Gynecologie Obstetrique & Fertilite最新文献_第6页

Gynecologie Obstetrique & Fertilite Pub Date : 2016-10-01 DOI: 10.1016/j.gyobfe.2016.07.012

A. Delabaere

引用次数: 2

Échecs répétés de fécondation in vitro : anomalies retrouvées sur le bilan diagnostique 体外受精反复失败:诊断检查中发现的异常

Gynecologie Obstetrique & Fertilite Pub Date : 2016-10-01 DOI: 10.1016/j.gyobfe.2016.08.006

M. Lambert , C. Hocké , C. Jimenez , S. Frantz , A. Papaxanthos , H. Creux

{"title":"Échecs répétés de fécondation in vitro : anomalies retrouvées sur le bilan diagnostique","authors":"M. Lambert , C. Hocké , C. Jimenez , S. Frantz , A. Papaxanthos , H. Creux","doi":"10.1016/j.gyobfe.2016.08.006","DOIUrl":"10.1016/j.gyobfe.2016.08.006","url":null,"abstract":"<div><h3>Objectives</h3><p>Investigate the proportion of abnormalities identified on the diagnostic assessment performed after at least two previous failed IVF attempts. Discuss the real benefit of this evaluation.</p></div><div><h3>Methods</h3><p>Retrospective descriptive study. Between January 2008 and January 2012, 205 couples with at least two consecutive failed IVF attempts had a diagnosis evaluation which consisted in couple's karyotypes; autoimmune and haemostasis biological check-up, pelvic ultrasound-Doppler and hysteroscopy for women.</p></div><div><h3>Results</h3><p>The main biological anomalies were autoimmune for 23.9% of women: antinuclear antibodies (5.7%), antithyroid peroxidase (11.5%) and antithyroglobulin (8.3%); thrombotic with antiphospholipid antibodies for 8.2% of women (1.4% lupus anticoagulant and 6.8% anticardiolipin antibodies), and heterozygous prothrombin gene mutation for 9.5%. Karyotypes were abnormal for 2.1% of women and 0% of men. Ultrasound-Doppler appeared to be abnormal in 44.7% of cases (pulsatility index of uterine artery≥3 and/or protodiastolic notch), and diagnostic hysteroscopy was abnormal in 14.6% of cases. In order to target the real implantation failure, we compared the groups “<8 embryos transferred” versus “≥8 embryos transferred” and “pregnancy after the third or fourth IVF cycle” versus “no pregnancy”, but no statistically significant difference was found.</p></div><div><h3>Conclusion</h3><p>The diagnostic assessment carried out for recurrent IVF failure can detect biological, karyotypic and morphological abnormalities, in the same proportion that in previous studies. Further studies will have to be conducted to evaluate the real impact of these abnormalities in the recurrent implantation failure and the effectiveness of therapeutic care.</p></div>","PeriodicalId":55077,"journal":{"name":"Gynecologie Obstetrique & Fertilite","volume":"44 10","pages":"Pages 565-571"},"PeriodicalIF":0.0,"publicationDate":"2016-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.gyobfe.2016.08.006","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74550778","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

Immediate post-partum bladder rupture. Is serum creatinine evaluation relevant? 产后立即膀胱破裂。血清肌酐评价是否相关?

Gynecologie Obstetrique & Fertilite Pub Date : 2016-10-01 DOI: 10.1016/j.gyobfe.2016.07.005

G.A. Markou , G.E. Metaxas , S. Vautier-Rit , J.-M. Muray , C. Poncelet

引用次数: 6

Do maternal pushing techniques during labour affect obstetric or neonatal outcomes? 分娩时产妇推压技术会影响产科或新生儿结局吗?

Gynecologie Obstetrique & Fertilite Pub Date : 2016-10-01 DOI: 10.1016/j.gyobfe.2016.07.004

