Gynecologie Obstetrique Fertilite & Senologie最新文献

[Therapeutic Education Program for Endometriosis: An Eight-Year Retrospective.] 子宫内膜异位症的治疗教育计划：八年回顾。

IF 0.8 4区医学

Gynecologie Obstetrique Fertilite & Senologie Pub Date : 2025-10-10 DOI: 10.1016/j.gofs.2025.09.090

Claire Vincens, Gaëlle De Decker, Amélie Denouel, Christine Triboulet, Anne Gabrielle Dumont, Maryline Ferron, Sandra Roy, Tal Anahory, Noémie Ranisavljevic

{"title":"[Therapeutic Education Program for Endometriosis: An Eight-Year Retrospective.]","authors":"Claire Vincens, Gaëlle De Decker, Amélie Denouel, Christine Triboulet, Anne Gabrielle Dumont, Maryline Ferron, Sandra Roy, Tal Anahory, Noémie Ranisavljevic","doi":"10.1016/j.gofs.2025.09.090","DOIUrl":"https://doi.org/10.1016/j.gofs.2025.09.090","url":null,"abstract":"Objectives: Endometriosis is a chronic disease affecting approximately one in ten women of reproductive age. In cases of chronic pain associated with impaired quality of life, a multidisciplinary and integrative approach is recommended. In this context, a therapeutic patient education (TPE) program specifically dedicated to endometriosis was implemented in 2016. This article aims to describe the development and evolution of this program, as well as its evaluation by patients and participating healthcare professionals.Method: A retrospective descriptive study was conducted to present the program's progression over eight years of practice. Patient evaluations were collected at the end of each workshop and during final assessment session.Results: Therapeutic education appears to be a relevant tool for healthcare professionals, promoting better understanding and acceptance of the disease by patients, and improving treatment adherence. Patients gave the program an overall rating of 8 out of 10.Conclusion: This TPE program represents a beneficial approach for both patients and caregivers, with a potential positive impact on the quality of life of individuals affected by endometriosis.","PeriodicalId":56056,"journal":{"name":"Gynecologie Obstetrique Fertilite & Senologie","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2025-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145281722","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[C-section and history of gastric bypass: do not underestimate risk of perforated ulcer]. 【剖腹产和胃分流术史：不要低估溃疡穿孔的风险】。

IF 0.8 4区医学

Gynecologie Obstetrique Fertilite & Senologie Pub Date : 2025-10-10 DOI: 10.1016/j.gofs.2025.10.014

Ewa Thibaut, Valentine Alazard, Come Duclos, Malik Boukerrou, Phuong Lien Tran

引用次数: 0

[Description and prevention of maternity claims]. [产妇索赔的描述和预防]。

IF 0.8 4区医学

Gynecologie Obstetrique Fertilite & Senologie Pub Date : 2025-10-10 DOI: 10.1016/j.gofs.2025.10.013

Emmanuelle Jornet, François Goffinet, Jacques Lepercq

{"title":"[Description and prevention of maternity claims].","authors":"Emmanuelle Jornet, François Goffinet, Jacques Lepercq","doi":"10.1016/j.gofs.2025.10.013","DOIUrl":"https://doi.org/10.1016/j.gofs.2025.10.013","url":null,"abstract":"Objectives: quantify and describe the reasons for complaints in maternity, then identify patients at risk of complaining.Methods: retrospective observational study of complaints relating to medical or nursing care, then case-control study (one case, two consecutive unmatched controls). Demographic, maternal, obstetric and postpartum characteristics were compared using univariate and then multivariate analysis.Results: Between 2018 and 2022, 26,049 patients gave birth at the Port Royal maternity ward. Among them, 50 (2‰) complained to the patients' rights department and were compared to 100 controls. The three main reasons for complaints were a lack of information (58%), an incorrect attitude of professionals (44%) and medical care considered unsuitable (30%). In univariate analysis, the risk factors for complaints were psychological or psychiatric background (20% vs. 7%, p=0.02), twinning (16% vs. 3%, p=0.01), the occurrence of a fetal pathology (20% 6%, p=0.01), duration of labor ≥ 12 hours (30% vs. 16%, p=0.04), and hospitalization of the child in neonatology (18% vs. 5 %, p=0.01). In multivariate analysis, twinning (OR 95% CI 4.74 [0.97-23.23]) and duration of work ≥ 12 hours (OR 95% CI 2.45 [0.96-6.27]) were associated with a non-significant increase in complaints.Conclusion: These results reveal areas for improvement in the care of maternity patients in general, and in certain at-risk patients more specifically.","PeriodicalId":56056,"journal":{"name":"Gynecologie Obstetrique Fertilite & Senologie","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2025-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145281753","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[De-escalation of surgical management of breast cancer following neoadjuvant chemotherapy in Abidjan.] [阿比让新辅助化疗后乳腺癌手术治疗的降级]

