{"id":6140,"date":"2014-02-13T06:42:45","date_gmt":"2014-02-13T06:42:45","guid":{"rendered":"https:\/\/cooklicot.fr\/blog\/les-protocoles-hospitaliers-6-16-la-rupture-artificielle-des-membranes-amniotomie\/"},"modified":"2022-05-11T10:05:53","modified_gmt":"2022-05-11T10:05:53","slug":"les-protocoles-hospitaliers-6-16-la-rupture-artificielle-des-membranes-amniotomie","status":"publish","type":"post","link":"https:\/\/cooklicot.fr\/blog\/les-protocoles-hospitaliers-6-16-la-rupture-artificielle-des-membranes-amniotomie\/","title":{"rendered":"Les protocoles hospitaliers (6\/16) : la rupture artificielle des membranes (amniotomie)"},"content":{"rendered":"\t\t
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Raisons invoqu\u00e9es<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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  • V\u00e9rifier la pr\u00e9sence de m\u00e9conium<\/strong>, d\u00fb au rel\u00e2chement du sphincter anal du b\u00e9b\u00e9 suite \u00e0 une hypoxie (manque d\u2019oxyg\u00e8ne)<\/li>
  • Rupture des membranes pour mise en place d\u2019un cath\u00e9ter<\/strong> destin\u00e9 \u00e0 mesurer la pression interne dans l\u2019ut\u00e9rus, afin d\u2019\u00e9valuer l\u2019efficacit\u00e9 des contractions apr\u00e8s injection d\u2019ocytocine de synth\u00e8se<\/strong> (l\u2019ocytocine de synth\u00e8se pouvant emp\u00eacher l\u2019ut\u00e9rus de se d\u00e9tendre compl\u00e8tement entre les contractions, causant une d\u00e9tresse f\u0153tale)<\/li>
  • Pour d\u00e9clencher<\/strong> ou h\u00e2ter<\/strong> le travail.<\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t
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    \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\"\"\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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    Physiologiquement parlant<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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    \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\"\"\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t
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    • Risque infectieux<\/strong> augment\u00e9 (voir Examens internes pendant le travail)<\/li>
    • La perte de liquide amniotique am\u00e8ne \u00e0 une compression du cordon<\/strong>, qui peut induire une hypoxie<\/strong> pour le b\u00e9b\u00e9<\/li>
    • Le b\u00e9b\u00e9 man\u0153uvre beaucoup plus ais\u00e9ment<\/strong> pour se frayer un chemin \u00e0 travers le petit bassin quand il dispose d\u2019un large espace pour bouger et adapter sa position \u00e0 l\u2019ut\u00e9rus, ce qui est facilit\u00e9 par le liquide amniotique.<\/li>
    • La pression exerc\u00e9e par le liquide amniotique contenu dans la poche aide la dilatation du col<\/strong>, ainsi que le p\u00e9rin\u00e9e<\/strong> \u00e0 s\u2019\u00e9tirer doucement. La rupture pr\u00e9matur\u00e9e de la poche des eaux conduit souvent \u00e0 pratiquer une \u00e9pisiotomie<\/strong>.<\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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      A la maison<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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      • V\u00e9rification de la bonne sant\u00e9 du b\u00e9b\u00e9 par monitorage intermittent<\/strong><\/li>
      • Marche<\/strong>, mouvements<\/strong>, changements de positions<\/strong> pour acc\u00e9l\u00e9rer le travail\u2026<\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t
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        \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\"\"\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"

        Raisons invoqu\u00e9es V\u00e9rifier la pr\u00e9sence de m\u00e9conium, d\u00fb au rel\u00e2chement du sphincter anal du b\u00e9b\u00e9 suite \u00e0 une hypoxie (manque d\u2019oxyg\u00e8ne) Rupture des membranes pour...<\/p>\n","protected":false},"author":1,"featured_media":9702,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"iawp_total_views":43,"footnotes":""},"categories":[235],"tags":[58,67,65],"class_list":["post-6140","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-maternite","tag-accouchement","tag-naissance-libre","tag-parentalite"],"_links":{"self":[{"href":"https:\/\/cooklicot.fr\/blog\/wp-json\/wp\/v2\/posts\/6140","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/cooklicot.fr\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/cooklicot.fr\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/cooklicot.fr\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/cooklicot.fr\/blog\/wp-json\/wp\/v2\/comments?post=6140"}],"version-history":[{"count":0,"href":"https:\/\/cooklicot.fr\/blog\/wp-json\/wp\/v2\/posts\/6140\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/cooklicot.fr\/blog\/wp-json\/wp\/v2\/media\/9702"}],"wp:attachment":[{"href":"https:\/\/cooklicot.fr\/blog\/wp-json\/wp\/v2\/media?parent=6140"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/cooklicot.fr\/blog\/wp-json\/wp\/v2\/categories?post=6140"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/cooklicot.fr\/blog\/wp-json\/wp\/v2\/tags?post=6140"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}