{"id":6148,"date":"2014-01-28T08:37:21","date_gmt":"2014-01-28T08:37:21","guid":{"rendered":"https:\/\/cooklicot.fr\/blog\/etudes-comparatives-entre-accouchement-a-lhopital-et-accouchement-a-domicile\/"},"modified":"2022-05-09T13:17:43","modified_gmt":"2022-05-09T13:17:43","slug":"etudes-comparatives-entre-accouchement-a-lhopital-et-accouchement-a-domicile","status":"publish","type":"post","link":"https:\/\/cooklicot.fr\/blog\/etudes-comparatives-entre-accouchement-a-lhopital-et-accouchement-a-domicile\/","title":{"rendered":"Etudes comparatives entre accouchement \u00e0 l&rsquo;h\u00f4pital et accouchement \u00e0 domicile"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"6148\" class=\"elementor elementor-6148\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-06e9318 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"06e9318\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-e9960dc\" data-id=\"e9960dc\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-ae2703e elementor-widget elementor-widget-heading\" data-id=\"ae2703e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">The CPM Study de Ken Johnson et Betty-Anne Daviss<\/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<section class=\"elementor-section elementor-top-section elementor-element elementor-element-cc81a70 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"cc81a70\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-66 elementor-top-column elementor-element elementor-element-af98fd9\" data-id=\"af98fd9\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-0e06b4d elementor-widget elementor-widget-text-editor\" data-id=\"0e06b4d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Cette \u00e9tude porte sur 5418 naissances programm\u00e9es \u00e0 la maison, aux Etats-Unis :<\/p><ul><li>12 % des femmes ont finalement \u00e9t\u00e9 transf\u00e9r\u00e9es \u00e0 l&rsquo;h\u00f4pital. Parmi celles-ci :<ul><li>4,7 % ont subi une \u00e9pidurale<\/li><li>2,1 % ont subi une \u00e9pisiotomie<\/li><li>3,7 % ont subi une c\u00e9sarienne (contre 32 % de moyenne nationale).<\/li><\/ul><\/li><li>Aucune m\u00e8re n&rsquo;est d\u00e9c\u00e9d\u00e9e<\/li><li>Le taux de mortalit\u00e9 p\u00e9rinatale est de 1,7 \u2030 (identique au taux de mortalit\u00e9 p\u00e9rinatale pour les naissances \u00e0 faible risque ayant lieu \u00e0 l&rsquo;h\u00f4pital)<\/li><li>Taux de satisfaction maternelle : 97 %<\/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<div class=\"elementor-column elementor-col-33 elementor-top-column elementor-element elementor-element-7f7a323 animated-slow elementor-invisible\" data-id=\"7f7a323\" data-element_type=\"column\" data-e-type=\"column\" data-settings=\"{&quot;animation&quot;:&quot;fadeInRight&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-1857513 elementor-widget elementor-widget-image\" data-id=\"1857513\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"189\" height=\"233\" src=\"https:\/\/cooklicot.fr\/blog\/wp-content\/uploads\/2014\/02\/ob_41e8fb_accouchement-naturel.jpg\" class=\"attachment-large size-large wp-image-9683\" alt=\"\" \/>\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<section class=\"elementor-section elementor-top-section elementor-element elementor-element-f69314b elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"f69314b\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-103f3b7\" data-id=\"103f3b7\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-5bfa1ab elementor-widget elementor-widget-heading\" data-id=\"5bfa1ab\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Etude r\u00e9alis\u00e9e en Colombie Britannique (Canada)<\/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<section class=\"elementor-section elementor-top-section elementor-element