Gynecologie Obstetrique Fertilite & Senologie最新文献

{"title":"Grossesse chez une patiente atteinte du syndrome de Turner après une chirurgie cardiaque et un double don de gamètes","authors":"Leila Ghassemi, Sébastien Grandfils, Patrick Emonts","doi":"10.1016/j.gofs.2024.10.009","DOIUrl":"10.1016/j.gofs.2024.10.009","url":null,"abstract":"","PeriodicalId":56056,"journal":{"name":"Gynecologie Obstetrique Fertilite & Senologie","volume":"53 4","pages":"Pages 221-222"},"PeriodicalIF":0.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142632995","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}

{"title":"Profils et motivations des femmes demandeuses d’autoconservation ovocytaire en France : enquête sur deux ans","authors":"Estelle Anstett ,&nbsp;Philippe Gosset ,&nbsp;Loïc Maurer ,&nbsp;Jeanine Ohl","doi":"10.1016/j.gofs.2024.11.005","DOIUrl":"10.1016/j.gofs.2024.11.005","url":null,"abstract":"<div><h3>Objectives</h3><div>The new bioethics law of August 2, 2021 allows French women to self-preserve.</div></div><div><h3>Methods</h3><div>National observational survey over 2 years based on an online questionnaire conducted under the aegis of GEDO (Groupe d’études pour le don d’ovocytes).</div></div><div><h3>Results</h3><div>The average age of the 282 women who answered the questionnaire, 34.5 years, is consistent with the benefit/risk balance described in the literature. The most educated women, also very vulnerable, remain the most affected. They are single and childless, but most of them see themselves as a couple and want to become mothers in the future. Their main motivation is to have the choice to postpone a pregnancy without fear of infertility until they have found a suitable partner. Careerist or selfish motivations are anecdotal. The projected fate of unused vitrified oocytes is above all donation to others.</div></div><div><h3>Conclusion</h3><div>This study shows that oocyte self-preservation is undeniably experienced as a societal victory and is perceived as a step towards gender equality. While oocyte self-preservation is not an absolute guarantee of having a future child, it is part of a primary preventive strategy for age-related fertility decline. Public authorities and health professionals will have to widely disseminate accurate and complete information to allow everyone to have access to an informed reproductive choice.</div></div>","PeriodicalId":56056,"journal":{"name":"Gynecologie Obstetrique Fertilite & Senologie","volume":"53 4","pages":"Pages 185-192"},"PeriodicalIF":0.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142752538","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}

{"title":"Place actuelle du test de Kleihauer-Betke dans la surveillance de la femme enceinte","authors":"Yoann Athiel ,&nbsp;Paul Maurice ,&nbsp;Agnès Mailloux ,&nbsp;Stéphanie Huguet-Jacquot ,&nbsp;Loriane Franchinard ,&nbsp;Cécile Toly-Ndour ,&nbsp;Jean-Marie Jouannic","doi":"10.1016/j.gofs.2025.01.006","DOIUrl":"10.1016/j.gofs.2025.01.006","url":null,"abstract":"<div><div>The Kleihauer test is a widely prescribed examination today. However, we propose revisiting certain indications beyond the prevention of maternal-fetal alloimmunization, particularly concerning the adjustment of anti-D immunoglobulin dosage. Indeed, some prescriptions seem irrelevant based on the literature and the experience of the reference center. These include chorionic villus sampling, systematic prescription in cases of reduced fetal movements or metrorrhagia. Other indications could be limited to specific situations, such as direct abdominal trauma, external cephalic version (ECV) in Rh-negative patients, or transplacental amniocentesis in Rh-negative patients. Finally, the Kleihauer test for etiological purposes remains systematically prescribed in cases of intrauterine fetal death (IUFD) or neonatal anemia. Currently, there are no published recommendations on how to proceed in the case of a positive Kleihauer test, except for adjusting the dosage of anti-D immunoglobulins for the prevention of maternal-fetal alloimmunization. With the expertise of the reference center, we propose a management plan adapted to the risks for the fetus and the newborn.</div></div>","PeriodicalId":56056,"journal":{"name":"Gynecologie Obstetrique Fertilite & Senologie","volume":"53 4","pages":"Pages 212-217"},"PeriodicalIF":0.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143082271","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}

