Données obstétricales dans une population bénéficiant de variations posturales en cours de travail et d’accouchement

Assessment of the quality of the management of childbirth by vaginal delivery in 5 reference maternity clinics in Dakar, Senegal

“…In the Lepleux, series the rate was 43.4%. 12 This high rate of position change practice could be due, on the one hand, to the current practice of ambulation during labour in our society and, on the other hand, to the sensitizing of many health-care providers to humanized delivery, especially with its introduction in Senegal a few years ago.…”

“…13 In 1997, the World Health Organization classified the proposal of drinks (water, fruit juice without pulp, carbonated drinks, light tea, black coffee, drinks for sportsmen) during labour among the practices to be encouraged in the absence of certain risk factors such as diabetes, obesity and caesarean possibility. 4,[10][11][12] Our implementation rate for this WHO recommendation is weak compared to the one reported by Floris in France. 4 Indeed, a survey conducted among French midwives had revealed that 76% of them used to allow drink during the active phase of labour.…”

“…WHO considers it as a necessary tool in labour care and recommends its universal use during labour insofar as it is a simple, cheap and cost-effective means. [10][11][12]14 Gassama O et al Int J Reprod Contracept Obstet Gynecol. 2016 Oct;5(10):3378-3383…”

“…In the Lepleux series, the gynecological position also remained the majority practice, whether traditional (66.8%) or adjusted (21.7%). 12 Only a few women could deliver in lateral recumbence (10.8%) or on all fours (< 1%).…”