Gynecologie Obstetrique Fertilite & Senologie最新文献

{"title":"Modalités préférées des femmes à la Réunion pour le dépistage du cancer du col de l’utérus par prélèvement vaginal","authors":"Marilou Chemineau ,&nbsp;Natacha Odelin ,&nbsp;Laurianne Reitz ,&nbsp;Antoine Bertolotti ,&nbsp;Vincent Balaya ,&nbsp;Malik Boukerrou ,&nbsp;Phuong Lien Tran","doi":"10.1016/j.gofs.2024.09.004","DOIUrl":"10.1016/j.gofs.2024.09.004","url":null,"abstract":"<div><h3>Background</h3><div>Since the introduction of HPV testing as a first-line screening method for women aged 30 and over, vaginal sampling (VS) by a healthcare professional or self-sampling (SS) is now possible for women who have not responded to the organized screening program using cervical uterine sampling. The aim of this study was to understand the choices made by a sample of women from La Reunion would like to perform their VS, and the content of the instructions they would like to receive.</div></div><div><h3>Methods</h3><div>We conducted a cross-sectional descriptive study using a single-answer questionnaire. Patients were either interviewed in doctors’ office or offered the possibility to answer an online questionnaire. We included women aged 30 to 65 in La Reunion who were concerned by CC screening. We compared the answers of women who were up to date with their screening with those of women who were not.</div></div><div><h3>Results</h3><div>We included 202 women. The study showed that 64.9% of patients wished to collect the VS kit from a healthcare professional, 80.8% wished to perform SS and 52.5% wished to return it to the laboratory. The preferred language of the instruction was French, with pictures and drawings for 48.5% of patients. There was no significant difference between the answers of women who were up to date with their screening and those who were not.</div></div><div><h3>Conclusion</h3><div>In a sample of women eligible for CC screening in La Reunion, the preferred methods for CC screening were to collect the PV kit from a healthcare professional, perform the SS at home and then return it to the laboratory. These responses differed from other studies. A feasibility study on a part of La Reunion's eligible population for CC screening would enable us to assess the feasibility and generalizability of a screening modality based on SS.</div></div>","PeriodicalId":56056,"journal":{"name":"Gynecologie Obstetrique Fertilite & Senologie","volume":"53 2","pages":"Pages 81-86"},"PeriodicalIF":0.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142333118","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":"Dépistage et prévention de la prééclampsie par l’algorithme de la Fetal Medicine Foundation : une étude avant-après","authors":"Lola Loussert ,&nbsp;Ninon Dupuis ,&nbsp;Safouane M. Hamdi ,&nbsp;Paul Guerby ,&nbsp;Christophe Vayssière","doi":"10.1016/j.gofs.2024.09.007","DOIUrl":"10.1016/j.gofs.2024.09.007","url":null,"abstract":"<div><h3>Objective</h3><div>In order to identify women at high risk of pre-eclampsia and offer them aspirin prophylactic treatment, the Fetal Medicine Foundation (FMF) recommends a first-trimester screening test. The commonly used threshold for aspirin administration is a risk &gt;<!--> <!-->1/100, which implies treating an important number of patients. We aimed to assess the use of this strategy with a more restrictive threshold: risk &gt;<!--> <!-->1/70 and evaluate the impact of this strategy on the prevalence of pre-eclampsia with premature delivery in nulliparous women.</div></div><div><h3>Methods</h3><div>A before-and-after cohort study conducted from 01/09/2014 to 01/12/2018, including nulliparous women undergoing first-trimester ultrasound at the University Hospital of Toulouse. Between 09/2014 and 09/2016 (“before cohort”), women did not undergo pre-eclampsia screening. Between 01/2017 and 12/2018 (“after cohort”), women underwent targeted pre-eclampsia screening using the FMF algorithm, and those with a risk &gt;1/70 received 100<!--> <!-->mg aspirin. The primary outcome was pre-eclampsia with premature delivery. A univariate and then a multivariate analysis were performed to take into account potential confounding factors.</div></div><div><h3>Results</h3><div>Among the 1030 women of the before cohort, 17 women (1.7%) experienced pre-eclampsia with premature delivery, compared to 8 women (1.3%) among the 629 of the after cohort, with no significant difference between the two groups (Adjusted Odd Ratio (95%CI)<!--> <!-->=<!--> <!-->0.73 [0.31–1.74]). In the after cohort, 18 women (2.9%) had a risk greater than 1/70 and therefore received aspirin. According to the FMF screening test, 89 women (14.1%) had a risk<!--> <!