{"title":"Sommaire","authors":"","doi":"10.1016/S2468-7189(25)00068-6","DOIUrl":"10.1016/S2468-7189(25)00068-6","url":null,"abstract":"","PeriodicalId":56056,"journal":{"name":"Gynecologie Obstetrique Fertilite & Senologie","volume":"53 4","pages":"Pages iii-iv"},"PeriodicalIF":0.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143791189","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}

{"title":"Impact d’HypnoVR©, associé à une anesthésie locale, sur la douleur et l’anxiété ressenties lors d’une ponction ovocytaire","authors":"Anne-Laure Vanderstraeten ,&nbsp;Samir Boukaidi ,&nbsp;Coralie Cruzel ,&nbsp;Coralie Dumont ,&nbsp;Jérôme Delotte","doi":"10.1016/j.gofs.2024.10.011","DOIUrl":"10.1016/j.gofs.2024.10.011","url":null,"abstract":"<div><h3>Objective</h3><div>Virtual reality with Snow World shows a 45% decrease in painful peaks during the care of burn victims. Hypnosis has anxiolytic effect and modulate the response to pain. HypnoVR© is based on many concepts recognized in medicine accessible without specific training. In our practice, 95% of oocyte pick-up are made with local anesthesia and simple premedication, whereas conscious sedation is recommanded in Europe. HypnoVR© is systematically offered during oocyte pick-up. Our study had to compare the pain felt between the 2 group with or without HypnoVR©, also anxiety, tolerance and satisfaction of patients.</div></div><div><h3>Method</h3><div>It was a prospective comparative, non-randomized, single-center, open-label study. We included all patients who were to benefit from an oocyte pick-up from 18 to 43 years-old. The usual protocol of pick-up was used and it was possible to add HypnoVR©. A questionnaire was distributed to each patient to collect their opinion.</div></div><div><h3>Results</h3><div>A total of 112 patients were included, 60 without HypnoVR© and 52 with HypnoVR©; 2 were excluded from the main analysis for missing data. There is no statistically significant difference in pain and anxiety between the groups. Patients are satisfied: 90.20% (<em>n</em> <!-->=<!--> <!-->46/52) would like to use it again and 98.04% (<em>n</em> <!-->=<!--> <!-->50/52) would recommend it.</div></div><div><h3>Conclusion</h3><div>Despite the absence of a statistically significant difference, patients are satisfied with HypnoVR© and tolerance is good. It seems interesting to be able to offer it during oocyte pick-up.</div></div>","PeriodicalId":56056,"journal":{"name":"Gynecologie Obstetrique Fertilite & Senologie","volume":"53 4","pages":"Pages 179-184"},"PeriodicalIF":0.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142632992","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}

