Gynecologie Obstetrique Fertilite & Senologie最新文献_第3页

Cancer du sein : peut-on l’envisager comme une maladie professionnelle ? [乳腺癌：我们能否将其视为职业暴露疾病？］

IF 0.6 4区医学

Gynecologie Obstetrique Fertilite & Senologie Pub Date : 2024-11-01 DOI: 10.1016/j.gofs.2024.07.001

{"title":"Cancer du sein : peut-on l’envisager comme une maladie professionnelle ?","authors":"","doi":"10.1016/j.gofs.2024.07.001","DOIUrl":"10.1016/j.gofs.2024.07.001","url":null,"abstract":"<div><h3>Objective</h3><div>Breast cancer is the leading cancer in women in terms of incidence and mortality. The literature currently identifies several risk factors, some modifiable and others not. Because of its multifactorial nature, the combination of factors either increases or reduces the risk of cancer. Since 2004, the first commission's rapport of the French National Environmental Health Plan has recognized the significant impact of occupational exposure on the development of breast cancer. However, neither primary nor secondary preventive measures have yet been implemented in work environment.</div></div><div><h3>Method</h3><div>Based on available literature, we reviewed current knowledge of breast cancer risk factors associated with occupational exposure.</div></div><div><h3>Results</h3><div>The risk factors identified were ionizing radiation, magnetic fields, certain endocrine disruptors, ethylene oxide and night shift work.</div></div><div><h3>Conclusion</h3><div>Recognition of breast cancer as an occupational disease is complicated. In some cases, however, it may be possible, particularly in cases of multifactorial exposure. This work should help to raise awareness among employers and reinforce preventive measures in the workplace.</div></div>","PeriodicalId":56056,"journal":{"name":"Gynecologie Obstetrique Fertilite & Senologie","volume":"52 11","pages":"Pages 627-632"},"PeriodicalIF":0.6,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141602253","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

L’allaitement maternel chez les femmes vivant avec le VIH : un défi multidisciplinaire 感染艾滋病毒妇女的母乳喂养：多学科挑战

IF 0.6 4区医学

Gynecologie Obstetrique Fertilite & Senologie Pub Date : 2024-11-01 DOI: 10.1016/j.gofs.2024.10.003

Pr Jeanne Sibiude

引用次数: 0

Fistule vésicovaginale à la suite d’une myolyse transvaginale par micro-ondes, à propos de deux cas [经阴道微波肌溶解后的膀胱阴道瘘：两个病例的报告]。

IF 0.6 4区医学

Gynecologie Obstetrique Fertilite & Senologie Pub Date : 2024-11-01 DOI: 10.1016/j.gofs.2024.06.003

引用次数: 0

Risque d'acidose en cas de déclenchement pour PAG avant 37 SA [严重早产 SGA 胎儿经阴道分娩并引产的机会：一项观察性研究]。

IF 0.6 4区医学

Gynecologie Obstetrique Fertilite & Senologie Pub Date : 2024-11-01 DOI: 10.1016/j.gofs.2024.03.086

{"title":"Risque d'acidose en cas de déclenchement pour PAG avant 37 SA","authors":"","doi":"10.1016/j.gofs.2024.03.086","DOIUrl":"10.1016/j.gofs.2024.03.086","url":null,"abstract":"<div><h3>Objective</h3><div>If a small for gestational age (SGA) foetus needs to be delivered because of severity (<3rd centile) attempting induction of labor theoretically increases the risk of caesarean section and neonatal acidosis, but these risks are poorly understood. This article aims to assess the risk of caesarean section and neonatal acidosis in attempted vaginal birth of a moderately preterm foetus in the setting of severe SGA.</div></div><div><h3>Method</h3><div>A single-centre hospital-based observational study conducted over a period of 17 consecutive years in mothers with a single foetus in cephalic presentation with severe SGA (<3rd centile) needing foetal extraction. Neonatal acidosis was considered moderate if pH<7.10 and severe if pH<7.0. The degree of severity of SGA was estimated according to the birth weight ratio.</div></div><div><h3>Results</h3><div>Four hundred and thirty-four foetuses with severe SGA were included during the period, 140 of whom were born after induction (32.3%). In this group, 66.4% of women achieved a vaginal birth (66.4%; 95% CI [58.0-74.2]) and the risk of moderate or severe acidosis was doubled compared with the group of foetuses who had undergone a planned caesarean section (7.9% vs. 3.1%, OR=2.7 [1.1-6.7]). Neither gestational age nor the degree of growth restriction was significantly related to the risk of caesarean section or to the risk of moderate or severe neonatal acidosis.</div></div><div><h3>Conclusion</h3><div>In cases of severe SGA before 37weeks' gestation, induction of labour allows vaginal delivery in two-thirds of cases. It is accompanied by a doubling of the risk of moderate or severe neonatal acidosis.</div></div>","PeriodicalId":56056,"journal":{"name":"Gynecologie Obstetrique Fertilite & Senologie","volume":"52 11","pages":"Pages 615-619"},"PeriodicalIF":0.6,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140872160","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