IF 0.8 4区医学

Gynecologie Obstetrique Fertilite & Senologie Pub Date : 2025-10-10 DOI: 10.1016/j.gofs.2025.10.010

Edele Aka, Gomez Kakou Zoua, Evra Seka, Kadidiatou Traore, Apollinaire Horo

{"title":"[De-escalation of surgical management of breast cancer following neoadjuvant chemotherapy in Abidjan.]","authors":"Edele Aka, Gomez Kakou Zoua, Evra Seka, Kadidiatou Traore, Apollinaire Horo","doi":"10.1016/j.gofs.2025.10.010","DOIUrl":"https://doi.org/10.1016/j.gofs.2025.10.010","url":null,"abstract":"Objective: To present current therapeutic management of breast cancer in the era of de-escalation in breast cancer treatment centres in Abidjan.Methods: This was a retrospective, observational, multicentre study multicentre study conducted 5-year period from 2018 to 2023, which enrolled 235 patients followed for breast cancer who had received neoadjuvant chemotherapy.Results: The mean age was 48 ± 12.21 years. Tumour size was less than 5 cm in 74.4% of cases, with a suspicious node (N1) in 51.5% of cases. Invasive carcinoma of the infiltrating carcinoma was the most common histological type in 87.2% of cases. Luminal A and triple-negative subtypes were the molecular profiles found in 44.7% and 40.8% of cases respectively. The neoadjuvant systemic therapy was Fluorouracil-Epirubicin-Cyclophosphamide (FEC 100) in 76.3% of patients. A complete clinical response was observed in 36.2% of patients. However, 52% of patients underwent total mastectomy. Analysis of changes in surgical modalities from 2013 to 2018 showed a gradual increase in conservative treatment but with a high proportion of total mastectomies.Conclusion: The personalised management of breast cancer in our African context still remains a challenge. Future efforts should continue to intensify.","PeriodicalId":56056,"journal":{"name":"Gynecologie Obstetrique Fertilite & Senologie","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2025-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145281747","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[The impact of health education on the quality of life of menopausal and perimenopausal women: a systematic literature review]. 健康教育对绝经期和围绝经期妇女生活质量的影响：系统文献综述。

IF 0.8 4区医学

Gynecologie Obstetrique Fertilite & Senologie Pub Date : 2025-10-10 DOI: 10.1016/j.gofs.2025.10.011

Michaël Racodon, Virginie Duvilliers

{"title":"[The impact of health education on the quality of life of menopausal and perimenopausal women: a systematic literature review].","authors":"Michaël Racodon, Virginie Duvilliers","doi":"10.1016/j.gofs.2025.10.011","DOIUrl":"https://doi.org/10.1016/j.gofs.2025.10.011","url":null,"abstract":"The changes associated with menopause and perimenopause significantly impact women's physical, emotional, mental, and social well-being, affecting their daily activities and overall quality of life, regardless of the severity of their symptoms. Therefore, it is crucial to explore the role of high-quality health education, not only for women themselves but also for healthcare professionals, in order to provide better support during this critical life stage. This study aims to examine educational strategies that could enhance the management of symptoms in women experiencing menopause or perimenopause. A systematic review was conducted following the PRISMA guidelines, utilizing the PICO model for article selection. The search covered multiple databases (Medline, EBSCO, Web of Science, Cochrane Library, PsycINFO, PEDro) from December 2024 to March 2025, focusing on studies that assessed the impact of educational interventions on the health of women in this demographic. Out of 584 articles identified, 10 were selected after a rigorous screening process. Primarily consisting of randomized controlled trials, these studies show that educational programs effectively increase knowledge about menopause, alleviate symptom severity, and improve women's quality of life. Group-based approaches and individualized interventions were found to be particularly effective, especially when they integrated lifestyle factors such as diet, physical activity, and mental health. This study underscores the significant benefits of health education programs in supporting women through menopause and perimenopause. However, there remain gaps, particularly in raising awareness of these issues. Strengthening training for healthcare professionals and engaging more partners involved could significantly enhance women's well-being during this important life transition.","PeriodicalId":56056,"journal":{"name":"Gynecologie Obstetrique Fertilite & Senologie","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2025-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145281775","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Indications for Progesterone Use in Populations at Risk of Preterm Birth in 2025]. [2025年有早产风险人群使用黄体酮的适应症]。

