L’accouchement à bas risque : existe-t-il ?

Doğan, Fatih; Calmelet, P; Cottenet, Jonathan; Sagot, Paul; Macé, G.

doi:10.1016/j.jgyn.2012.12.007

Cited by 7 publications

(5 citation statements)

References 9 publications

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“…These results are similar to what is reported by the majority of authors with an average age that is always higher in the "high-risk" group of patients [6] [7] [8].…”

Section: Interpretation Of Resultssupporting

confidence: 91%

“…With respect to medical interventions, a caesarean section was performed in 8.7% of "low risk" pregnancies, three times less than that of "high risk" pregnancies. However, this rate is still higher than the national rate of caesarean sections, which is around 5% [6] [9].…”

Section: Interpretation Of Resultsmentioning

confidence: 99%

“…A study by SelviDogan in France on the risk of complications in low-risk pregnancies showed that there was an increase in the management of these patients and concluded that 37% of patients classified as low-risk at the beginning of labor required a call to the obstetrician and 21% of these required medical interventions [6].…”

Section: Several Authors Have Already Evaluated the Obstetrical And N...mentioning

confidence: 99%

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Rate of Obstetrical Complications and Medical Interventions in Low-Risk Patients: A Cohort Study in Dakar, Senegal

Mbodji¹,

Gueye²,

Wade³

et al. 2022

OJOG

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Background: "Low-risk" pregnancy is defined as a pregnancy that develops physiologically in a healthy woman and remains healthy. In practice, "low-risk" pregnancies are defined by excluding high-risk pregnancies. Objectives: Evaluate the rate of complications and medical interventions in "low-risk" pregnant women. Methods: This was a retrospective cohort study assessing the risk of obstetrical complications and medical interventions in low-risk patients from January 2010 to December 2020 at Philippe Maguilen Senghor Health Center in Dakar, Senegal. Results: There were 10,979 low-risk patients out of a total of 52,768, accounting for 20.8%. As medical interventions, episiotomy was performed in 27.5% and cesarean section in 8.7%. Acute fetal distress was observed in 4.1%. A low Apgar score at the fifth minute was observed in 1.89% (whereas it was 3.49% in high risk patients). Newborn-resuscitation was performed in 10.7%. Neonatal mortality was 5‰. Conclusion: Low-risk pregnancies are not without "risk", and thus care-givers should prepare for risks even at dealing with low risk patients.

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“…These results are similar to what is reported by the majority of authors with an average age that is always higher in the "high-risk" group of patients [6] [7] [8].…”

Section: Interpretation Of Resultssupporting

confidence: 91%

Section: Interpretation Of Resultsmentioning

confidence: 99%

Section: Several Authors Have Already Evaluated the Obstetrical And N...mentioning

confidence: 99%

See 1 more Smart Citation

Rate of Obstetrical Complications and Medical Interventions in Low-Risk Patients: A Cohort Study in Dakar, Senegal

Mbodji¹,

Gueye²,

Wade³

et al. 2022

OJOG

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“…Also we did not have access to medical records relating to maternity and information on “pregnancy at risk” was based on self-reporting by workers. There was no consensual definition and literature data on this variable are scarce [34, 35]. In a report from the French National Authority for Health, the rate of “pregnancy at risk” was 20% versus 24.8% for our study [34].…”

Section: Discussionmentioning

confidence: 64%

Exposure to occupational hazards for pregnancy and sick leave in pregnant workers: a cross-sectional study

