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

Description of this bibliographical database (AFAR website)
Currently 3046 records
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Created on : 11 May 2007
Modified on : 24 Nov 2018

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Bibliographical entry (without author) :

Position allongée ou verticale durant le 2e stade du travail : revue des méta-analyses. 28e Journées de la Société française de Médecine Périnatale, Arnette Ed., Paris, 1998, 167-176.

Author(s) :

Vendittelli F.

Year of publication :


URL(s) :…

Résumé (français)  :

Analyse d’études comparant n’importe quelle position horizontale à n’importe quelle position verticale.
Durant la seconde phase du travail, 17 essais randomisés comparant 2 401 accouchements verticaux versus 2 405 accouchements horizontaux. Le seul effet délétère retrouvé pour les positions verticales est une augmentation des hémorragies de la délivrance, surtout pour les positions assises.

Les autres effets sont favorables avec des OR variables et ceci avec un niveau de preuve 1 :
diminution des déchirures graves : 0, 22 [0, 05 – 0, 88]
diminution des extractions : non significatif
diminution des Apgar inférieurs à 7 : non significatif
diminution des anomalies du rythme cardiaque fœtal : 0, 46 [0, 3 – 0, 69]

Abstract (English)  :

Sumário (português)  :

Full text (public) :

Comments :

Etude citée par Racinet, Maillet, mais semble disponible uniquement en papier. L’abstract en français provient pour l’instant d’un article de Maillet (2007) fiche AFAR 2040. Mise à jour 23 mai 2007 : article fourni par Françoise Vendittelli, diffusable.

Argument (français) :

Le seul effet délétère trouvé pour les positions verticales est une augmentation des hémorragies de la délivrance, surtout pour les positions assises.

Argument (English):

The only deleterious effect found for the vertical positions is an increase in delivery hemorrhages, especially for sitting positions.

Argumento (português):

O único efeito deletério encontrado para as posições verticais é um aumento na hemorragia no parto, especialmente para posições sentadas.

Keywords :

➡ position during labor ; perineal/vaginal tears

Author of this record :

Emmanuelle Phan — 11 May 2007
➡ latest update : Bernard Bel — 24 Nov 2018

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