during labor in this context. Methods: A systematic review of the literature has been carried out by searching the PubMed and Cochrane Library databases from July 2019 to April 2020, and using the Guide d’analyse de la littérature et gradation des recommandations written by the french authority HAS and the CONSORT and STROBE Reporting Guidelines. The study included articles written in English or French, discussing immersion in water during labor after rupture of the membranes at term and infectious neonatal morbidity (infections, Apgar score, admission in NICU, neonatal distress…). Results: A total of 7 studies has been included in this review. No significant increase of neonatal infections was observed within the immersion group. However, infectious morbidity was observed like a 5 min Apgar score significantly lower when the rupture is prolonged, a greater number of neonatal distress, or a greater number of hospitalized newborns for which their mother had premature rupture of the membranes at term within the immersion group. Nevertheless, these criteria were not specific of neonatal infections and can be criteria of asphyxia or other diseases. Conclusion: Our study does not allow us to give an opinion about immersion in water when the membranes are ruptured because of the bias and low levels of evidence of the studies included in this review. However, we do not recommend to bath during labor when the rupture of membranes is prolonged for more than 24 hours or when there is a premature rupture of the membranes.
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https://dumas.ccsd.cnrs.fr/dumas-03259284
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Submitted on : Monday, June 14, 2021 - 8:36:35 AM
Last modification on : Wednesday, November 3, 2021 - 6:04:50 AM
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  • HAL Id : dumas-03259284, version 1

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Alizée Reboutier. Infections néonatales bactériennes précoces et immersion dans le bain pendant le travail dans un contexte de rupture des membranes à terme : Revue systématique de la littérature. Gynécologie et obstétrique. 2020. ⟨dumas-03259284⟩

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