Henrotin

Vaissière

Etaix³

et al. 2017

Ann of Occup and Environ Med

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BackgroundThis study aimed to investigate the association between exposure to occupational hazards for pregnancy and sick leave (SL) in pregnant workers.MethodsA cross-sectional study was performed in French occupational health services in 2014. Occupational hazards for pregnancy were assessed by occupational health physicians (OHPs). After delivery and at the time of returning to work, 1,495 eligible workers were interviewed by OHPs. Information on SL was self-reported. Risk ratios (RRs) were calculated from multivariable analyses based on a generalized linear model with a Bernoulli distribution and a log link adjusted for selected confounders for binary outcomes or zero-inflated negative binomial regression for count outcomes.ResultsAmong recruited workers, 74.9% presented “at least one SL” during pregnancy. After adjustment, the cumulative index of occupational hazards (0, 1–2, 3–4, ≥ 5 risks) for pregnancy was significantly associated with “at least one SL” during pregnancy in a dose–response relationship. This gradient was also observed with “early SL” (<15 week gestation): from 1 to 2 risks, RR = 1.48 (95% confidence intervals (CIs): 0.92-2.38); from 3 to 4 risks, RR = 2.03 (95% CI: 1.25-3.30); equal to or higher than five risks, RR = 2.90 (95% CI: 1.89-4.44); with “duration of absence” (adjusted mean): from 1 to 2 risks, m = 38.6 days; from 3 to 4 risks, m = 46.8 days; equal to or higher than five risks, m = 53.8 days. We also found that deprivation, pregnancy at risk, assisted reproductive therapy, work-family conflicts, home-work commuting felt as difficult and young age are associated with a higher risk of SL.ConclusionsOur results support the assertion that pregnant workers exposed to occupational hazards for pregnancy without medical complications are also at risk of taking SL during pregnancy. More prevention in the workplace for pregnant workers exposed to occupational hazards could reduce SL.

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“…Ils ont été définis grâce à la comparaison de différentes études menées en France et à l'étranger (voir Annexe II). Nous avons utilisé les critères de l'étude similaire réalisée à Auxerre (maternité de type II)[14] et nous en avons ajouté certains : l'absence d'une consommation excessive de tabac, d'alcool ou la toxicomanie et l'absence d'antécédents médicaux ou obstétricaux particuliers. Ces critères, à part le tabac, sont retrouvés dans les recommandations du NICE et dans la liste d'indications obstétricales des Pays--Bas [12, 16].…”

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Accouchement à bas risque : mythe ou réalité ?

Geoffroy¹

2016

Vocation Sage-femme

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Je remercie chaleureusement toutes les personnes qui ont contribué à l'élaboration de ce mémoire, tout particulièrement :  Le Docteur Gaël BEUCHER, pour avoir accepté de diriger ce mémoire et pour son aide précieuse.  Madame Michèle KAKOL, sage-femme enseignante, pour ses relectures attentives et ses encouragements.  Madame Nathalie LAMENDOUR, pour le temps qu'elle m'a consacré.  Madame Juliette ROBIN et Monsieur Rémy MORELLO pour leurs conseils et leur aide statistique. Pour ces quatre années passées à l'école de sages-femmes de Caen, je tiens également à remercier :  Madame Evelyne GIFFARD, directrice de l'école, pour sa disponibilité.  Mesdames KAKOL, LEGLINEL, BRIELLE, LEVALLOIS et GOUPILLE pour leurs enseignements et leur écoute.  Mes plus fidèles camarades et amis : Claire, Juliette, Marie, Amancia, Anne-Charlotte, Maxime et Gautier pour leur soutien et tous ces merveilleux moments passés ensemble. Je remercie du fond du coeur mes parents et ma famille pour leur soutien sans faille et leurs mots réconfortants durant toutes ces années d'étude. Merci de m'avoir permis d'être là où j'en suis maintenant. Merci à Maxime pour ses précieux encouragements, son écoute et sa patience. Merci à mes amis proches d'être toujours là pour moi.

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L’accouchement à bas risque : existe-t-il ?

Cited by 7 publications

References 9 publications

Rate of Obstetrical Complications and Medical Interventions in Low-Risk Patients: A Cohort Study in Dakar, Senegal

Rate of Obstetrical Complications and Medical Interventions in Low-Risk Patients: A Cohort Study in Dakar, Senegal

Exposure to occupational hazards for pregnancy and sick leave in pregnant workers: a cross-sectional study

Accouchement à bas risque : mythe ou réalité ?

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