Gynecologie Obstetrique & Fertilite最新文献_第10页

Information, transmission, secret : quel discours pour les enfants nés par don de gamètes ? 信息、传播、秘密:配子捐赠所生的孩子的话语是什么?

Gynecologie Obstetrique & Fertilite Pub Date : 2016-07-01 DOI: 10.1016/j.gyobfe.2016.05.002

M. Canneaux , N. Kobilinsky , J.P. Wolf , B. Golse , B. Beauquier-Maccotta

{"title":"Information, transmission, secret : quel discours pour les enfants nés par don de gamètes ?","authors":"M. Canneaux , N. Kobilinsky , J.P. Wolf , B. Golse , B. Beauquier-Maccotta","doi":"10.1016/j.gyobfe.2016.05.002","DOIUrl":"10.1016/j.gyobfe.2016.05.002","url":null,"abstract":"<div><p>The number of children born through gamete donation grows by the conceptions made abroad. All the couples engaging in this process do not benefit from of the same support around the issues raised by the information to the child and its terms. Through a literature review, the authors explore the data on information intentions from parents to child and to entourage, the influence of the issue of anonymity, the effective rate information, the influences of the age of the child, the terms information and links with family dynamics. The quantitative findings underscore the complexity of this task, since 10–90 % of couples report an intention to inform their child from conception through donation, while 5–30 % actually inform them after birth. Fifty-nine to 93 % of the relatives are nevertheless informed. The authors will highlight the psychopathological tracks that support the possibility of narration for parents: the internalization of their infertility, the representation of the gift, the development of rivalry towards donors, the secrecy and privacy. The objective of this article is to enable carers to accompany this reflection among future parents, a better listening of the issues raise by the couples allowing shoring their process.</p></div>","PeriodicalId":55077,"journal":{"name":"Gynecologie Obstetrique & Fertilite","volume":"44 7","pages":"Pages 410-416"},"PeriodicalIF":0.0,"publicationDate":"2016-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.gyobfe.2016.05.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34655596","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 9

Approche segmentaire des cardiopathies congénitales : principes et applications en imagerie prénatale 先天性心脏病的节段治疗:产前成像的原理和应用

Gynecologie Obstetrique & Fertilite Pub Date : 2016-07-01 DOI: 10.1016/j.gyobfe.2016.06.003

E. Lesieur , A. Dabadie , H. Pico , M. Bourachot , P. Gach , C. Sorensen , M. Capelle , F. Bretelle , S. Sigaudy , G. Gorincour

引用次数: 0

Methotrexate treatment for ectopic pregnancy after assisted reproductive technology: A case-control study 甲氨蝶呤治疗辅助生殖技术后异位妊娠:一项病例对照研究

Gynecologie Obstetrique & Fertilite Pub Date : 2016-06-01 DOI: 10.1016/j.gyobfe.2016.04.004

A. Ohannessian, P. Crochet, B. Courbiere, A. Gnisci, A. Agostini

{"title":"Methotrexate treatment for ectopic pregnancy after assisted reproductive technology: A case-control study","authors":"A. Ohannessian, P. Crochet, B. Courbiere, A. Gnisci, A. Agostini","doi":"10.1016/j.gyobfe.2016.04.004","DOIUrl":"10.1016/j.gyobfe.2016.04.004","url":null,"abstract":"<div><h3>Objectives</h3><p>Ectopic pregnancy (EP) occurs in 2% to 5.6% of pregnancies achieved by assisted reproductive technology (ART). EP treatment options include medical treatment by uses of methotrexate (MTX) systemic injection. The objective of this study was to compare MTX treatment effectiveness for EP occurring spontaneously or following ART.</p></div><div><h3>Methods</h3><p>A case-control study performed in the department of obstetrics and gynecology at a tertiary health care center in France. Twenty EP achieved by ART (ART group) and 60 spontaneous EP (SEP group) received MTX treatment between January 2002 and May 2012. The main outcome measures were MTX treatment failure rates, number of MTX injections administered and recovery time.</p></div><div><h3>Results</h3><p>MTX treatment failure rates observed in ART and SEP groups were similar (3/20 [15%] versus 10/60 [17%]: OR=0.88 [0.22–3.58]). Mean duration of recovery time in patients with successful MTX treatment did not differ between ART and SEP groups (33±14 days versus 28±13 days, <em>P</em>    <!-->5 [1.65–15.15]).</p></div><div><h3>Conclusions</h3><p>It is concluded that MTX treatment is equally effective for spontaneous EP and EP achieved by ART, two injections of MTX being more frequently required in case of ART.</p></div>","PeriodicalId":55077,"journal":{"name":"Gynecologie Obstetrique & Fertilite","volume":"44 6","pages":"Pages 341-344"},"PeriodicalIF":0.0,"publicationDate":"2016-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.gyobfe.2016.04.004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34510982","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 4

