Gynecologie Obstetrique Fertilite & Senologie最新文献

Recommandations pour la pratique clinique : prévention et prise en charge de l’infection par le virus varicelle zona (VZV) pendant la grossesse et la période périnatale (version longue) [临床实践建议：妊娠和围产期水痘带状疱疹病毒（VZV）感染的预防和管理（扩展版）]。

IF 0.6 4区医学

Gynecologie Obstetrique Fertilite & Senologie Pub Date : 2025-03-01 DOI: 10.1016/j.gofs.2025.01.001

Caroline Charlier , Olivia Anselem , Marion Caseris , Marie Lachâtre , Asmaa Tazi , Marine Driessen , Didier Pinquier , Chemsa Le Cœur , Aurélie Saunier , Mathilde Bergamelli , Roxane Gibert Vanspranghels , Anaïs Chosidow , Charles Cazanave , Sophie Alain , Karine Faure , André Birgy , François Dubos , Philippe Lesprit , Julie Guinaud , Robert Cohen , Christelle Vauloup-Fellous

{"title":"Recommandations pour la pratique clinique : prévention et prise en charge de l’infection par le virus varicelle zona (VZV) pendant la grossesse et la période périnatale (version longue)","authors":"Caroline Charlier , Olivia Anselem , Marion Caseris , Marie Lachâtre , Asmaa Tazi , Marine Driessen , Didier Pinquier , Chemsa Le Cœur , Aurélie Saunier , Mathilde Bergamelli , Roxane Gibert Vanspranghels , Anaïs Chosidow , Charles Cazanave , Sophie Alain , Karine Faure , André Birgy , François Dubos , Philippe Lesprit , Julie Guinaud , Robert Cohen , Christelle Vauloup-Fellous","doi":"10.1016/j.gofs.2025.01.001","DOIUrl":"10.1016/j.gofs.2025.01.001","url":null,"abstract":"<div><div>The Société de Pathologie Infectieuse de Langue Française released in 2024 a new national recommendation for clinical practice on the prevention and management of varicella zoster virus (VZV) infection during pregnancy and the perinatal period.</div><div>The previous recommendation was issued in 1998, at a time of anti-VZV immunoglobulins shortage; it has hence become obsolete.</div><div>This recommendation is a formalized expert consensus focusing on infectious diseases management; it is drawn up by a multidisciplinary working group (infectiologists, obstetricians, pediatricians, microbiologists, midwives, hygienists).</div><div>It has been endorsed by the Collège National des Gynécologues Obstétriciens Français, the Société Française de Médecine Périnatale, the Société Française de Néonatologie, the Collège des Sage-femmes, and the Groupe Infections et Périnatalité of the Société Française de Microbiologie.</div><div>The aim of this article is to explain and recontextualize the elements of this recommendation.</div></div>","PeriodicalId":56056,"journal":{"name":"Gynecologie Obstetrique Fertilite & Senologie","volume":"53 3","pages":"Pages 118-129"},"PeriodicalIF":0.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142980654","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Facteurs influençant la douleur lors de la pose d’un dispositif intra-utérin [影响宫内节育器置入疼痛的因素]。

IF 0.6 4区医学

Gynecologie Obstetrique Fertilite & Senologie Pub Date : 2025-03-01 DOI: 10.1016/j.gofs.2024.12.007

Chloé Guerry , Hélène Piclet , Florence Bretelle , Julien Mancini , Aubert Agostini , Mallaury Vitabile

{"title":"Facteurs influençant la douleur lors de la pose d’un dispositif intra-utérin","authors":"Chloé Guerry , Hélène Piclet , Florence Bretelle , Julien Mancini , Aubert Agostini , Mallaury Vitabile","doi":"10.1016/j.gofs.2024.12.007","DOIUrl":"10.1016/j.gofs.2024.12.007","url":null,"abstract":"<div><h3>Objectives</h3><div>Fear of pain during intrauterine device (IUD) insertion remains a barrier to its adoption. In the absence of consensus on an optimal pharmacological strategy, it is crucial to determine the factors influencing this pain to reassure and improve the patient experience.</div></div><div><h3>Methods</h3><div>It was a prospective study conducted in Provence-Alpes-Côte d’Azur between August 2023 and 2024, interviewing adult patients and healthcare professionals during consultations for IUD insertion. The primary outcome studied was the pain experienced during IUD insertion, measured using a numerical rating scale from 0 to 10. After an univariate analysis, a multiple linear regression was performed to identify the factors associated with this pain.</div></div><div><h3>Results</h3><div>Of the 110 questionnaires analyzed, the average pain score at IUD insertion was 4.1±2.7. Factors associated with pain included European origin, no history of vaginal delivery, apprehension and use of a tenaculum. In contrast, prior IUD insertion, the presence of dysmenorrhea, menstruation at the time of insertion, or premedication had no significant effect on pain. Prior bladder emptying and the use of equimolar mixture of oxygene and nitrous oxide (EMONO) could also be considered as strategies but require further studies.</div></div><div><h3>Conclusion</h3><div>IUD insertion should be played down, given the moderate and temporary pain it causes. Physicians have a key role in identifying patients at risk of increased pain in order to provide them a personalized approach.</div></div>","PeriodicalId":56056,"journal":{"name":"Gynecologie Obstetrique Fertilite & Senologie","volume":"53 3","pages":"Pages 148-154"},"PeriodicalIF":0.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143016949","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

