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Maternity Obstetrics
Maternity Obstetrics

Maternity Obstetrics

Maternity Obstetrics

The CHU Caen Normandie maternity hospital has 72 traditional hospital beds. It is a level III maternity ward , with a neonatology resuscitation service taking care of newborns from 24 weeks of amenorrhea.

It is a section of the Gynecology .

The CHU Caen Normandie maternity hospital has 72 traditional hospital beds. It is a level III maternity ward , with a neonatology resuscitation service taking care of newborns from 24 weeks of amenorrhea.

It is a section of the Gynecology .

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    Acupuncture

    Sf Anne-Christine Paris, Sf Gaétane Colin, Sf Sara Abdel Wahed, Dr Adeline Pasdeloup
    Consultation schedule

    Breastfeeding support

    Dr Mélanie Alexandre, Sf Océane Lermier, Sf Sophie LHéritor
    Consultation schedule

    Anesthesia Obstetrics

    ARE Dr Mathilde Lermuzeaux, ARE Dr Anne-Laure Lepori, ARE Dr Stephanie Deryckere, ARE Dr Denis Sousa Da Silva, ARE Dr Pierre Grassin, ARE Dr Delastre Robin, ARE Dr Therese Simonet
    Consultation schedule

    Tobacco

    Sf Patricia Rault
    Consultation schedule

    Addictology

    Sf Patricia Rault
    Consultation schedule

    Pregnancy follow-up

    Midwives, Pr Michel Dreyfus, Dr Justine Huet, Dr Anne-Sophie Lafitte, Dr Mathilde Siodlak, Dr Quentin Meurdra, Dr Inès Gayet, Dr Dylan Owen, Dr Saada Maxime
    Consultation schedule

    High-risk pregnancy follow-up

    Pr Michel Dreyfus, Dr Anne-Sophie Belin, Dr Justine Huet, Dr Anne-Sophie Lafitte, Dr Quentin Meurdra, Dr Inès Gayet, Dr Dylan Owen, Dr Saada Maxime
    Consultation schedule

    Ultrasound

    Midwives, Pr Michel Dreyfus, Dr Justine Huet, Dr Anne-Sophie Lafitte, Dr Mathilde Siodlak, Dr Quentin Meurdra, Dr Dylan Owen
    Consultation schedule

    Fetal heart ultrasound

    Dr Peggy Dupont-Chauvet, Dr Pascale Maragnes, Dr Fabien Labombarda
    Consultation schedule

    Prenatal interview

    Midwives
    Consultation schedule

    Postnatal maintenance

    Midwives
    Consultation schedule

    Psychologists obstetrics

    Ps Christine Albert, Ps Delphine Quiedeville, Ps Laura Dumesnil
    Consultation schedule

    Antenatal diagnosis

    Pr Michel Dreyfus, Dr Luc Durin, Dr Pauline Goupille, Dr Anne-Sophie Lafitte, Dr Mathilde Siodlak
    Consultation schedule

      Composition of service

      • 1 university professor · hospital practitioner
      • 3 hospital practitioners
      • 5 junior doctors
      • 74 midwives
      • 40 caregivers
      • 17 hospital service agents
      • 12 secretaries
      • 4 midwifery managers
      • 1 senior midwife
      • 2 psychologists

      It should be noted that the teams of on-call professionals are mixed.

    • Our support

      Activities

      External consultations

      The consultation unit:
      It includes consultations by appointment (obstetrics, gynecology, ultrasound, antenatal diagnosis, colposcopy, tobaccoology, addiction, acupuncture, anesthesia, dietetics, psychology, etc.) carried out by hospital doctors, attached practitioners, midwives, psychologists and a dietitian.

      An individualized and personalized follow-up of physiological pregnancies is offered by the midwives of the service team. They thus provide early prenatal care, prenatal consultations, preparation sessions for birth and parenthood, and postnatal consultation.

      The service also offers “breastfeeding” consultations by a lactation consultant midwife after the maternity stay. These consultations are 100% covered by the maternity ward until the 12th day after birth.

      Birth and Parenthood Preparation Sessions (PNP)
      The midwives in the department offer “classic” birth preparation sessions including theory sessions, relaxation and exercises.
      Birth preparation sessions in sophrology, yoga or in the swimming pool are also possible.
      A visit to the maternity ward is offered by appointment for patients following a PNP in the liberal sector.

