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Master thesis

La rotation manuelle des variétés postérieures, une hétérogénéité des pratiques professionnelles : état des lieux réalisé auprès des sages-femmes de la Maternité du Centre Hospitalier Régional et Universitaire de Nancy entre le 6 novembre 2014 et 4 janvier 2015

Abstract : Monitoring occiput posterior position is part of the midwife abilities. Several methods exist and manuel rotation is a simple and an effective technique for improving maternal and fetal prognosis associated with posterior position. We tried to know and understand midwives practices in this taking over and specifically their use of manual rotation. METHODS: It was an empirical qualitative, prospective and single-centered study based on interviews with midwives from the Maternity of Nancy University Hospital. RESULTS : This study evidenced heterogeneous practices regarding choice between practicing manual rotation or not, its frequency of use, the used technique, its indications and conditions. The feeling of its efficiency, the use of techniques described in the literature and training would positively influence the choice between practicing or not manual rotation. However, physiological methods (postures, mobility, acupuncture) are still used more frequently by midwives. CONCLUSION: It would be interesting to teach midwives the technique of manual rotation to allow them to supervise the occiput posterior position in its globality.
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Master thesis
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http://docnum.univ-lorraine.fr/public/BUMED_MESF_2015_MONTPIED_JEANNE.pdf
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https://hal.univ-lorraine.fr/hal-01834969
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Jeanne Montpied. La rotation manuelle des variétés postérieures, une hétérogénéité des pratiques professionnelles : état des lieux réalisé auprès des sages-femmes de la Maternité du Centre Hospitalier Régional et Universitaire de Nancy entre le 6 novembre 2014 et 4 janvier 2015. Médecine humaine et pathologie. 2015. ⟨hal-01834969⟩

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