-->&gt;<!--> <!-->1/100, which is the usual threshold for prescribing aspirin for prophylaxis. This means that 71 women had a risk greater than 1/100 but less than 1/70 and therefore did not receive aspirin in this study, even though they would have received aspirin at the usual threshold.</div></div><div><h3>Conclusions</h3><div>The screening and prevention strategy for pre-eclampsia using restrictive thresholds did not decrease the rate of preeclampsia with premature delivery.</div></div>","PeriodicalId":56056,"journal":{"name":"Gynecologie Obstetrique Fertilite & Senologie","volume":"53 2","pages":"Pages 76-80"},"PeriodicalIF":0.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142378647","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":"Sommaire","authors":"","doi":"10.1016/S2468-7189(25)00013-3","DOIUrl":"10.1016/S2468-7189(25)00013-3","url":null,"abstract":"","PeriodicalId":56056,"journal":{"name":"Gynecologie Obstetrique Fertilite & Senologie","volume":"53 2","pages":"Pages v-vi"},"PeriodicalIF":0.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143097276","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":"Chirurgies obstétricales à haut risque hémorragique : peut-on se passer du Cell-saver en France en 2024 ?","authors":"Maud Vachette ,&nbsp;Aude Girault ,&nbsp;François Goffinet ,&nbsp;Catherine Fischer ,&nbsp;Yoann Athiel","doi":"10.1016/j.gofs.2024.12.001","DOIUrl":"10.1016/j.gofs.2024.12.001","url":null,"abstract":"<div><div>Certain obstetric situations, such as abnormalities in placental invasion, present a major hemorrhagic risk often requiring massive transfusion. To reduce complications associated with massive transfusions and minimize the use of the labile blood product stock, perioperative blood salvage techniques, such as the Cell-saver, have been developed, including in obstetrics. The aim of this article is to provide an update on the use of the Cell-saver in obstetrics, particularly during high hemorrhagic risk obstetric surgeries (such as surgeries for placenta accreta). Firstly, we will review the indications for using the Cell-saver in obstetrics and the technical modalities described in the literature and at our expert center. Secondly, in light of the literature data, we will list the benefits associated with the use of the Cell-saver in obstetrics as well as its risks, complications, and contraindications.</div></div>","PeriodicalId":56056,"journal":{"name":"Gynecologie Obstetrique Fertilite & Senologie","volume":"53 2","pages":"Pages 105-109"},"PeriodicalIF":0.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142787705","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":"Du sang et des larmes. En finir avec les violences sexuelles liées aux conflits armés","authors":"Denis Mukwege ,&nbsp;Gautier Chene MD, PhD","doi":"10.1016/j.gofs.2024.11.002","DOIUrl":"10.1016/j.gofs.2024.11.002","url":null,"abstract":"","PeriodicalId":56056,"journal":{"name":"Gynecologie Obstetrique Fertilite & Senologie","volume":"53 2","pages":"Pages 51-53"},"PeriodicalIF":0.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142632985","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":"[Current role of the Kleihauer-Betke test in monitoring pregnant women].","authors":"Yoann Athiel, Paul Maurice, Agnès Mailloux, Stéphanie Huguet-Jacquot, Loriane Franchinard, Cécile Toly-Ndour, Jean-Marie Jouannic","doi":"10.1016/j.gofs.2025.01.006","DOIUrl":"10.1016/j.gofs.2025.01.006","url":null,"abstract":"<p><p>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.</p>","PeriodicalId":56056,"journal":{"name":"Gynecologie Obstetrique Fertilite & Senologie","volume":" ","pages":""},"PeriodicalIF":0.6,"publicationDate":"2025-01-31","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":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Sexuality of the couple during pregnancy after assisted reproductive technology: A comparative study].","authors":"Marine Beaumont, Mikael Agopiantz, Jeannine Ohl, Marie-Laure Eszto, Cedric Baumann, Matthieu Dap","doi":"10.1016/j.gofs.2025.01.005","DOIUrl":"10.1016/j.gofs.2025.01.005","url":null,"abstract":"<p><strong>Objective: </strong>To study the sexuality of pregnant women after assisted reproductive technology (ART).</p><p><strong>Methods: </strong>This was a prospective multicenter study based on two questionnaires: the Female Sexual Function Index (FSFI) and the Couple Satisfaction Index 32 (CSI 32). Two groups were compared: pregnancies following ART and spontaneous pregnancies.