Auteur(s) : Legris Marie-Laure
Composante : MEDECINE
Date de création : 30-06-2021

Description : Médecine (gynécologie-obstétrique), Objective: To study the evolution of practices in case of ultrasound suspicion of fetal macrosomia in the absence of insulin-dependent diabetes. Methods: Retrospective study including 1000 patients who delivered after 37 SA at Strasbourg’s university hospital between 2011 and 2019, whose last ultrasound performed between 36 SA and 38 SA and 6 days suspected growth - 95th percentile. Results: There was an increase in inductions for suspected macrosomia, an increase in normal deliveries, a decrease in cesarean sections and episiotomies, a decrease in shoulder dystocia, and a slight increase in arterial pH ≤7.00. Patients with excess fluid, a history of macrosomia, uterine height -36 cm, or estimated fetal weight at 37 SA -3700g were more often triggered, increasing the prevalence of truly macrosomic newborns. Conclusion: These data are reassuring regarding the risks of induction, the benefit of which is discussed in the literature
Mots-clés libres : Macrosomie foetale -- Dépistage, Accouchement provoqué, Extraction obstétricale, Césarienne, Prise en charge personnalisée du patient -- Dissertation universitaire, 618.1-8
Couverture : FR