{"title":"[Donor-matching in Third-Party Reproduction: what do single women undergoing ART with sperm donation think about it?]","authors":"Salomé Gallissian, Thierry Merrot, Anne Mayeur, Nelly Frydman, Charlotte Dupont, Véronique Drouineaud, Florence Eustache, Pierre Le Coz, Catherine Metzler-Guillemain","doi":"10.1016/j.gofs.2025.03.006","DOIUrl":"https://doi.org/10.1016/j.gofs.2025.03.006","url":null,"abstract":"<p><strong>Objectives: </strong>to better understand the perception that single women undergoing ART with sperm donation have of the donor matching practices implemented today in CECOS.</p><p><strong>Methods: </strong>A qualitative survey was carried out among 20 unmarried patients undergoing ART with sperm donation in two ART centers linked to 5 CECOS. The interviews were carried out using a semi-directive grid composed of seventeen questions. A reflective thematic analysis was carried out a posteriori in order to identify the themes emerging from the interviews.</p><p><strong>Results: </strong>The majority of respondents wanted a match based on their physical characteristics, most of them attaching importance to the resemblance with their future child, mainly on skin color. All of the women interviewed seemed very clear about the absence of a role for the donor within their family structure. Finally, the majority of patients agreed with the fact that it is the biologist who chooses the donor.</p><p><strong>Conclusions: </strong>This study provided new data concerning the problem of matching within single parenthood pathways. The matching is mostly desired by women based on their physical characteristics, the responsibility of the medical team in the choice of donor is mostly accepted, which is linked to the confidence that the women interviewed show towards the French health system.</p>","PeriodicalId":56056,"journal":{"name":"Gynecologie Obstetrique Fertilite & Senologie","volume":" ","pages":""},"PeriodicalIF":0.6,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143774829","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}

{"title":"[Colorectal endometriosis surgery: Technical and technological innovations in service of a complex surgery].","authors":"Adrien Crestani, Benjamin Merlot, Quentin Denost, Marc Olivier Francois, Vincent Assenat, Isabella Chanavaz Lacheray, Thomas Dennis, Horace Roman","doi":"10.1016/j.gofs.2025.03.007","DOIUrl":"https://doi.org/10.1016/j.gofs.2025.03.007","url":null,"abstract":"<p><strong>Introduction: </strong>Digestive endometriosis represents the most common form of deep endometriosis, significantly impacting patients' quality of life. The optimization of its surgical management has been marked by major technological advances. This review explores the evolution of colorectal endometriosis surgery, highlighting the progress in laparoscopy, the contribution of robotics, the shift towards organ preservation, and the optimization of postoperative care.</p><p><strong>Methods: </strong>A systematic literature search was conducted in the PubMed and Embase databases, focusing on clinical studies, meta-analyses, and international guidelines published between 1980 and 2025. Articles were selected based on their relevance to technical advancements and clinical outcomes.</p><p><strong>Results: </strong>Laparoscopy has replaced laparotomy, leading to a reduction in complications and an improvement in postoperative quality of life. Robotics, while not a groundbreaking revolution, provides advantages in precision and surgeon comfort. Conservative procedures have emerged as safe alternatives to systematic extensive segmental resection. Indication criteria have evolved to favor strategies tailored to the depth and extent of lesions while minimizing complication risks and preserving digestive function and quality of life. The standardization of procedures, the abandonment of systematic protective ileostomy, and enhanced recovery protocols have contributed to reducing surgical morbidity and improving patients' quality of life.</p><p><strong>Conclusion: </strong>Technical and technological advancements have transformed colorectal endometriosis surgery. Surgical strategies are shifting towards personalized approaches, integrating minimally invasive surgery and optimized multidisciplinary management. The future lies in the continuous improvement of techniques and the better standardization of surgical indications.</p>","PeriodicalId":56056,"journal":{"name":"Gynecologie Obstetrique Fertilite & Senologie","volume":" ","pages":""},"PeriodicalIF":0.6,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143744529","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}