      Early prenatal interviews:
      An early prenatal interview authorizes, according to the new regulations, a meeting from the 4th month of pregnancy. It makes it possible to answer questions of an administrative, psychological and social nature for patients and couples who wish to do so.

      This is not a medical consultation , it is a time for listening and confidential discussion with a health professional. It lasts on average 60 minutes. It is 100% covered by the Health Insurance Funds.

      Intensive pregnancy monitoring

      This unit has 18 beds including 12 single rooms. The single or twin rooms are equipped with a shower, telephone access and a television.

      Origin:
      Whether you are followed in the Caen conurbation or in the region, you may need to be hospitalized if your state of health or that of your baby requires it.

      Being level III, the maternity hospital of the CHU can take care of pregnant patients at risk of giving birth very prematurely. This is why some maternities will transfer you to Caen in order to optimize neonatal care. This is done within the Lower Normandy Perinatal Network

      Care:
      The medical team (doctor, midwife) and paramedical care 24 hours a day for patients with high-risk pregnancies, requiring specific and continuous close monitoring for the mother and/or baby.

      Your output can be declined in several modes:

      • home visits are sometimes carried out after an assessment of 24 to 48 hours and relay of care by the initial referent of the pregnancy,
      • returns by transfer to the local maternity unit are made as soon as care is possible. Sometimes, a transfer to a type II maternity (32 to 36 SA) will bring you closer to your home,
      • outings at home, with close supervision on an outpatient basis in a specialized consultation unit of the CHU, can be offered as an alternative to full hospitalization.
      Birth room

      The birthing room is open 24 hours a day, 7 days a week. She welcomes patients and couples for childbirth. The accompaniment and monitoring of labor are provided by a midwife and, possibly, a student midwife.

      Obstetrician-gynecologists, anesthesiologists and pediatricians are present on site 24 hours a day, 7 days a week and can intervene if the state of health of the mother or baby so requires.

      The delivery room has 11 rooms: 7 delivery rooms including two “natural” rooms, 3 pre-labor rooms and an interventional emergency surgery room.

      Level III, i.e. capable of accommodating high-risk pregnancies and newborns requiring intensive care, the maternity hospital of Caen University Hospital has been able to open its doors to liberal midwives who wish to give birth. their patients in a safe physiological space.

      Patients who want a “natural” birth (but who are not accompanied by a liberal midwife) are cared for within a physiological space by a team of midwives trained in mobilization during the labour, childbirth postures but also acupuncture.

      The 2 natural rooms are equipped with a delivery couch, a bathtub, a ball, a delivery seat and a suspension and stretching system.

      For women who wish, an anesthesia team is present to take care of the pain and set up epidural analgesia.

      Ideally placed between the operating room (for emergency or scheduled caesareans) and the neonatology department (for the care of newborns who require it) , the obstetrical room is equipped with computers and repeaters in each room in order to optimize work supervision.

      Obstetric Gynecological Emergencies

      The Gynecology-Obstetrics Emergency Department is located at the entrance to the delivery rooms.

      Midwives and doctors (interns and senior doctors) welcome there, 24 hours a day, 7 days a week, patients for all gynecological emergencies (abdominal pain, bleeding, etc.) and during pregnancy, whatever the term (bleeding, uterine contractions, fluid loss, decreased baby movement, etc.) .

      Ideally placed between the operating room (for emergency or scheduled caesareans) and the neonatology department (for the care of newborns who require it) , the obstetrical room is equipped with computers and repeaters in each room in order to to optimize the monitoring of women in labour.

      Specialized Obstetric Consultations

      This unit can accommodate future mothers requiring increased monitoring of pregnancy without full hospitalization.

      Only by appointment made after consultation with a doctor.

      (doctor, midwife) and paramedical (nursing assistant) team takes charge, every working day from 8 a.m. to 4 p.m., of patients requiring either close and specific monitoring of pregnancy, or a scheduled medical procedure such as a version by external maneuver…

      The management and therapeutic education of diabetic patients are carried out every Tuesday from 8:30 a.m. to 2 p.m. by a multidisciplinary team (diabetology doctor and nurse, dietician, midwife, obstetrician) .

      Birth suites

      The birth suite unit welcomes mothers and their children after childbirth.

      It has a capacity of 48 beds including 42 single rooms. Each room is equipped with a shower, a toilet and a space dedicated to the baby. The entire area is accessible to people with reduced mobility.