elementor-element-b2f154e elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"b2f154e\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-top-column elementor-element elementor-element-f18ef73\" data-id=\"f18ef73\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-06262da animated-slow elementor-invisible elementor-widget elementor-widget-image\" data-id=\"06262da\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeInLeft&quot;}\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"510\" height=\"339\" src=\"https:\/\/cooklicot.fr\/blog\/wp-content\/uploads\/2014\/01\/ob_1d8182_1.jpg\" class=\"attachment-large size-large wp-image-9738\" alt=\"\" srcset=\"https:\/\/cooklicot.fr\/blog\/wp-content\/uploads\/2014\/01\/ob_1d8182_1.jpg 510w, https:\/\/cooklicot.fr\/blog\/wp-content\/uploads\/2014\/01\/ob_1d8182_1-300x199.jpg 300w\" sizes=\"(max-width: 510px) 100vw, 510px\" \/>\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<div class=\"elementor-column elementor-col-66 elementor-top-column elementor-element elementor-element-fba1437\" data-id=\"fba1437\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-5c9dc46 elementor-widget elementor-widget-text-editor\" data-id=\"5c9dc46\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Porte sur :<\/p><ul><li>2899 naissances \u00e0 la maison programm\u00e9es avec des SF<\/li><li>4604 naissances \u00e0 l\u2019h\u00f4pital avec des SF<\/li><li>5331 naissances \u00e0 l\u2019h\u00f4pital avec des m\u00e9decins.<\/li><\/ul><p>Le taux de <strong>mortalit\u00e9 infantile<\/strong> :\u00a0<\/p><ul><li style=\"list-style-type: none;\"><ul id=\"yui_3_5_0_1_1390898230246_18010\"><li id=\"yui_3_5_0_1_1390898230246_18009\">pour les naissances \u00e0 la <strong>maison\u00a0<\/strong>: 0,35 \u2030<\/li><li id=\"yui_3_5_0_1_1390898230246_18019\">pour les naissances hospitali\u00e8res encadr\u00e9es par <strong>SF\u00a0<\/strong>: 0,57 \u2030<\/li><li id=\"yui_3_5_0_1_1390898230246_18026\">pour les naissances hospitali\u00e8res encadr\u00e9es par <strong>m\u00e9decins\u00a0<\/strong>: 0,95 \u2030.<\/li><\/ul><\/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<section class=\"elementor-section elementor-top-section elementor-element elementor-element-f3250d5 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"f3250d5\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-42798b5\" data-id=\"42798b5\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-61817c1 elementor-widget elementor-widget-heading\" data-id=\"61817c1\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Etude r\u00e9alis\u00e9e par Hutton, Eileen, Reitsma, Kaufman, Karyn<\/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<section class=\"elementor-section elementor-top-section elementor-element elementor-element-982bcce elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"982bcce\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-66 elementor-top-column elementor-element elementor-element-08e465e\" data-id=\"08e465e\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-6be9f48 elementor-widget elementor-widget-text-editor\" data-id=\"6be9f48\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>\u00a0L&rsquo;\u00e9tude s&rsquo;intitule <strong>\u00ab Outcomes associated with planned home and planned hospital births en low-risk women attended by midwives in Ontario, Canada\u201d, 2003-2006<\/strong><\/p><p>Elle porte sur :<\/p><ul><li>6692 m\u00e8res ayant pr\u00e9vu un accouchement \u00e0 la maison<\/li><li>6692 m\u00e8res ayant pr\u00e9vu un accouchement en structure m\u00e9dicale<\/li><\/ul><p>Tous ces accouchements \u00e9taient en<strong> risque bas<\/strong>, sans probl\u00e8me d\u00e9tect\u00e9 durant la grossesse, et \u00e9taient suivis par des SF.