Gynecologie Obstetrique Fertilite & Senologie最新文献_第2页

Comment je fais… Optimiser mes réglages Doppler pour une analyse du cœur fœtal au premier trimestre de la grossesse ? 如何...... 优化多普勒设置，以便在怀孕前三个月进行胎心分析？

IF 0.6 4区医学

Gynecologie Obstetrique Fertilite & Senologie Pub Date : 2024-05-24 DOI: 10.1016/j.gofs.2024.05.002

Maud Allary , Edwin Quarello

引用次数: 0

Faut-il dépister un vasa prævia ? 有必要筛查前置胎盘吗？

IF 0.6 4区医学

Gynecologie Obstetrique Fertilite & Senologie Pub Date : 2024-05-23 DOI: 10.1016/j.gofs.2024.05.001

Jeremy Boujenah , Celine Dupont-Bernabe , Claire Thuillier , Nicolas Sananes , Philippe Bouhanna , Patrick Rozenberg

引用次数: 0

L’hyperparathyroïdie primaire durant la grossesse : étude d’un cas [妊娠期原发性甲状旁腺功能亢进症：病例报告]。

IF 0.6 4区医学

Gynecologie Obstetrique Fertilite & Senologie Pub Date : 2024-05-09 DOI: 10.1016/j.gofs.2024.04.005

Jonathan Sabah , Alexis Marouk , Eric Boudier , Gilles-Davy Kossa-Ko-Ouakoua , Philippe Deruelle

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Impact du mode de suivi des ruptures prématurées des membranes avant 36 SA sur la durée de latence [妊娠36周前胎膜早破的随访方式对潜伏期的影响]。

IF 0.6 4区医学

Gynecologie Obstetrique Fertilite & Senologie Pub Date : 2024-05-09 DOI: 10.1016/j.gofs.2024.04.006

Charlotte Le Lann , Élodie Drumez , Louise Ghesquiere , Norbert Winer , Vincent Dochez , Émilie Misbert

{"title":"Impact du mode de suivi des ruptures prématurées des membranes avant 36 SA sur la durée de latence","authors":"Charlotte Le Lann , Élodie Drumez , Louise Ghesquiere , Norbert Winer , Vincent Dochez , Émilie Misbert","doi":"10.1016/j.gofs.2024.04.006","DOIUrl":"10.1016/j.gofs.2024.04.006","url":null,"abstract":"<div><h3>Introduction</h3><div>Preterm premature rupture of membranes (PPROM) is the main cause of premature delivery, complicating 1–3% of all pregnancies. Conventional hospitalization (CH) is the most frequent mode of follow-up, but homecare (HC) seems to be an alternative.</div></div><div><h3>Objectives</h3><div>Study of the impact of the monitoring mode on the duration of the latency period and on the latency ratio after PPROM, and analysis of the risk factors modifying this ratio.</div></div><div><h3>Methods</h3><div>This was a bicentric retrospective cohort study here-abouts including patients who presented a PPROM between 24 and 36weeks of gestation from 2016 to 2018. Patients had a follow-up in HC at Lille University Hospital center (UHC) and in CH at Nantes UHC according to two different follow-up protocols. The latency ratio corresponded to the real latency period divided by the latency period to theoretical term.</div></div><div><h3>Results</h3><div>We included 154 patients: 102 in HC and 52 in CH. The mean latency period was significantly higher in HC: 36.9±21.8 days, corresponding to an 85.5±23.7% latency ratio versus 20.2±12 days, corresponding to an 66.9±29.8% latency ratio in CH (<em>P</em>  =0.001).</div></div><div><h3>Conclusions</h3><div>The duration of the latency period seems prolonged for PPROM followed by HC management versus CH in selected populations. This study suggests a benefit to HC in stable patients.</div></div>","PeriodicalId":56056,"journal":{"name":"Gynecologie Obstetrique Fertilite & Senologie","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2024-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140909644","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

Mise au point sur les modalités de gestion des efforts expulsifs lors de l’accouchement [分娩过程中排气处理方式的最新进展]