      Medical and paramedical supervision:

      It is multidisciplinary. 24 hours a day, midwives, doctors, paediatricians, childcare assistants, caregivers, monitor the progress of your stay and that of your child, in order to meet your expectations.

      The team is committed to the fight against pain, while ensuring your well-being. Invested in the support of breastfeeding, she advises you on childcare and accompanies you towards autonomy.

      Your stay :

      The duration of hospitalization is on average 72 hours for a physiological delivery and 96 hours for a birth by cesarean section.

      To find out what to put in your suitcase (the keychain) , consult our specific brochure.

      In certain special cases, the father is authorized to spend the night with his partner in order to help her with the care of their child. Their presence in the unit at night and early in the morning is subject to the acceptance of a charter intended for accompanying persons. The overnight stay and the accompanying meals are chargeable (prices in the welcome booklet and in the rooms).

      Your discharge takes place before noon, after having seen the midwife and/or the gynecologist-obstetrician and the pediatrician, who will give you your prescriptions and your child's health record. In case of late departure, an exit lounge is at your disposal until the arrival of your entourage.

      Maternity outings:

      They can be standard or early . In any case, they must be organized during pregnancy.

      A return home within 48 hours of the birth is offered to you in the context of a birth without associated pathology. Eligibility for this outing is subject to certain conditions which are explained to you by the doctor or midwife monitoring your pregnancy.

      If you are interested in this early discharge plan, you are advised to prepare it from the start of pregnancy, with the help of our teams.

      As soon as you wish, you can contact the liberal professional who will take over from the maternity ward when you leave. You will meet him in the first 24 hours following your return.

      These visits to your home, like those of your attending physician, are reimbursed by social security and allow you to recharge your batteries within your family, while benefiting from the expertise of a professional you know, able to advise, and to detect any anomaly for you and your child

      These early outings promote family ties, while providing personalized support to your new family.

      For more information on maternity leave, see our specific brochure.

      The Kangaroo Unit

      The kangaroo unit is a specific obstetric-pediatric unit that welcomes mothers whose children require neonatal care.

      Established in the maternity ward, it takes care of premature babies after 34 weeks and/or newborns with a simple pathology. These newborns stay in their mother's room, thus preserving the mother-child bond.

      The little extras

      • Birth declarations : these can be made directly at the hospital. A dedicated counter, located in the central hall on the ground floor, welcomes the parent(s) and takes care of the formalities, in connection with the civil status of Caen, thus avoiding you, a trip to the town hall,
      • lactation consultant midwives consult in the unit, but also by appointment to accompany you once you return home,
      • other professionals, graduates in acupuncture , bring you their skills to respond to any problems,
      • If you wish, a psychologist can meet with you during your stay.
      • Films made by the neonatology of CHU Caen Normandie can be consulted.
      Childbirth on technical platform

      Some self-employed midwives have signed a partnership with the University Hospital, giving them the opportunity to come and give birth to their patients in the department's delivery rooms. These are patients motivated by a physiological delivery without epidural and who meet specific medical criteria.

      For this, get closer to liberal midwives; if the request is suitable, they will explain the steps to follow and will send you to the CHU Caen Normandie for validation of your file by its medical teams. If the file is validated, the liberal midwife undertakes to accompany you throughout labor and delivery and for the following 2 hours. Your birth follow-up is then normally done by the CHU teams until you return home.

      At any time during the course, in case of medical necessity, a return to the classic care circuit is possible, whether during pregnancy, during labor or just after childbirth.

      Pathologies

      Pathologies of pregnancy

      Our service is called upon to take care of various pathologies of pregnancy, whether they are very classic (threat of premature delivery, premature rupture of membranes, preeclampsia, hypertension of pregnancy) or more rare (maternal pathologies requiring adult resuscitation, placenta previa, etc.) .

      The CHU specializes in the management of diabetes associated with pregnancy. We work jointly with the endocrinology department of the CHU. A specialized obstetrical consultation takes place in a multidisciplinary way, usually on Fridays.

      Threat of premature delivery

      These are abnormal contractions of the uterus which can lead to dilation of the cervix and premature delivery requiring the care of the newborn in neonatal resuscitation before 32 weeks of amenorrhea.

