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Master Thesis

Pronostics obstétrical et périnéal chez des patientes atteintes ou guéries de vestibulodynie vulvaire provoquée. Étude quantitative à partir d’une population de 158 patientes

Abstract : Introduction: Provoked vulval vestibulodynia, which affects 10 to 16% of women, is responsible for more than two thirds of vulval pain and leads to pelvic muscles dysfunction. This study takes an interest in the influence of this pathology during periconceptional period on the obstetrical, psychological and gynecological levels. Objectives of the study: Identify the obstetric and perineal prognosis of women suffering or cured of PVD in order to assess the need for the establishment of a specific obstetric protocol. Compare the results between patients with and without severity criteria. Materials and Methods: Quantitative and single-center descriptive study conducted with retrospective data collection from a questionnaire from March 2020 to July 2020. The selected population was 158 patients and 239 deliveries were analyzed. Chi-squared test was used to compare results from patients with and without severity criteria. Results: The results of this study, although not generalizable, reveal multiple repercussions of PVD on the obstetrical and perineal plan such as an increase in the rate of cesarean section, instrumentalization, tears of type 3, and PFV during postpartum and some time after childbirth. These results corroborate the theory stating that these women experience pelvic muscle dysfunction and perineal fragility all the more important as a severity criterion is associated. Conclusion: This study demonstrates the need for a modification of the obstetric management of patients suffering or cured of PVD in order to reduce the negative impact it has on the obstetric and perineal prognosis, to improve the prevention of PFV for these women. and improve the psychological experience of their pregnancy and childbirth.
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https://dumas.ccsd.cnrs.fr/dumas-03385415
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Submitted on : Tuesday, October 19, 2021 - 2:55:24 PM
Last modification on : Thursday, October 21, 2021 - 4:39:22 AM

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  • HAL Id : dumas-03385415, version 1

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Pauline Hemery. Pronostics obstétrical et périnéal chez des patientes atteintes ou guéries de vestibulodynie vulvaire provoquée. Étude quantitative à partir d’une population de 158 patientes. Gynécologie et obstétrique. 2021. ⟨dumas-03385415⟩

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