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Master Thesis

Place de la sage-femme dans la prise en charge des développements sexuels différents en maternité

Abstract : Objective The main objective of this study was to show that midwives are at the forefront of DSD diagnoses, and that it is necessary to implement a protocol for maternity care in these situations to improve professional practice. The secondary objective was to provide an exhaustive description of DSD cases observed in a type 3 maternity hospital. Method We conducted a single-center retrospective descriptive case-control study, with collection of medical data from computerized files (years 2015 to 2018) or paper files (years 2019 and 2020) in the maternity of the Centre Hospitalier de Poissy-Saint-Germain, the only type 3 perinatal center in the Yvelines, France. Results We collected 95 newborns with external genitalia anomaly at birth. Seven had been able to benefit an antenatal diagnosis. The diagnosis was made at birth for 82.6% of the newborns, including 45.3% of anomalies detected by a midwife. We compared these 95 newborns with 200 control newborns. We did not find any obvious antenatal characteristics that would have allowed us to anticipate the medical care. Conclusion It is the midewife’s responsibility to screen for DSD at birth. We propose a decision tree to assist midwives in the management of a newborn with an external genitalia anomaly at birth.
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https://dumas.ccsd.cnrs.fr/dumas-03618086
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Submitted on : Thursday, March 24, 2022 - 8:24:40 AM
Last modification on : Tuesday, April 5, 2022 - 3:34:45 AM

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PREAULT_Oriane_2021.pdf
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Oriane Préault. Place de la sage-femme dans la prise en charge des développements sexuels différents en maternité. Gynécologie et obstétrique. 2021. ⟨dumas-03618086⟩

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