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Master Thesis

Césariennes « code rouge » : création d’une grille de pertinence permettant l’analyse d’une année de pratique au CHUGA

Abstract : Context. The French « colour code » classification allows to graduate the degree of urgency of a caesarean. A cesarean is called “red code”, in other word extremely urgent, if the fetal or maternal prognosis is immediately engaged. These situations represent less than 1 % of the deliveries. This procedure is at risk and must remain remarkable, it should be evaluated. The purpose of this study is to elaborate a tool in order to assess obstetrical practices about “red code” cesareans at the University Hospital of Grenoble-Alpes in 2019: pertinent and unpertinent situations, also improvement leads. Material and methods. First, a table of most consensual indications was obtained by a DELPHI method and validated by 11 national experts in gynecology. Then, a retrospective and analytical study, based on computerized files, was conducted on the whole “red code” cesareans at the University Hospital of Grenoble-Alpes in 2019. This table allowed to assess the pertinence of these cesareans. Results. Fifty-one “red code” cesareans were performed in our University Hospital in 2019, it represents 1,9 % of deliveries and 10 % of cesareans. The pertinence rate was 58,8 %. The main indication of unappropriated cesareans is abnormal Fetal Heart Rate. Conclusion. The rate of pertinence of the “red code” cesareans at the University Hospital of Grenoble-Alpes could be improved. This by updating the “red code” cesareans protocols using the pertinence table, by reviewing the files collegially, and by recontroling the cardiotocography in the cesarean room in case of abnormal Fetal Heart Rate. Using this table in other maternities could help to harmonize practices.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-03408546
Contributor : Jean-Hugues Morneau Connect in order to contact the contributor
Submitted on : Wednesday, November 24, 2021 - 9:11:44 AM
Last modification on : Friday, November 26, 2021 - 3:29:05 AM

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Claire Dubois. Césariennes « code rouge » : création d’une grille de pertinence permettant l’analyse d’une année de pratique au CHUGA. Médecine humaine et pathologie. 2021. ⟨dumas-03408546⟩

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