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Database - Alliance francophone pour l'accouchement respecté (AFAR)

Description of this bibliographical database (AFAR website)
Currently 3088 records
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Created on : 08 Oct 2003
Modified on : 26 Jun 2018

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Bibliographical entry (without author) :

Differences in management and results in term-delivery in nine European referral hospitals: descriptive study. European Journal of Obstetrics & Gynecology and Reproductive Biology 2002;103:4-13.

Author(s) :

Alran S, Sibony O, Oury JF, Luton D, Blot P.

Year of publication :


URL(s) :…

Résumé (français)  :

Abstract (English)  :

OBJECTIVE: To compose obstetric interventions around Europe.

STUDY DESIGN: A survey of obstetric practices, logistics and statistical outcomes in nine tertiary referral hospitals in Europe between November 1999 and October 2000.

RESULTS: There was wide variation in the management of pre labour rupture of the membranes at term, methods of analgesia, induction of labour, and mode of cephalic and breech delivery. Midwives practised normal deliveries at only three sites. Rates of epidural analgesia varied from 0% in Perugia to 98% in Barcelona, instrumental delivery from 3% in Perugia to 40% in Barcelona, episiotomy from 9.7% in Uppsala to 58% in Perugia, caesarean section before and during labour from 12% in Paris to 32% in Athens, vaginal breech delivery from 15% in Barcelona to 70% in Paris. The percentage of primipara varied from 40% in Uppsala to 65% in Perugia; birth weight under 2500 g from 5% in Uppsala to 23% in Amsterdam, over 4000 g from 3.1% in Athens to 22% in Uppsala and gestational age less than 37 weeks from 6% in Dublin to 26% in Amsterdam.

CONCLUSION: There are considerable differences in obstetric practices without any major difference in maternal and perinatal mortality.

Sumário (português)  :

Resumen (español)  :

Comments :

Acces libre au resume, texte payant.

Argument (français) :

Il existe des différences considérables dans les pratiques obstétricales sans différence majeure de mortalité maternelle et périnatale.

Argument (English):

There are considerable differences in obstetric practices without any major difference in maternal and perinatal mortality.

Argumento (português):

Existem diferenças consideráveis nas práticas obstétricas, sem qualquer grande diferença na mortalidade materna e perinatal.

Argumento (español):

Keywords :

➡ c-section/caesarean ; duration of labour ; physiology ; maternal age ; induction of labor ; post-term pregnancy ; dystocy ; breech presentation ; episiotomy ; instrumental delivery ; active management of labor ; epidural ; rupture of membranes

Author of this record :

Cécile Loup — 08 Oct 2003
➡ latest update : Bernard Bel — 26 Jun 2018

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