{"title":"[Evaluation of scalp sampling practice and methods before and after training in intrapartum monitoring].","authors":"Lisa Krzepisz, Louise Ghesquière, Elodie Drumez, Hélène Behal, Damien Subtil, Charles Garabedian","doi":"10.1016/j.gofs.2025.03.005","DOIUrl":"https://doi.org/10.1016/j.gofs.2025.03.005","url":null,"abstract":"<p><strong>Objective: </strong>To compare the methods of performing scalp sampling before and after training teams in per partum monitoring.</p><p><strong>Materials and methods: </strong>This was a single center (Lille, France), retrospective, before and after study comparing the period 2017-2018 before training and the period 2019-2020 after training. It consisted of 1/ theoretical training with courses on fetal physiology, recognition of risk factors for fetal hypoxia and pathophysiology of fetal acidosis; 2/ practical training with analysis of local clinical cases; 3/ real-life scenarios within the simulation platform. At the same time, a service protocol for scalp stimulation was established. One hundred patients were randomly selected for each period from those who met the inclusion criteria: at least one scalp sampling, cephalic presentation of the fetus, and singleton.</p><p><strong>Results: </strong>In the 2016-2017 period, 8.7% of patients had a scalp sample and 1.5% in the 2020-2021 period (p<0.001). The percentage of patients who had more than one scalp sample (among those who had at least one) was significantly higher in the pre-training group than in the post-training group (36% vs 11%, p<0.001). There was no significant difference between the two groups in terms of cervical dilation for pH, time to decision/insertion/result/birth, number of operators and attempts, failure rate and finally in terms of the measured parameters.</p><p><strong>Conclusion: </strong>Training of professionals in intrapartum monitoring, combined with a protocol for scalp stimulation, resulted in less recourse to second-line investigations, but did not change the how scalp sampling were performed.</p>","PeriodicalId":56056,"journal":{"name":"Gynecologie Obstetrique Fertilite & Senologie","volume":" ","pages":""},"PeriodicalIF":0.6,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143744532","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}

{"title":"[How I do… a partial mastectomy associated with analysis of the axillary sentinel lymph node under local anesthesia].","authors":"Pierre Bédat, Rose Ferrer, Yolande Maisonnette-Escot, Francis Berthier","doi":"10.1016/j.gofs.2025.03.003","DOIUrl":"https://doi.org/10.1016/j.gofs.2025.03.003","url":null,"abstract":"","PeriodicalId":56056,"journal":{"name":"Gynecologie Obstetrique Fertilite & Senologie","volume":" ","pages":""},"PeriodicalIF":0.6,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143744535","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}

{"title":"[Preterm prolong rupture of membrane in twin: Prognosis factors of neonatal survival].","authors":"Maud Allary, Emmanuelle Lesieur, Julie Blanc, Franck Mauviel, Lucile Petit Jean, Xavier Donato, Cindy Faust, Edwin Quarello, Florence Bretelle","doi":"10.1016/j.gofs.2025.03.004","DOIUrl":"10.1016/j.gofs.2025.03.004","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate and identify factors influencing neonatal survival of twins in twin pregnancies with prolonged preterm premature rupture of membranes (PPROM) affecting one twin before 37weeks of gestation.</p><p><strong>Methods: </strong>A retrospective multicenter cohort study (2015-2021) including: 1/twin pregnancies with PPROM between 13 and 37weeks of gestation, 2/two live fetuses at the time of rupture, and 3/delayed delivery (>48hours after rupture). The primary outcome was the survival of the affected twin. The secondary outcome was the survival of the co-twin. Univariate and multivariate analyses were performed.</p><p><strong>Results: </strong>Among 402 cases of preterm prelabor rupture of membranes (PPROM), 132 patients were included. Survival at hospital discharge was 79.5% for twins with membrane rupture and 84.1% for their co-twins. Survival was correlated with a higher gestational age at the time of rupture (P=0.03) and at delivery (P<0.01). Improved survival was associated with dichorionic pregnancies (aOR: 2.98; 95% CI: 1.06-8.34), a normal amniotic fluid volume, and a shorter latency period. The same was observed with the administration of corticosteroids and antibiotic prophylaxis. The prognosis of the unborn child is primarily associated with gestational age at delivery.</p><p><strong>Conclusion: </strong>The survival of twins with prolonged PPROM is high. Dichorionic chorionicity and factors such as gestational age at delivery, normal amniotic fluid levels, and shorter duration of rupture improve survival.</p>","PeriodicalId":56056,"journal":{"name":"Gynecologie Obstetrique Fertilite & Senologie","volume":" ","pages":""},"PeriodicalIF":0.6,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143744541","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}