C. Barasinski , D. Lemery , F. Vendittelli

{"title":"Do maternal pushing techniques during labour affect obstetric or neonatal outcomes?","authors":"C. Barasinski , D. Lemery , F. Vendittelli","doi":"10.1016/j.gyobfe.2016.07.004","DOIUrl":"10.1016/j.gyobfe.2016.07.004","url":null,"abstract":"<div><h3>Objectives</h3><p>To assess, through a literature review, the maternal and neonatal morbidity associated with the type of pushing used during the second stage of labour.</p></div><div><h3>Methods</h3><p>We searched the Cochrane Library and the Medline database for randomised controlled trials from 1980 to 2015, using the following keywords: “delivery”, “birth”, “birthing”, “bearing down, coached, uncoached, pushing”, “second and stage and labour”, “randomised controlled trials” and “meta-analysis”.</p></div><div><h3>Results</h3><p>Seven randomised controlled trials were found. Interventions varied between the studies. In the intervention groups, open-glottis pushing was spontaneous or coached. The groups did not differ for perineal injuries, episiotomies or type of birth. Impact on pelvic floor structure varied between the studies. Only one study found a better 5-minute Apgar score and a better umbilical artery pH in the “open glottis” group.</p></div><div><h3>Conclusion</h3><p>The low methodological quality of the studies and the differences between the protocols do not justify a recommendation of a particular pushing technique. Further studies appear necessary to study outcomes with each of these techniques.</p></div>","PeriodicalId":55077,"journal":{"name":"Gynecologie Obstetrique & Fertilite","volume":"44 10","pages":"Pages 578-583"},"PeriodicalIF":0.0,"publicationDate":"2016-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.gyobfe.2016.07.004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34396541","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: 15

Gynecologie Obstetrique & Fertilite Pub Date : 2016-10-01 DOI: 10.1016/j.gyobfe.2016.08.015

E. Quarello

引用次数: 0

Coqueluche : où en est-on en France 10 ans après la mise en place de la stratégie vaccinale du cocooning ? 百日咳:在实施茧疫苗战略10年后，法国的情况如何?

Gynecologie Obstetrique & Fertilite Pub Date : 2016-10-01 DOI: 10.1016/j.gyobfe.2016.08.003

E. Beaufils , M.-A. Dommergues , J. Gaillat , N. Guiso , N. Knezovic-Daniel , D. Pinquier , D. Riethmuller

{"title":"Coqueluche : où en est-on en France 10 ans après la mise en place de la stratégie vaccinale du cocooning ?","authors":"E. Beaufils , M.-A. Dommergues , J. Gaillat , N. Guiso , N. Knezovic-Daniel , D. Pinquier , D. Riethmuller","doi":"10.1016/j.gyobfe.2016.08.003","DOIUrl":"10.1016/j.gyobfe.2016.08.003","url":null,"abstract":"<div><p>The goals of this article are to review the pertussis cocooning strategy, which has been recommended in France since 2004 to protect infants not yet vaccinated from becoming infected by vaccinating their immediate entourage, and to present room for improvement. The analysis of the literature between 2004 and 2015 shows that pertussis vaccine coverage in new parents is lower than 50% and that attempts that have already been implemented to increase it are effective. Pertussis vaccine coverage improvement requires all health actors to collaborate and be trained in informing and motivating parents to get vaccinated before, during and after pregnancy (the parents then will act as relays to their relatives); generalization in maternity wards of systematic checking of the vaccination card; extension to the midwives of the right to prescribe and administer pertussis vaccine to spouses; vaccination facilitation in maternity wards with the support of health organizations. Exchange and sharing of experiences between health care professionals are essential. Pregnancy is the ideal period to promote pertussis vaccination.</p></div>","PeriodicalId":55077,"journal":{"name":"Gynecologie Obstetrique & Fertilite","volume":"44 10","pages":"Pages 591-597"},"PeriodicalIF":0.0,"publicationDate":"2016-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.gyobfe.2016.08.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77302033","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

Gynecologie Obstetrique & Fertilite Pub Date : 2016-10-01 DOI: 10.1016/j.gyobfe.2016.08.012

D. Gallot

引用次数: 0

Gynecologie Obstetrique & Fertilite Pub Date : 2016-10-01 DOI: 10.1016/j.gyobfe.2016.08.016

E. Quarello

引用次数: 1

Bénéfices de la simulation en situations d’urgences obstétricales : quels niveaux de preuve ? 模拟在产科紧急情况下的好处:什么级别的证据?

Gynecologie Obstetrique & Fertilite Pub Date : 2016-10-01 DOI: 10.1016/j.gyobfe.2016.08.001

P. Raynal

引用次数: 3

La salpingectomie peut-elle être proposée en première intention en cas de grossesse extra-utérine ? 在子宫外妊娠的情况下，输卵管切除术是否可以作为第一选择?

Gynecologie Obstetrique & Fertilite Pub Date : 2016-09-01 DOI: 10.1016/j.gyobfe.2016.07.006

F. Pirot, E. Laas, G. Girard

引用次数: 0