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Master Thesis

Risque infectieux et utilisation du ballonnet dans la maturation cervicale des femmes présentant une rupture des membranes à terme avant travail

Abstract : Objective: the primary outcome was to determine if the use of Foley catheters as a ripening agent increases the risk of early onset neonatal bacterial infection in women with term prelabor rupture of membranes (term PROM) compared to prostaglandin E2. The secondary outcomes were to compare in this context the occurrence of intrauterine infection and postpartum endometritis.
Methods: this is a retrospective before-after study. Women were included if they had singleton pregnancies in cephalic presentation at 37 weeks of gestation or greater with prelabor rupture of membranes and an unfavorable cervix (Bishop’s score ≤6). At time of admission, the amniotic fluid was clear, the fetal heart rate was normal, and women were afebrile. During the first period (2015), the protocol of cervical ripening involved prostaglandins E2 (PGE2) (pessary or vaginal gel) by vaginal administration; during the second period (July 2016- March 2019) it involved the use of Foley catheters.
Results: Two hundred ninety-two women were included: 113 during the first period (PGE2), 179 in the second period (Foley Catheter). There was no difference between groups in the occurrence of early onset neonatal bacterial infection (5,0% vs 1,8%; OR: 2,65; 95% confidence interval: [0,56 – 12,55]; p = 0,336), intrauterine infection (5,6% vs 4,4%; p = 0,661) and endometritis during the six-week post-partum period (0,6% vs 0%; p = 1,000).
Conclusion: the Foley catheter in cervical ripening of women with term PROM does not seem to increase neonatal and maternal infectious risk.
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Submitted on : Thursday, September 23, 2021 - 1:57:03 PM
Last modification on : Thursday, December 23, 2021 - 3:08:24 AM
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  • HAL Id : dumas-03352672, version 1

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Aglae Robin. Risque infectieux et utilisation du ballonnet dans la maturation cervicale des femmes présentant une rupture des membranes à terme avant travail. Gynécologie et obstétrique. 2021. ⟨dumas-03352672⟩

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