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Master Thesis

Évolution de la pertinence de la gestion de la dystocie dynamique entre 2016 et 2019

Abstract : Objectives – The main objective of this study was to describe the evolution of the relevance of dynamic dystocia management in January 2019 since January 2016. Method - This is a cross-sectional, clinical audit-type descriptive study. The data was collected via an audit grid developed by the RSPA from the national guidelines "Recommandations pour l’administration d’oxytocine au cours du travail spontanée" published in December 2016, by the CNSF. Results – We included 169 women who had spontaneous labor from January 1st to January 31, 2019. The oxytocin administration rate significantly decreased between 2016 and 2019 (46.9% vs. 30.2%, p = 0.002). Systematic administration of oxytocin during the 1st stage of labor was 9.6% versus 24.9% in 2016 and 0% versus 10.6% in 2016 during the 2nd stage. Even if the amniotomy rate remained stable (p = 0.67) we found a significant decrease in its systematic practice (p = 0,0009). The relevant administration of oxytocin during the 2nd stage of labor was 25.0% in 2016 versus 87.5% in 2019. The evolution of the relevance of the administration of oxytocin at the 1st stage is not statistically significant (p = 0.50). Conclusion –Systematic practices have decreased significantly since 2016. However there is an improvement in the relevance of administration of oxytocin during the 2nd stage of labor, this is not yet during the 1st stage of labor. External factors can impact practices and must be taken into account.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-03387955
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Submitted on : Wednesday, October 20, 2021 - 10:19:23 AM
Last modification on : Thursday, December 16, 2021 - 2:25:35 PM
Long-term archiving on: : Friday, January 21, 2022 - 7:23:24 PM

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2021-MSF-LEBEGUE-L.pdf
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Laura Lebègue. Évolution de la pertinence de la gestion de la dystocie dynamique entre 2016 et 2019. Médecine humaine et pathologie. 2021. ⟨dumas-03387955⟩

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