</p><p><strong>Results: </strong>A total of 401 women participated: 215 in the ART group and 186 in the spontaneous pregnancy group. Sexual dysfunction was observed in 49.8% of women in the ART group (n=108/215) and 44.1% in the spontaneous pregnancy group (n=82/186). The FSFI score was not significantly lower in the second trimester (24.0±9.3 for ART vs. 25.9±7.3 for spontaneous pregnancy, P=0.07) but was significantly reduced across all trimesters (23.4±9.2 vs. 25.4±5.8, P=0.02). Couple relationship quality (CSI 32) was similar between the two groups (134.4±22.2 vs. 133.9±23.9, P=0.85). Only 13.9% of ART women (n=30/215) and 8.6% of spontaneous pregnancy women (n=16/186) had discussed their sexuality during pregnancy with a healthcare professional.</p><p><strong>Conclusion: </strong>The prevalence of sexual dysfunction during pregnancy is high, particularly among women followed for ART. However, the quality of the couple's relationship remains comparable between the two groups.</p>","PeriodicalId":56056,"journal":{"name":"Gynecologie Obstetrique Fertilite & Senologie","volume":" ","pages":""},"PeriodicalIF":0.6,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143043465","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":"[The role of mammography in prevention of cardiovascular risk in women].","authors":"Laëtitia Saccenti, Thu Ha Dao, Vania Tacher","doi":"10.1016/j.gofs.2025.01.004","DOIUrl":"10.1016/j.gofs.2025.01.004","url":null,"abstract":"","PeriodicalId":56056,"journal":{"name":"Gynecologie Obstetrique Fertilite & Senologie","volume":" ","pages":""},"PeriodicalIF":0.6,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143043467","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":"[Reception of oocytes from partner (ROPA) in France: Context and perspectives].","authors":"Mikaël Agopiantz, Thomas Fréour, Lisa Neumann, Maxime Chaillot, Olivier Morel","doi":"10.1016/j.gofs.2025.01.003","DOIUrl":"10.1016/j.gofs.2025.01.003","url":null,"abstract":"","PeriodicalId":56056,"journal":{"name":"Gynecologie Obstetrique Fertilite & Senologie","volume":" ","pages":""},"PeriodicalIF":0.6,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143016951","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":"[Management of a fetus suspected of differences of sex development (DSD)].","authors":"Ornella Maltese, Pierre Macé, Alice Faure, Rachel Reynaud, Jean Philippe Bault, Guillaume Gorincour, Edwin Quarello","doi":"10.1016/j.gofs.2024.12.006","DOIUrl":"10.1016/j.gofs.2024.12.006","url":null,"abstract":"<p><p>The management of a fetus suspected of having a difference in genital sexual development (DSD) is a complex situation. In cases of complete discordance or an unusual appearance of the external genitalia (EG), management always begins with a diagnostic morphological ultrasound. This ultrasound aims to provide detailed imaging of the EG and internal genitalia (IG), focusing on identifying the presence of Müllerian derivatives and detecting any associated malformations. During a multidisciplinary meeting, we should assess the appropriateness of determining the genetic sex through cell-free DNA analysis and to refer the patient to an expert center if necessary. These clinical situations include all atypical presentations of the genital organs with the inability to determine the phenotype, as well as any hypospadias associated with other genital organ involvement. Patients presenting with isolated posterior (or proximal) hypospadias also benefit from an assessment at an expert center. Isolated anterior and middle hypospadias (with negative genetic findings) are excluded from this protocol. Performing an invasive sampling is almost always indicated. The expert center provides the couple with information on the different variations of genital development and the perspectives of managing the child, explaining the recently proposed paradigm shift, according to the new French decree of November 15, 2022, in application of Article L-2131-6 of the Public Health Code, which now entails, in some of these situations, delayed surgical management. The diagnostic and prognostic uncertainty of the DSD is communicated to the couples. Multidisciplinary care is therefore essential to establish an accurate diagnosis, define the anatomical and functional prognosis, and propose the most appropriate surgical strategy, taking into account the associated morbidities, defining whether or not to adopt a surgical strategy, and providing the most suitable surgical approach, as well as supporting the couple and the child in dealing with this situation.</p>","PeriodicalId":56056,"journal":{"name":"Gynecologie Obstetrique Fertilite & Senologie","volume":" ","pages":""},"PeriodicalIF":0.6,"publicationDate":"2025-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142967464","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}