Psychologie et sexologie : une approche essentielle, du diagnostic à la prise en charge globale de l’endométriose 心理学和性学:子宫内膜异位症从诊断到全面管理的基本方法

Gynecologie Obstetrique & Fertilite Pub Date : 2016-06-01 DOI: 10.1016/j.gyobfe.2016.03.017

A. Leroy , H. Azaïs , C. Garabedian , S. Bregegere , C. Rubod , F. Collier

{"title":"Psychologie et sexologie : une approche essentielle, du diagnostic à la prise en charge globale de l’endométriose","authors":"A. Leroy , H. Azaïs , C. Garabedian , S. Bregegere , C. Rubod , F. Collier","doi":"10.1016/j.gyobfe.2016.03.017","DOIUrl":"10.1016/j.gyobfe.2016.03.017","url":null,"abstract":"<div><p>Endometriosis, defined by the presence of endometrial tissue outside the uterine cavity, is a common but often under diagnosed pathology. The clinical manifestations are varied (chronic pelvic pain, urinary or gastrointestinal symptoms) and can sometimes be very frustrated, delaying the diagnosis. This delay in diagnosis can be a high source of stress responsible for an important psychological impact in these patients, having a sense of misunderstanding and neglect of the medical profession. This climate of stress and anxiety can cause alteration of behavior including sexual disorders. In addition, endometriosis can be revealed as part of an infertility evaluation, and the patient and the couple can already be affected by this situation. The clinical and psychological impact of endometriosis inevitably leads to an impairment of patient's quality of life and sexuality. The objective of this article is to show the psychological consequences of endometriosis and its impact on sexuality, in order to highlight this essential aspect for a comprehensive care of patients.</p></div>","PeriodicalId":55077,"journal":{"name":"Gynecologie Obstetrique & Fertilite","volume":"44 6","pages":"Pages 363-367"},"PeriodicalIF":0.0,"publicationDate":"2016-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.gyobfe.2016.03.017","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34510981","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 10

Dépistage de masse par frottis cervicovaginal : résultats d’une expérience africaine 宫颈阴道涂片质量筛查:非洲经验的结果

Gynecologie Obstetrique & Fertilite Pub Date : 2016-06-01 DOI: 10.1016/j.gyobfe.2016.04.006

O.-R. Somé , N. Zongo , S. Ka , R. Wardini , A. Dem

{"title":"Dépistage de masse par frottis cervicovaginal : résultats d’une expérience africaine","authors":"O.-R. Somé , N. Zongo , S. Ka , R. Wardini , A. Dem","doi":"10.1016/j.gyobfe.2016.04.006","DOIUrl":"10.1016/j.gyobfe.2016.04.006","url":null,"abstract":"<div><h3>Objectives</h3><p>To assess the impact of smear test in the fight against cervix uteri cancer in Senegal.</p></div><div><h3>Methods</h3><p>This was a descriptive cross-sectional study of 1836 Pap smears performed in patients over 15 years during several screening campaigns in Senegal conducted between June 2010 and June 2012. We analyzed epidemiological data, pathological smears, and the proposed management.</p></div><div><h3>Results</h3><p>In 69% of cases, the women were less than 45 years old. They were mostly multiparous and did not use contraceptive methods before. The smears were interpreted in 91.4% (<em>n</em>  =46), 1.7% (<em>n</em>  =19) of cases. Multiparity, early marriages were the main risk factors. Patients with pathological smars had colposcopy with cryotherapy (23 cases), and colposcopy and biopsy (13 cases). A hysterectomy was performed in 4 cases.</p></div><div><h3>Conclusion</h3><p>The pathological smear rate found in this study confirms the interest to continue cervical cancer screening with this practice. Strengthening of its geographical and financial access through a national prevention program will effectively help to lower cases of cervical cancer.</p></div>","PeriodicalId":55077,"journal":{"name":"Gynecologie Obstetrique & Fertilite","volume":"44 6","pages":"Pages 336-340"},"PeriodicalIF":0.0,"publicationDate":"2016-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.gyobfe.2016.04.006","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34512418","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