IF 0.8 4区医学

Gynecologie Obstetrique Fertilite & Senologie Pub Date : 2025-10-09 DOI: 10.1016/j.gofs.2025.10.016

Ninon Dupuis, Christophe Vayssière

引用次数: 0

[Mode of Delivery for Breech Presentation in Cases of Very or Extremely Preterm Birth]. [极早产儿或极早产儿臀位分娩方式]。

IF 0.8 4区医学

Gynecologie Obstetrique Fertilite & Senologie Pub Date : 2025-10-09 DOI: 10.1016/j.gofs.2025.10.015

Gilles Kayem, Loic Sentilhes

{"title":"[Mode of Delivery for Breech Presentation in Cases of Very or Extremely Preterm Birth].","authors":"Gilles Kayem, Loic Sentilhes","doi":"10.1016/j.gofs.2025.10.015","DOIUrl":"https://doi.org/10.1016/j.gofs.2025.10.015","url":null,"abstract":"The mode of delivery in cases of very preterm or extremely preterm breech presentation remains a matter of debate. Available randomized trials are too few and underpowered to provide a definitive answer, and most of the evidence comes from observational, hospital-based or population-based studies, often limited by bias, particularly indication bias. Practices vary widely depending on teams and institutional policies. Analyses from different cohorts, including EPIPAGE 1 and 2, show no clear superiority of planned cesarean section over planned vaginal delivery with respect to neonatal mortality, severe morbidity, or long-term sequelae, although a rare but documented risk of death due to entrapment of the aftercoming head is described, especially in low-birth-weight infants. A meta-analysis published in 2024 reported, for breech singletons, a significant reduction in mortality with cesarean delivery, whether performed or planned, a result largely driven by two retrospective studies with a high risk of bias. These findings highlight the need to balance neonatal risks against maternal complications (and neonatal risks in subsequent pregnancies) related to cesarean section at such an early gestational age, without any delivery mode being clearly recommended.","PeriodicalId":56056,"journal":{"name":"Gynecologie Obstetrique Fertilite & Senologie","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2025-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145276674","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Tocolysis for preterm labor with intact membranes]. [胎膜完好的早产儿的溶胎术]。

IF 0.8 4区医学

Gynecologie Obstetrique Fertilite & Senologie Pub Date : 2025-10-08 DOI: 10.1016/j.gofs.2025.10.004

Muriel Doret Dion, Aude Fendler

{"title":"[Tocolysis for preterm labor with intact membranes].","authors":"Muriel Doret Dion, Aude Fendler","doi":"10.1016/j.gofs.2025.10.004","DOIUrl":"https://doi.org/10.1016/j.gofs.2025.10.004","url":null,"abstract":"Tocolysis is a tte gold standard in France in preterm labor before 34 WG. Nifedpine and atosiban are recommanded as first line tocolysis since the clinical guidelines published in 2016 by the French College of Obstetrics and Gynecology (CNGOF). Pregnancy prolongation over 48 hours due to tocolysis has been demonstrated in several studies, without impact on prematurity. These 48 hours allow antenatal corticotherapy and in utero transfer. Despite these promising results, no study had been able to demonstrate any improvement in neonatal prognosis or in infants until 5,5 years old due to tocolysis, questioning the current place of tocolysis in preterm labor. Nevertheless, datas are weak due to the lack of power of all studies in the last 20 years to demonstrate any change in neonatal prognosis. Therefore, it is still difficult to identify populations to exclude from tocolysis. Beyond medication, other parameters need to be considered such as national and territorial health organization, specific to each country. A collegial opinion with a revision of the national guidelines including all the parameters is necessary before any change in preterm labor management.","PeriodicalId":56056,"journal":{"name":"Gynecologie Obstetrique Fertilite & Senologie","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2025-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145276667","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Prophylactic cerclage or cervical surveillance after a single spontaneous preterm birth: critical review of current evidence]. [单次自然早产后预防性环扎术或宫颈监测：对现有证据的批判性回顾]。

