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Master thesis

Corrélation entre le score d’Apgar et les pH artériels ombilicaux compris entre 7,00 et 7,20 : quelle prise en charge de la sage-femme en cas de discordance dans deux maternités respectivement de type 1 et 2 ?

Abstract : INTRODUCTION: The neonatal health’s evaluation in delivery room is essential. Variousof neonatal well-being are available midwives including Apgar score and umbilical cord arterial blood pH that can be clashing.METHOD AND RESULTS: We evaluated the correlation between the value Apgar score at one and five minutes and umbilical arterial pH between 7.00 and 7.20 out of 73 singletons born at term, vaginal, by a retrospective study of 2013,in two type 1 and Lorraine’s maternity. A weak positive correlation (r = 0.22 and r = 0.20) couldn’t be demonstrated statistically (p = 0.054 and p = 0.08). What’s more, we interested in adapting the care of midwives for newborns with an Apgar score above 7 and arterial pH between 7.00 and 7.20 ( n= 57).Although resuscitation performed are initiated on clinical criteria , there is a call pediatrician in 32 % of cases and increased surveillance (15% ) on account of limits pH. The second level used to assess their practices. In case of contradiction, 81% to pay more attention to the Apgar score as blood gas. DISCUSSION: However, this choice may be biased by interpretation and realisation of blood gases.Judging by the results, it’s seemed interesting to organize reminders on the analysis of blood gases to adjust the care of newborns in cases of contradiction. Finally, the development of a protocol would unify practices.
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Master thesis
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http://docnum.univ-lorraine.fr/public/BUMED_MESF_2015_BERREHAIL_LINDA.pdf
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https://hal.univ-lorraine.fr/hal-01834390
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Linda Berrhail. Corrélation entre le score d’Apgar et les pH artériels ombilicaux compris entre 7,00 et 7,20 : quelle prise en charge de la sage-femme en cas de discordance dans deux maternités respectivement de type 1 et 2 ?. Médecine humaine et pathologie. 2015. ⟨hal-01834390⟩

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