Influence de la précocité de la rupture des membranes et de la parité sur le délai d’expulsion des interruptions médicales de grossesse 膜破裂的早期和奇偶性对医疗终止妊娠驱逐时间的影响

Gynecologie Obstetrique & Fertilite Pub Date : 2016-06-01 DOI: 10.1016/j.gyobfe.2016.04.001

J. Ephrem-Duron , A. Stadler , B. Pereira , H. Laurichesse-Delmas , D. Gallot

引用次数: 1

Le méthotrexate autorisé dans la grossesse extra-utérine : on y est presque ! 甲氨蝶呤被批准用于宫外妊娠:我们快成功了!

Gynecologie Obstetrique & Fertilite Pub Date : 2016-06-01 DOI: 10.1016/j.gyobfe.2016.04.008

Henri Marret (Professeur de gynécologie obstétrique, responsable de la commission hors AMM du CNGOF)

引用次数: 0

Une maladie de Biermer mimant un HELLP syndrome 比尔默氏症类似于帮助综合症

Gynecologie Obstetrique & Fertilite Pub Date : 2016-06-01 DOI: 10.1016/j.gyobfe.2016.04.002

C. Morin, A. Berman, B. Haddad

引用次数: 0

Interprétation du pH au cordon à la naissance : le piège de l’hypercapnie 出生时脐带pH值的解释:高碳酸血症的陷阱

Gynecologie Obstetrique & Fertilite Pub Date : 2016-06-01 DOI: 10.1016/j.gyobfe.2016.04.011

E.G. Simon

引用次数: 0

Neonatal metabolic acidosis at birth: In search of a reliable marker 新生儿出生时代谢性酸中毒:寻找可靠的标志物

Gynecologie Obstetrique & Fertilite Pub Date : 2016-06-01 DOI: 10.1016/j.gyobfe.2016.04.005

C. Racinet , P. Ouellet , F. Charles , T. Daboval

{"title":"Neonatal metabolic acidosis at birth: In search of a reliable marker","authors":"C. Racinet , P. Ouellet , F. Charles , T. Daboval","doi":"10.1016/j.gyobfe.2016.04.005","DOIUrl":"10.1016/j.gyobfe.2016.04.005","url":null,"abstract":"<div><h3>Objective</h3><p>A newborn may present acidemia on the umbilical artery blood which can result from respiratory acidosis or metabolic acidosis or be of mixed origin. Currently, in the absence of a satisfactory definition, the challenge is to determine the most accurate marker for metabolic acidosis, which can be deleterious for the neonate.</p></div><div><h3>Methods</h3><p>We reviewed the methodological and physiological aspects of the perinatal literature to search for the best marker of NMA.</p></div><div><h3>Results</h3><p>Base deficit and pH have been criticized as the standard criteria to predict outcome. The proposed threshold of pathogenicity is not based on convincing studies. The algorithms of various blood gas analyzers differ and do not take into account the specific neonatal acid–base profile.</p></div><div><h3>Conclusion</h3><p>Birth-related neonatal eucapnic pH is described as the most pertinent marker of NMA at birth. The various means of calculating this value and the level below which it seems to play a possible pathogenic role are presented.</p></div>","PeriodicalId":55077,"journal":{"name":"Gynecologie Obstetrique & Fertilite","volume":"44 6","pages":"Pages 357-362"},"PeriodicalIF":0.0,"publicationDate":"2016-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.gyobfe.2016.04.005","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34510975","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 13