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Master Thesis

Retentissements obstétricaux d’un antécédent de conisation sur la progression d’un travail spontané lors d’un accouchement à terme (à partir de 37 semaines d’aménorrhées) : étude comparative de cohorte historique au sein des maternités du Centre Hospitalier Universitaire de Grenoble Alpes (La Tronche et Voiron) du 1er janvier 2012 au 31 décembre 2020

Abstract : GOALS: Infection with certain HPVs can cause cervical cancer. A treatment by conization is sometimes necessary, which may have obstetric consequences in future pregnancies. The aim of this study is to assess the progression of a spontaneous labour with delivery at term (≥ 37 WA) in these women, compared to a population that did not undergo a conization. POPULATION AND METHODS: This is a retrospective multi-site cohort study carried out at the Grenoble-Alpes University Hospital between 2012 and 2020. RESULTS: There was no significant difference between the population of patients "exposed" to conisation (n = 25) and the "unexposed" (n = 50), as well as with the depth of the resection specimen (< 10 mm vs ≥ 10 mm) regarding the rate of directed labour, its dynamics, monitoring and the mode of delivery. The population was divided into two groups: nulliparous and multiparous. CONCLUSION: Our study did not show any consequences of conization on the direction of labour, its dynamics, or on the modes of delivery. There was also no significant difference in the "exposed" population based on the depth of resection.
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https://dumas.ccsd.cnrs.fr/dumas-03321217
Contributor : Jean-Hugues Morneau Connect in order to contact the contributor
Submitted on : Tuesday, August 17, 2021 - 11:45:19 AM
Last modification on : Friday, August 27, 2021 - 3:18:43 AM

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  • HAL Id : dumas-03321217, version 1
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Citation

Pauline Blanc. Retentissements obstétricaux d’un antécédent de conisation sur la progression d’un travail spontané lors d’un accouchement à terme (à partir de 37 semaines d’aménorrhées) : étude comparative de cohorte historique au sein des maternités du Centre Hospitalier Universitaire de Grenoble Alpes (La Tronche et Voiron) du 1er janvier 2012 au 31 décembre 2020. Gynécologie et obstétrique. 2021. ⟨dumas-03321217⟩

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