<\/p><ul id=\"yui_3_5_0_1_1390898230246_18043\"><li>Taux de <strong>mortalit\u00e9 infantile<\/strong> identique entre les deux groupes<\/li><li><strong>Complications lors de l\u2019accouchement<\/strong> plus \u00e9lev\u00e9es dans le groupe des naissances pr\u00e9vues \u00e0 l\u2019h\u00f4pital<\/li><li><strong>Complications maternelles graves<\/strong> deux fois plus fr\u00e9quentes pour les accouchements pr\u00e9vus en structure.<\/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<div class=\"elementor-column elementor-col-33 elementor-top-column elementor-element elementor-element-359c854\" data-id=\"359c854\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-0cf2d09 animated-slow elementor-invisible elementor-widget elementor-widget-image\" data-id=\"0cf2d09\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeInRight&quot;}\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"600\" height=\"439\" src=\"https:\/\/cooklicot.fr\/blog\/wp-content\/uploads\/2014\/01\/ob_a5d67f_2.jpg\" class=\"attachment-large size-large wp-image-9740\" alt=\"\" srcset=\"https:\/\/cooklicot.fr\/blog\/wp-content\/uploads\/2014\/01\/ob_a5d67f_2.jpg 600w, https:\/\/cooklicot.fr\/blog\/wp-content\/uploads\/2014\/01\/ob_a5d67f_2-300x220.jpg 300w\" sizes=\"(max-width: 600px) 100vw, 600px\" \/>\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<section class=\"elementor-section elementor-top-section elementor-element elementor-element-9a30d67 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"9a30d67\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-0c43a71\" data-id=\"0c43a71\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-f9551fe elementor-widget elementor-widget-heading\" data-id=\"f9551fe\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">\u00ab Listening to Mothers II \u00bb<\/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<section class=\"elementor-section elementor-top-section elementor-element elementor-element-42a5087 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"42a5087\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-top-column elementor-element elementor-element-89627c6\" data-id=\"89627c6\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-33cf76f animated-slow elementor-invisible elementor-widget elementor-widget-image\" data-id=\"33cf76f\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeInLeft&quot;}\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"1024\" height=\"576\" src=\"https:\/\/cooklicot.fr\/blog\/wp-content\/uploads\/2022\/05\/accouchement-hopital-1024x576.jpg\" class=\"attachment-large size-large wp-image-11114\" alt=\"\" srcset=\"https:\/\/cooklicot.fr\/blog\/wp-content\/uploads\/2022\/05\/accouchement-hopital-1024x576.jpg 1024w, https:\/\/cooklicot.fr\/blog\/wp-content\/uploads\/2022\/05\/accouchement-hopital-300x169.jpg 300w, https:\/\/cooklicot.fr\/blog\/wp-content\/uploads\/2022\/05\/accouchement-hopital-768x432.jpg 768w, https:\/\/cooklicot.fr\/blog\/wp-content\/uploads\/2022\/05\/accouchement-hopital.jpg 1280w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/>\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<div class=\"elementor-column elementor-col-66 elementor-top-column elementor-element elementor-element-8f75ce8\" data-id=\"8f75ce8\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-ebff9f6 elementor-widget elementor-widget-text-editor\" data-id=\"ebff9f6\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><strong>Cette \u00e9tude a \u00e9t\u00e9 r\u00e9alis\u00e9e entre 2002 et 2006 par les chercheurs<\/strong>\u00a0<strong>Declercq, Sakala, Corry et Applebaum<\/strong>. Vous pouvez la retrouver en lecture sur <a href=\"http:\/\/www.childbirthconnection.org\/\">www.childbirthconnection.org.