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Master Thesis

Réalisation de la manœuvre de Couder dans la pratique des sages-femmes à la maternité du centre hospitalier universitaire Grenoble-Alpes : étude transversale rétrospective accompagnée d’une enquête de pratique déclarative des sages-femmes

Abstract : Objectives: To observe the prevalence of Couder's maneuver in vaginal births performed by midwives and their practices regarding this maneuver. Methods: A retrospective cross-sectional study accompanied by a declarative practice survey among midwives conducted at the Grenoble Alpes University Hospital, including vaginal births performed by a midwife in april and november 2020. Results: 217 births were included, 33% of them had benefited from the Couder maneuver. 30 midwives participated in the survey (56%). The majority of midwives had received training, were comfortable with the Couder maneuver, and considered it fairly easy to perform in the gynecological position. The majority thought that the maneuver increased the risk of clavicle and/or humerus fracture, anterior perineal injury, and pain during shoulder release, but decreased the risk of posterior perineal injury. Conclusion: The technique of shoulder release differs according to the midwife and the situation. Further studies on the subject are necessary to be able to recommend a technique.
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https://dumas.ccsd.cnrs.fr/dumas-03321312
Contributor : Jean-Hugues Morneau Connect in order to contact the contributor
Submitted on : Tuesday, August 17, 2021 - 2:12:18 PM
Last modification on : Friday, August 27, 2021 - 3:18:43 AM
Long-term archiving on: : Thursday, November 18, 2021 - 6:44:11 PM

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  • HAL Id : dumas-03321312, version 1

Citation

Mandy Carron. Réalisation de la manœuvre de Couder dans la pratique des sages-femmes à la maternité du centre hospitalier universitaire Grenoble-Alpes : étude transversale rétrospective accompagnée d’une enquête de pratique déclarative des sages-femmes. Gynécologie et obstétrique. 2021. ⟨dumas-03321312⟩

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