L’accompagnement de la relation mère-enfant lors d’un déni de grossesse total : point de vue des sages-femmes [在完全拒绝怀孕期间支持母子关系：助产士的观点。]

IF 0.6 4区医学

Gynecologie Obstetrique Fertilite & Senologie Pub Date : 2025-03-01 DOI: 10.1016/j.gofs.2024.11.007

Justine Paoli , Rahmeth Radjack

{"title":"L’accompagnement de la relation mère-enfant lors d’un déni de grossesse total : point de vue des sages-femmes","authors":"Justine Paoli , Rahmeth Radjack","doi":"10.1016/j.gofs.2024.11.007","DOIUrl":"10.1016/j.gofs.2024.11.007","url":null,"abstract":"<div><h3>Objectives</h3><div>Total pregnancy denial is a phenomenon where the woman does not recognize her pregnancy until a late stage, sometimes just before childbirth. These complex situations raise many questions about the support of the mother-child dyad. This qualitative study aims to describe the experiences and strategies of midwives when dealing with cases of total pregnancy denial, as well as the relational dynamics within these particular dyads, in order to identify avenues for appropriate care.</div></div><div><h3>Methodology</h3><div>Eight semi-structured interviews were conducted with midwives practicing in Île-de-France (hospital, private practice, home hospitalization, and maternal and child protection services). The data were analyzed using grounded theory with the help of the Quirkos software.</div></div><div><h3>Results</h3><div>The midwives’ experiences show that the mother-child relationship evolves favorably in most cases, even in anonymous childbirth situations. The results are organized into several themes: the description of the mother-child relationship, the proposed care approaches, and the midwives’ experiences. For the first theme, five sub-themes emerged: maternal investment, psychological ambivalence, childbirth circumstances, the influence of the social environment, and maternal guilt. The second theme highlights the importance of multidisciplinary and personalized support, respecting the pace of the dyad.</div></div><div><h3>Conclusion</h3><div>This study emphasizes the importance of not stigmatizing women in total pregnancy denial when establishing the mother-child bond. A personalized and gradual care approach, based on empathetic, non-judgmental, and multidisciplinary support, fosters the mother-child bond.</div></div>","PeriodicalId":56056,"journal":{"name":"Gynecologie Obstetrique Fertilite & Senologie","volume":"53 3","pages":"Pages 130-135"},"PeriodicalIF":0.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142793124","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

Augmenter le taux cumulé de naissance vivante : les blastocystes de bas grade, un potentiel négligé [提高累计活产率：低级别囊胚，潜在忽视]。

IF 0.6 4区医学

Gynecologie Obstetrique Fertilite & Senologie Pub Date : 2025-03-01 DOI: 10.1016/j.gofs.2024.12.003

Elie Mouanes-Abelin , Sophie Brouillet , Fatima Barry , Margaux Anav , Alice Fournier , Anéta Andreeva , Marine Miaille , Tal Anahory , Samir Hamamah