<\/a>\u00a0<\/p><p>Elle \u00e9value<strong> l\u2019exp\u00e9rience des soins autour de l&rsquo;accouchement \u00e0 l\u2019h\u00f4pital<\/strong>\u00a0:<\/p><ul><li>15 % des parturientes ont \u00e9t\u00e9 autoris\u00e9es \u00e0 manger ou \u00e0 boire<\/li><li>24 % \u00e9taient libres de marcher<\/li><li>90 % ont \u00e9t\u00e9 plac\u00e9es sous monitorage continu<\/li><li>81 % ont subi des examens vaginaux<\/li><li>80 % ont subi une perfusion<\/li><li>71 % ont subi une anesth\u00e9sie \u00e9pidurale<\/li><li>25 % ont subi une \u00e9pisiotomie<\/li><li>59 % ont subi une rupture artificielle des membranes<\/li><li>55 % ont re\u00e7u de l\u2019ocytocine de synth\u00e8se<\/li><li>49 % ont subi une tentative de d\u00e9clenchement du travail<\/li><li>43 % se sont vu poser un cath\u00e9ter<\/li><li>57 % ont du pousser couch\u00e9es sur le dos (position du d\u00e9cubitus dorsal)<\/li><li>21 % seulement \u00e9taient libres de pousser quand et comme elles en ressentaient le besoin<\/li><li>28 % seulement des mamans souhaitant allaiter ont pu allaiter leur b\u00e9b\u00e9 pendant la premi\u00e8re heure<\/li><li>32 % ont subi une c\u00e9sarienne, parmi lesquelles<ul><li>25 % pour mauvaise interpr\u00e9tation du monitorage f\u0153tal<\/li><li>25 % pour \u00ab\u00a0mauvaise\u00a0\u00bb position du b\u00e9b\u00e9<\/li><li>12 % parce que le soignant craignait \u00e0 tort que le b\u00e9b\u00e9 soit trop gros.<\/li><\/ul><\/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<section class=\"elementor-section elementor-top-section elementor-element elementor-element-6163ac5 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"6163ac5\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-69e386c\" data-id=\"69e386c\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-fb19129 elementor-widget elementor-widget-heading\" data-id=\"fb19129\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Etude du Dr Lewis Mehl<\/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<section class=\"elementor-section elementor-top-section elementor-element elementor-element-c3b39c9 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"c3b39c9\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-top-column elementor-element elementor-element-cc173be\" data-id=\"cc173be\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-495c0f7 animated-slow elementor-invisible elementor-widget elementor-widget-image\" data-id=\"495c0f7\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeInLeft&quot;}\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"1024\" height=\"576\" src=\"https:\/\/cooklicot.fr\/blog\/wp-content\/uploads\/2022\/05\/bebe-1024x576.jpg\" class=\"attachment-large size-large wp-image-11113\" alt=\"\" srcset=\"https:\/\/cooklicot.fr\/blog\/wp-content\/uploads\/2022\/05\/bebe-1024x576.jpg 1024w, https:\/\/cooklicot.fr\/blog\/wp-content\/uploads\/2022\/05\/bebe-300x169.jpg 300w, https:\/\/cooklicot.fr\/blog\/wp-content\/uploads\/2022\/05\/bebe-768x432.jpg 768w, https:\/\/cooklicot.fr\/blog\/wp-content\/uploads\/2022\/05\/bebe.jpg 1280w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/>\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<div class=\"elementor-column elementor-col-66 elementor-top-column elementor-element elementor-element-11b0a43\" data-id=\"11b0a43\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-bc81caf elementor-widget elementor-widget-text-editor\" data-id=\"bc81caf\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Porte sur :<\/p><ul><li>1046 naissances planifi\u00e9es \u00e0 la maison<\/li><li>1046 naissances planifi\u00e9es \u00e0 l\u2019h\u00f4pital.<\/li><\/ul><p>Les grossesses \u00e9tant toutes des grossesses de <strong>faible niveau de risque<\/strong>.