IF 0.8 4区医学

Gynecologie Obstetrique Fertilite & Senologie Pub Date : 2025-10-08 DOI: 10.1016/j.gofs.2025.10.002

Pierre Delorme, Jeanne Sibiude, Anne Pinton

{"title":"[Prophylactic cerclage or cervical surveillance after a single spontaneous preterm birth: critical review of current evidence].","authors":"Pierre Delorme, Jeanne Sibiude, Anne Pinton","doi":"10.1016/j.gofs.2025.10.002","DOIUrl":"https://doi.org/10.1016/j.gofs.2025.10.002","url":null,"abstract":"Spontaneous preterm births, particularly those occurring before 32 weeks of gestation, are a major cause of neonatal morbidity. In women with a prior spontaneous preterm birth, the risk of recurrence is estimated at around 30%. Two main preventive strategies are proposed: prophylactic cerclage, performed before 16 weeks, and cervical ultrasound surveillance with ultrasound-indicated cerclage in case of cervical shortening. In the absence of a standardized clinical definition of cervical insufficiency, comparisons between these strategies are limited by three main factors: indication bias, as women at highest risk are more likely to undergo cervical ultrasound monitoring; the lack of a standardized clinical definition of cervical insufficiency, which leads to the inclusion of lower-risk women and dilutes potential benefits; and the relative rarity of the condition, which reduces the statistical power of available studies. Meta-analyses cannot correct for these limitations. The absence of a demonstrated difference despite indication bias suggests that classical cases of cervical insufficiency may benefit more from prophylactic cerclage. Future research should also consider medico-economic and psychological aspects. In conclusion, for women with an isolated history of spontaneous preterm birth, the choice between prophylactic cerclage and ultrasound surveillance should be individualized, taking into account clinical history, patient preferences, and available resources.","PeriodicalId":56056,"journal":{"name":"Gynecologie Obstetrique Fertilite & Senologie","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2025-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145276686","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Implementation of magnesium sulfate into clinical practice to reduce cerebral palsy and neurodisabilities in children born preterm]. [硫酸镁应用于临床，减少早产儿脑瘫和神经功能障碍]。

IF 0.8 4区医学

Gynecologie Obstetrique Fertilite & Senologie Pub Date : 2025-10-08 DOI: 10.1016/j.gofs.2025.10.005

Clément Chollat, Jean-Baptiste Müller, Alexandra Chadie, Marie Brasseur-Daudruy, Eric Verspyck, Stéphane Marret

{"title":"[Implementation of magnesium sulfate into clinical practice to reduce cerebral palsy and neurodisabilities in children born preterm].","authors":"Clément Chollat, Jean-Baptiste Müller, Alexandra Chadie, Marie Brasseur-Daudruy, Eric Verspyck, Stéphane Marret","doi":"10.1016/j.gofs.2025.10.005","DOIUrl":"https://doi.org/10.1016/j.gofs.2025.10.005","url":null,"abstract":"The up-dated literature, notably the 2024 Cochrane review, and meta-analysis with individual data, as well as the identified socio-economic benefits, confirms that the administration of magnesium sulfate is recommended in women at risk of imminent preterm delivery before 32 weeks of gestation. In preterm infants, this intervention significantly reduces the risk of neonatal intracranial haemorrhage (moderate level of evidence), which is associated with an increased risk of subsequent neurodisabilities, as well as a very significant reduction in the risk of subsequent cerebral palsy in children (strong level of evidence). No effect on fetal, neonatal or infant mortality rates was observed. Given the still high rates of CP in the subgroup of children born between 30 and 32 or even 32-34 SA, and the absence of severe adverse events in both mother and child, it could be proposed to administer MgSO4 up to 34 SA (expert opinion). Magnesium sulfate is currently the only pharmacological molecule with a proven neuroprotective effect in preterm infants. It represents one of the means available to us to modulate the neurodevelopmental trajectory of the child, in particular the development of neuromotor skills. Optimization of administration methods is now a major challenge, with the aim of achieving an antenatal administration rate of over 90% in eligible patients. Further studies are needed to determine the optimal dosage, the timing of administration, the appropriateness and duration of the maintenance dose, the route of administration and, finally, the long-term outcome of children exposed to MgSO4 in the antenatal period.","PeriodicalId":56056,"journal":{"name":"Gynecologie Obstetrique Fertilite & Senologie","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2025-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145276875","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0