{"title":"Augmenter le taux cumulé de naissance vivante : les blastocystes de bas grade, un potentiel négligé","authors":"Elie Mouanes-Abelin , Sophie Brouillet , Fatima Barry , Margaux Anav , Alice Fournier , Anéta Andreeva , Marine Miaille , Tal Anahory , Samir Hamamah","doi":"10.1016/j.gofs.2024.12.003","DOIUrl":"10.1016/j.gofs.2024.12.003","url":null,"abstract":"<div><div>It is now widely recognized that, following prolonged culture, the transfer of a high-quality morphologically graded blastocyst is the preferred strategy in embryo transfer. Low-grade blastocysts are often considered to have a low implantation potential, and their use remains highly limited. We conducted a general review of the literature, including publications from August 2017 to October 2023, to assess the current state of knowledge regarding these embryos, which are generally excluded in routine practice. Our primary outcome measure was the “live birth rate” following the frozen transfer of a low-grade morphologically classified blastocyst according to the Gardner classification. The “miscarriage rates” were also evaluated. The bibliographic research led to the selection of 9 articles. Low-grade blastocysts can result in live births, with rates ranging from 5.97 to 40%, and in the birth of healthy children, which remains the primary goal of assisted reproductive technology. It would therefore be relevant to reconsider the routine use of these embryos.</div></div>","PeriodicalId":56056,"journal":{"name":"Gynecologie Obstetrique Fertilite & Senologie","volume":"53 3","pages":"Pages 155-161"},"PeriodicalIF":0.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142883706","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

Des métrorragies de la périménopause à l’urgence vitale hématologique [从围绝经期月经过多到危及生命的血液急症]。

IF 0.6 4区医学

Gynecologie Obstetrique Fertilite & Senologie Pub Date : 2025-03-01 DOI: 10.1016/j.gofs.2024.10.004

Virginie Teisseyre, Angeline Bousseau, Karima Bettahar

引用次数: 0

Sommaire 目录

IF 0.6 4区医学

Gynecologie Obstetrique Fertilite & Senologie Pub Date : 2025-03-01 DOI: 10.1016/S2468-7189(25)00042-X

引用次数: 0

Étude du profil et du parcours des femmes en demande d’une interruption médicale de grossesse maternelle au motif psychosocial au CHRU de Tours de 2017 à 2021 [2017年至2021年图尔大学医院因社会心理原因寻求医学终止妊娠的产妇概况和轨迹研究]。

IF 0.6 4区医学

Gynecologie Obstetrique Fertilite & Senologie Pub Date : 2025-03-01 DOI: 10.1016/j.gofs.2024.10.010

Caroline Sylvestre , Nathalie Trignol-Viguier

{"title":"Étude du profil et du parcours des femmes en demande d’une interruption médicale de grossesse maternelle au motif psychosocial au CHRU de Tours de 2017 à 2021","authors":"Caroline Sylvestre , Nathalie Trignol-Viguier","doi":"10.1016/j.gofs.2024.10.010","DOIUrl":"10.1016/j.gofs.2024.10.010","url":null,"abstract":"<div><h3>Objective</h3><div>The law of 7 July 2011 adopts the concept of therapeutic abortion (Medical Termination of Pregnancy or MTP) for maternal reasons if the pregnancy poses a “serious threat” to the woman's health, allowing for the introduction of the concept of psycho-social distress.</div></div><div><h3>Materials and methods</h3><div>This was a retrospective monocentric study involving 33 women seeking IMG for psychosocial reasons between January 2017 and December 2021 at the University Hospital of Tours. The study resulted in 29 approvals and 25 MTP procedures performed.</div></div><div><h3>Results</h3><div>Eighty-seven per cent of the requests were accepted. Over half of the women were under 25 years old and were primiparous. The procedures were performed at a mean gestational age of 22 weeks. Sixty percent did not use contraception at the time of conception, and 36% did not use it after the MTP. About a third of the women experienced violence and had psychiatric histories. The majority of the women did not have stable economic resources. Fifty-six per cent of the MTP procedures involved feticide. There were 7 immediate complications with no subsequent consequences. The average time to completion was 16.5 days.</div></div><div><h3>Conclusion</h3><div>This is a delicate and underexplored subject in literature. Although sporadic in France, these procedures have been practiced for many years. The diversity of opinions during multidisciplinary committees ensures the best objectivity. Requests for psychosocial IMG are rare, but responding to them is in accordance with the law. Analyzing the profile and journey of women has contributed to a better understanding of the complex situations that lead them to this decision.</div></div>","PeriodicalId":56056,"journal":{"name":"Gynecologie Obstetrique Fertilite & Senologie","volume":"53 3","pages":"Pages 142-147"},"PeriodicalIF":0.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142633030","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

La fraude dans les publications médicales et scientifiques : la nouvelle pandémie à haut risque ?