<\/p><p>Apr\u00e8s analyse comparative des dur\u00e9es de travail, des complications, des r\u00e9sultats pour la sant\u00e9 des enfants et des proc\u00e9dures utilis\u00e9es pour les deux groupes, il montre que les naissances \u00e0 la maison sont PLUS SURES que les naissances \u00e0 l\u2019h\u00f4pital\u00a0!<\/p><ul><li>Les naissances hospitali\u00e8res pr\u00e9sentent une incidence de <strong>pression art\u00e9rielle \u00e9lev\u00e9e<\/strong> pour la m\u00e8re 5 fois plus importante<\/li><li>On observe 3,5 fois plus de <strong>m\u00e9conium dans le liquide amniotique<\/strong> (indicateur de d\u00e9tresse f\u0153tale)<\/li><li>Il y a 8 fois plus de <strong>dystocie des \u00e9paules<\/strong> (certainement due \u00e0 l\u2019acharnement des m\u00e9decins \u00e0 placer les femmes sur le dos pendant le travail et\/ou l\u2019expulsion)<\/li><li>Taux d\u2019<strong>h\u00e9morragie post-partum<\/strong> 3 fois plus \u00e9lev\u00e9e (due \u00e0 l\u2019injection d\u2019ocytocine de synth\u00e8se pour d\u00e9clencher ou acc\u00e9l\u00e9rer le travail, \u00e0 la d\u00e9livrance dirig\u00e9e, aux man\u0153uvres d\u2019extraction manuelle du placenta, au clampage pr\u00e9coce du cordon)<\/li><li>Les b\u00e9b\u00e9s n\u00e9s \u00e0 l\u2019h\u00f4pital avaient 3 fois plus besoin d\u2019\u00eatre <strong>r\u00e9anim\u00e9s<\/strong> (essentiellement \u00e0 cause des m\u00e9dicaments inject\u00e9s \u00e0 la m\u00e8re)<\/li><li>Les b\u00e9b\u00e9s n\u00e9s \u00e0 l\u2019h\u00f4pital contractent 4 fois plus d\u2019<strong>infections<\/strong><\/li><li>Les b\u00e9b\u00e9s n\u00e9s \u00e0 l\u2019h\u00f4pital ont 30 fois plus de <strong>blessures p\u00e9rinatales<\/strong> (notamment \u00e0 cause des forceps)\u00a0: c\u00e9phalh\u00e9matomes s\u00e9v\u00e8res, fractures du cr\u00e2ne, paralysie des nerfs faciaux, blessures du nerfs brachial, l\u00e9sions de l\u2019\u0153il\u2026<\/li><li>75 % des m\u00e8res ayant accouch\u00e9 \u00e0 l\u2019h\u00f4pital ont re\u00e7u des <strong>analg\u00e9siques<\/strong> ou des <strong>anesth\u00e9sies<\/strong>, contre moins de 5 % pour celles ayant pr\u00e9vu d\u2019accoucher \u00e0 la maison.<\/li><li>On observe 3 fois plus de <strong>c\u00e9sariennes<\/strong> dans le groupe des naissances pr\u00e9vues \u00e0 l\u2019h\u00f4pital<\/li><li>On pratique 9 fois plus d\u2019<strong>\u00e9pisiotomies<\/strong> dans le groupe des naissances hospitali\u00e8res<\/li><li>On observe aussi 9 fois plus de <strong>d\u00e9chirures s\u00e9v\u00e8res du p\u00e9rin\u00e9e<\/strong> dans le naissances groupe des\u00a0pr\u00e9vues \u00e0 l\u2019h\u00f4pital<\/li><li>Les taux de <strong>mortalit\u00e9 maternelle et infantile<\/strong> sont identiques selon les deux groupes.<\/li><li style=\"list-style-type: none;\">\u00a0<\/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<section class=\"elementor-section elementor-top-section elementor-element elementor-element-ff8e886 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"ff8e886\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-a5a488c\" data-id=\"a5a488c\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-de5f3cc elementor-widget elementor-widget-heading\" data-id=\"de5f3cc\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Etude de Marjorie Tew en Grande-Bretagne<\/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<section class=\"elementor-section elementor-top-section elementor-element elementor-element-eeccac5 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"eeccac5\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-66 elementor-top-column elementor-element elementor-element-bd9abd1\" data-id=\"bd9abd1\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-55272bd elementor-widget elementor-widget-text-editor\" data-id=\"55272bd\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Porte sur 13628 naissances class\u00e9es selon leur