IF 0.6 4区医学

Gynecologie Obstetrique Fertilite & Senologie Pub Date : 2024-04-12 DOI: 10.1016/j.gofs.2024.04.003

Ninon Dupuis , Camille Le Ray

{"title":"Mise au point sur les modalités de gestion des efforts expulsifs lors de l’accouchement","authors":"Ninon Dupuis , Camille Le Ray","doi":"10.1016/j.gofs.2024.04.003","DOIUrl":"10.1016/j.gofs.2024.04.003","url":null,"abstract":"<div><div>The second stage of labour includes both the passive and active stages, involving expulsive efforts. The management of this phase of labour aims to minimise the maternal and neonatal complications that could be associated with a prolonged active2nd stage, but also to limit medical interventions. On the maternal side, prolonged duration of expulsive effort appears to be correlated with increased postpartum haemorrhage, perineal injury and, in the long term, urinary and anal incontinence. From a neonatal viewpoint, expulsive efforts carry risks of neonatal acidosis, asphyxia, admission to the neonatal intensive care unit and trauma. Optimal management of expulsive efforts involves several strategies. Various aspects need to be addressed in order to optimise this management, including the timing of the start of expulsive efforts, comparing immediate pushing with delayed pushing, and the duration of expulsive efforts. In addition, it is important to examine the different pushing modalities, whether intense or moderate, using open or closed-glottis pushing, as well as the maternal position during pushing. According to the current literature, no specific technique or predefined duration appears to reduce the risk of neonatal or maternal complications. It therefore seems essential to adopt an individualised approach for each woman, placing her at the centre of the care and decision-making process, in order to take account of her preferences during childbirth.</div></div>","PeriodicalId":56056,"journal":{"name":"Gynecologie Obstetrique Fertilite & Senologie","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2024-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140867768","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

Prévalence des ménorragies chez les femmes à la Réunion [留尼汪岛妇女月经过多患病率]。

IF 0.6 4区医学

Gynecologie Obstetrique Fertilite & Senologie Pub Date : 2024-02-09 DOI: 10.1016/j.gofs.2024.02.002

Mélanie Battegay , Samy Khaled , Laurianne Reitz , Vincent Balaya , Peter Von Theobald , Malik Boukerrou , Phuong Lien Tran

{"title":"Prévalence des ménorragies chez les femmes à la Réunion","authors":"Mélanie Battegay , Samy Khaled , Laurianne Reitz , Vincent Balaya , Peter Von Theobald , Malik Boukerrou , Phuong Lien Tran","doi":"10.1016/j.gofs.2024.02.002","DOIUrl":"10.1016/j.gofs.2024.02.002","url":null,"abstract":"<div><h3>Objectives</h3><div>To estimate the prevalence of menorrhagia in women in Reunion Island using the Higham score, to evaluate self-reporting as an alternative diagnostic method, and to study women's level of knowledge about menorrhagia and its impact on their quality of life.</div></div><div><h3>Methods</h3><div>This was a descriptive, cross-sectional observational study involving 185 adult women with menstrual periods living in Reunion Island. Women volunteered to answer an online self-questionnaire proposed by healthcare professionals from January to May 2023 in Reunion Island. They completed a general information questionnaire, the Higham score, a menorrhagia knowledge questionnaire and a menstrual quality of life questionnaire.</div></div><div><h3>Results</h3><div>The prevalence of menorrhagia in the sample was 48.1% using the Higham score and 46.5% using self-report. Women's level of knowledge about menorrhagia is still insufficient, given the significant impact on quality of life during menstruation among those suffering from this symptom.</div></div><div><h3>Conclusion</h3><div>The prevalence of menorrhagia in our sample of women on Reunion Island is high. Measures need to be taken to break the taboos surrounding menstruation, promote menstrual education and foster a better understanding by women of menstrual pathologies, particularly menorrhagia. Early detection of this symptom would enable faster treatment and avoid complications and adverse effects on quality of life.</div></div>","PeriodicalId":56056,"journal":{"name":"Gynecologie Obstetrique Fertilite & Senologie","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2024-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139718097","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