IF 0.6 4区医学

Gynecologie Obstetrique Fertilite & Senologie Pub Date : 2025-03-01 DOI: 10.1016/j.gofs.2025.02.003

Laurent J. Salomon

引用次数: 0

Les pratiques des médecins généralistes parisiens dans la prise en charge des patientes enceintes en situation de précarité en médecine de ville : une étude qualitative [全科医生在跟踪不稳定怀孕患者方面的做法：一项定性研究]。

IF 0.6 4区医学

Gynecologie Obstetrique Fertilite & Senologie Pub Date : 2025-03-01 DOI: 10.1016/j.gofs.2024.11.003

Hugo Texier , Irène Lacamp , Pierre-François Ceccaldi , Priscille Sauvegrain

{"title":"Les pratiques des médecins généralistes parisiens dans la prise en charge des patientes enceintes en situation de précarité en médecine de ville : une étude qualitative","authors":"Hugo Texier , Irène Lacamp , Pierre-François Ceccaldi , Priscille Sauvegrain","doi":"10.1016/j.gofs.2024.11.003","DOIUrl":"10.1016/j.gofs.2024.11.003","url":null,"abstract":"<div><h3>Objective</h3><div>Socio-economic conditions are one of the critical factors of the health of pregnant women. However, precariousness remains poorly defined and detected by general practitioners because too few tools adapted to private practice are available. General practitioners, as the first point of contact for these patients and often the future doctors of the children to come, take charge of them or refer them to other practitioners. Their medical and social practices in this context are mostly undocumented. The purpose of this practice survey is to understand the underlying rationale and frame of reference according to which GPs identify precarious pregnant women and the way they take care of them.</div></div><div><h3>Method</h3><div>This is a qualitative study based on semi-structured interviews. They were thematically analyzed using the inductive method of grounded theorizing. Private general practitioners carrying out pregnancy follow-ups were enrolled via GP networks and then sampled according to the “<em>respondent driven sampling”</em>.</div></div><div><h3>Results</h3><div>Twelve interviews were conducted between September 2020 and April 2021. The analysis led to explore 6 main themes, poverty identification, feelings about it, the care of precarious women and the attitude, resources and training of the GPs.</div></div><div><h3>Conclusion</h3><div>The definition of precariousness by GPs is directly linked to their own representation of it. They work in formal or informal networks to avoid being isolated in the care that they describe as complex. They feel the need for suitable training and information related to the support of these patients.</div></div>","PeriodicalId":56056,"journal":{"name":"Gynecologie Obstetrique Fertilite & Senologie","volume":"53 3","pages":"Pages 136-141"},"PeriodicalIF":0.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142693586","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

[Career trajectories of obstetrician-gynecologists].

IF 0.6 4区医学

Gynecologie Obstetrique Fertilite & Senologie Pub Date : 2025-02-26 DOI: 10.1016/j.gofs.2025.02.005

Anaïs Turcsak, Chrystèle Rubod, Damien Subtil, Charles Garabedian, Louise Ghesquiere, Nassima Ramdane, Véronique Debarge

{"title":"[Career trajectories of obstetrician-gynecologists].","authors":"Anaïs Turcsak, Chrystèle Rubod, Damien Subtil, Charles Garabedian, Louise Ghesquiere, Nassima Ramdane, Véronique Debarge","doi":"10.1016/j.gofs.2025.02.005","DOIUrl":"https://doi.org/10.1016/j.gofs.2025.02.005","url":null,"abstract":"<p><strong>Objectives: </strong>To analyze the career paths of gynecologists-obstetricians to identify the factors that lead them to stop practicing obstetrics or on-call duties.</p><p><strong>Material and methods: </strong>A questionnaire was sent to 162 gynecologists-obstetricians who began their residency in the Hauts-de-France region between 2003 and 2014. The questions covered their personal life and professional background.</p><p><strong>Results: </strong>The respondents were predominantly women (83%) with a median age of 37 years. The respondents mostly worked in the public sector (64%), full-time (77%), and practiced obstetrics (80%). Participation in obstetric activities significantly decreases over time (p < 0.001) : 95% practiced it in their first position, 43% did so in their fourth position. 80% still participated in on-call duties, but 40% were considering stopping (almost half of them within the next 5 years). Significant factors associated with stopping obstetrics included older age, being male, and practicing surgery. The cessation of on-call duties was significantly associated with age, number of children, involvement in assisted reproductive technology, medical gynecology, or private practice.</p><p><strong>Conclusion: </strong>The obstetricians and gynecologists in this study still predominantly practice obstetrics and participate in on-call duties after a median of 7 years in practice. However, both activities decrease over time, which is a challenge for medical demographics and represents a major risk to the sustainability of obstetrics services.</p>","PeriodicalId":56056,"journal":{"name":"Gynecologie Obstetrique Fertilite & Senologie","volume":" ","pages":""},"PeriodicalIF":0.6,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143532253","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