cat\u00e9gorie de risque\u00a0:<\/p><ul><li>Grossesses \u00e0 risque tr\u00e8s bas<\/li><li>Grossesses \u00e0 risque bas<\/li><li>Grossesses \u00e0 risque mod\u00e9r\u00e9<\/li><li>Grossesses \u00e0 risque haut<\/li><li>Grossesses \u00e0 risque tr\u00e8s haut<\/li><\/ul><p>Dans chacune des cat\u00e9gories, la <strong>mortalit\u00e9 n\u00e9onatale<\/strong> est plus basse lorsque l\u2019accouchement se passe \u00e0 la maison :<\/p><ul><li>Aux niveaux de risque bas et tr\u00e8s bas, respectivement 2 et 3 fois plus de b\u00e9b\u00e9s meurent \u00e0 l\u2019h\u00f4pital.<\/li><li>Au niveau de risque mod\u00e9r\u00e9, 8 fois plus de b\u00e9b\u00e9s d\u00e9c\u00e8dent \u00e0 l\u2019h\u00f4pital<\/li><li>Aux niveaux de risque \u00e9lev\u00e9 et tr\u00e8s \u00e9lev\u00e9, Tew note 3 fois plus de d\u00e9c\u00e8s des b\u00e9b\u00e9s \u00e0 l\u2019h\u00f4pital.<\/li><\/ul><p>Conclusion de Tex : \u00ab <em>L\u2019assistance des obst\u00e9triciens ne permet pas, \u00e0 part dans des cas exceptionnels, de r\u00e9duire le risque pr\u00e9dit. En r\u00e9alit\u00e9, elle provoque et augmente les dangers. La s\u00e9curit\u00e9 \u00e9motionnelle procur\u00e9e par un environnement familier, la maison, contribue bien plus \u00e0 la s\u00e9curit\u00e9 que les \u00e9quipements des h\u00f4pitaux con\u00e7us pour faciliter les interventions obst\u00e9tricales en cas d\u2019urgence.<\/em> \u00bb (Marjorie Tew, \u00ab Safer Childbirth : a critical history of maternity care \u00bb, 1990)<\/p>\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<div class=\"elementor-column elementor-col-33 elementor-top-column elementor-element elementor-element-76bcda4\" data-id=\"76bcda4\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-bb12fdd animated-slow elementor-invisible elementor-widget elementor-widget-image\" data-id=\"bb12fdd\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeInRight&quot;}\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"683\" height=\"1024\" src=\"https:\/\/cooklicot.fr\/blog\/wp-content\/uploads\/2022\/05\/accouchement-683x1024.jpg\" class=\"attachment-large size-large wp-image-11115\" alt=\"\" srcset=\"https:\/\/cooklicot.fr\/blog\/wp-content\/uploads\/2022\/05\/accouchement-683x1024.jpg 683w, https:\/\/cooklicot.fr\/blog\/wp-content\/uploads\/2022\/05\/accouchement-200x300.jpg 200w, https:\/\/cooklicot.fr\/blog\/wp-content\/uploads\/2022\/05\/accouchement-768x1152.jpg 768w, https:\/\/cooklicot.fr\/blog\/wp-content\/uploads\/2022\/05\/accouchement-1024x1536.jpg 1024w, https:\/\/cooklicot.fr\/blog\/wp-content\/uploads\/2022\/05\/accouchement.jpg 1280w\" sizes=\"(max-width: 683px) 100vw, 683px\" \/>\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":"<p>The CPM Study de Ken Johnson et Betty-Anne Daviss Cette \u00e9tude porte sur 5418 naissances programm\u00e9es \u00e0 la maison, aux Etats-Unis : 12 % des&#46;&#46;&#46;<\/p>\n","protected":false},"author":1,"featured_media":9738,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"iawp_total_views":16,"footnotes":""},"categories":[235],"tags":[58,67,65],"class_list":["post-6148","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\/6148","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=6148"}],"version-history":[{"count":0,"href":"https:\/\/cooklicot.fr\/blog\/wp-json\/wp\/v2\/posts\/6148\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/cooklicot.fr\/blog\/wp-json\/wp\/v2\/media\/9738"}],"wp:attachment":[{"href":"https:\/\/cooklicot.fr\/blog\/wp-json\/wp\/v2\/media?parent=6148"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/cooklicot.fr\/blog\/wp-json\/wp\/v2\/categories?post=6148"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/cooklicot.fr\/blog\/wp-json\/wp\/v2\/tags?post=6148"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}