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menace accouchement prématuré
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cours gynecologie sur menace accouchement prématuré
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Menace d’accouchementprématuré
CHU de Tizi ouzou unité balloua
Service de gynécologie obstétrique
Pr ABROUS
Dr LOUNIS
, I – définition :
• L’accouchement prématuré est défini par un accouchement
entre 22 et 37 semaines d’aménorrhée
• La MAP est une pathologie associant des modifications
cervicales et CU régulières et douleureuses survenant entre
et 36 sa et 6jours , évoluant spontanément vers
l’accouchement en l’absence de traitement
• En pratique c’est les contractions utérines qui amènent les
patientes a consulter et motivent l’hospitalisation
, II – Épidémiologie
• 60% des AP sont spontanés presque toujours précédés d’u
MAP
• La MAP : 1ere cause d’hospitalisation au cours de la grosse
• L’AP est la principale cause de morbidité et de mortalité
périnatales ; 60% de la mortalité néonatales si AP <30 SA et
moitié des séquelles neurologiques <32 SA
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