      Appropriate treatments are used and can stabilize the situation. In this case, the patient may return to her home or, if the term permits, the patient who has been transferred from another hospital may be transferred back to her original delivery site.

      Otherwise, the paediatricians, whom the patients always meet during their stay, will take care of the newborn in a unit adjoining the delivery room.

      Premature rupture of membranes

      This rupture of the bag of waters can occur with or without associated uterine contractions. The risk is premature delivery but also infection of the mother and/or child.

      Antibiotic treatment is always started for a few days. It is accompanied by a treatment to “ripen” the lungs of the foetus.

      If signs of infection appear, delivery should be induced either by caesarean section or vaginally depending on the condition of the cervix and the severity of the infection.

      Preeclampsia

      It corresponds to an increase in blood pressure associated with an increase in protein levels in the urine; it can be serious for the mother and her child. Antihypertensive treatment and treatment to ripen the fetal lungs are given.

      Depending on the seriousness of the situation, our service welcomes patients from the entire region.

      Depending on the maternal condition (kidney or lung problems, severe oedema, persistent headaches) and/or fetal condition, a premature birth may be desired and will be done either by caesarean section or vaginally depending on the term and the condition of the cervix .

      The newborn may, depending on the case and its gestational age, need resuscitation or intensive care.

      Gestational Diabetes

      In rare cases, the management of poorly balanced or difficult to balance diabetes requires a visit to the CHU. A multidisciplinary team including endocrinologists and dieticians will take care of this diabetes together with the obstetrical team (doctors, midwives, dieticians) .

      The newborn, if he is too big or has an associated pathology, in particular cardiac, may require a stay in pediatrics.

      Maternal pathologies and pregnancy

      In certain situations, it is the health of the mother that requires a stay at the CHU (cardiopathy, neurological diseases, etc.) . Care is provided by specialized multidisciplinary teams.

      If these patients are transferred to other departments of the establishment (cardiology, neurology or resuscitation) , the Obstetrics department continues to monitor the fetus directly in the mother's reception department.

      Fetal pathologies

      A certain number of patients are referred to us for the management of fetal pathologies, whether they are malformations treated in a multidisciplinary manner within the framework of the Multidisciplinary Center for Prenatal Diagnosis which is located at the University Hospital or fetal growth anomalies ( growth retardation) which require hospitalization or close follow-up in specialized obstetrical consultations.
      All possible investigations (ultrasound, three-dimensional ultrasound, Doppler, amniotic, placental or fetal blood sampling) are available in our establishment.

      Intrauterine Growth Retardation

      Intrauterine growth retardation is a pathology of pregnancy manifested by insufficient growth of the fetus. The causes are multiple (malfunction of the placenta, malformation of the fetus, infection, etc.) .

      This pathology may require close monitoring, including ultrasounds and recordings of the heart rate of the fetus, during hospitalization or during specialist consultations.

      In some more severe cases, it can also justify an early, premature birth, after injection of a treatment to accelerate the maturation of the fetal lungs.

      This birth can take place by caesarean section or vaginally depending on the context.

      Useful documents

      Assistance during childbirth

      Assistance during childbirth

      Preparation for birth

      Preparation for birth

      and parenting
      Follow-up to Antenatal Diagnosis

      Follow-up to Antenatal Diagnosis

      Antenatal diagnosis follow-up booklet
      • Prenatal diagnosis

        Prenatal or antenatal diagnostic follow-up
        Prenatal diagnosis

        Crew :

        • Professor Michel Dreyfus
        • Dr Luc Durin
        • Dr Pauline Goupille
        • Dr Anne-Sophie Lafitte
        • Dr Mathilde Siodlak

        center page

        Publications

        Follow-up to Antenatal Diagnosis

        Antenatal diagnosis follow-up booklet
        • The latest news related to the service…

        Locate / contact service

        Maternity Obstetrics

        Woman-Child-Hematology Hospital

        Avenue de la Côte de Nacre
        CS 30001
        14033 Caen cedex 9


        Maternity Obstetrics

        Service Secretariat


        Level GPS accessCar park Hall
        Maternity Service · Obstetrics
        Hospital Woman Child Hematology
        Level : 2
        GPS Access: Main
        Car Park: Car Park 1
        Main Entrance of Caen Normandy University Hospital
        Maternity Emergencies Obstetrics
        Hospital Woman Child Hematology
        Level : 0
        Pediatric Emergency Entrance