Comment je fais… une mastectomie endoscopique en 10 étapes [我是怎么做的......内窥镜乳房切除术 10 个步骤]。

IF 0.6 4区医学

Gynecologie Obstetrique Fertilite & Senologie Pub Date : 2024-11-01 DOI: 10.1016/j.gofs.2024.05.004

引用次数: 0

Sommes-nous enfin prêts à dépister les cardiopathies congénitales au 1er trimestre de la grossesse en population à bas risque ? 我们终于准备好在妊娠头三个月对低风险人群进行先天性心脏病筛查了吗？

IF 0.6 4区医学

Gynecologie Obstetrique Fertilite & Senologie Pub Date : 2024-11-01 DOI: 10.1016/j.gofs.2024.01.001

引用次数: 0

État des lieux sur les anti-IL-1 chez la femme enceinte [孕期使用抗IL-1药物]。

IF 0.6 4区医学

Gynecologie Obstetrique Fertilite & Senologie Pub Date : 2024-11-01 DOI: 10.1016/j.gofs.2024.04.004

引用次数: 0

Grossesse par insémination intra-utérine après hystérosalpingo-foam-sonographie ou hystérosalpingographie [子宫输卵管造影或子宫输卵管造影后宫腔内人工授精妊娠]。

IF 0.6 4区医学

Gynecologie Obstetrique Fertilite & Senologie Pub Date : 2024-11-01 DOI: 10.1016/j.gofs.2024.03.010

{"title":"Grossesse par insémination intra-utérine après hystérosalpingo-foam-sonographie ou hystérosalpingographie","authors":"","doi":"10.1016/j.gofs.2024.03.010","DOIUrl":"10.1016/j.gofs.2024.03.010","url":null,"abstract":"<div><h3>Objective</h3><div>To compare clinical pregnancy rates following intrauterine insemination performed after hysterosalpingography (HSG) or hysterosalpingo-foam-sonography (HyFoSy).</div></div><div><h3>Material and methods</h3><div>This is a retrospective study including 242 intrauterine insemination (IUI) performed between 2015 and 2020 at the fertility center of the Reunion Island. Among these inseminations, 121 with previous HSG and 121 with previous HyFoSy were matched. The main outcome of interest was clinical pregnancy rate. Secondary outcomes were birth rate and time to pregnancy after tubal patency test.</div></div><div><h3>Results</h3><div>The pregnancy rate after insemination was 9.9% for the HSG group and 11.6% for the HyFoSy group, with no statistically significant difference between the groups (<em>P</em>  =0.37). Over half (57.1%) of the pregnancies occurred within 6 months after HyFoSy, whereas only 8.3% after HSG.</div></div><div><h3>Conclusion</h3><div>IUI results are not influenced by HyFoSy compared to HSG with regard to the pregnancy rates. Use of HyFoSy in infertility assessment allows global evaluation and more rapid adapted management. This approach could optimize management of patients undergoing IUI.</div></div>","PeriodicalId":56056,"journal":{"name":"Gynecologie Obstetrique Fertilite & Senologie","volume":"52 11","pages":"Pages 633-638"},"PeriodicalIF":0.6,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140320005","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

Méthodes pharmacologiques ou mécaniques pour la maturation cervicale : une revue de la littérature [用于宫颈成熟引产的前列腺素或宫颈球囊：文献综述]。

IF 0.6 4区医学

Gynecologie Obstetrique Fertilite & Senologie Pub Date : 2024-11-01 DOI: 10.1016/j.gofs.2024.03.011

{"title":"Méthodes pharmacologiques ou mécaniques pour la maturation cervicale : une revue de la littérature","authors":"","doi":"10.1016/j.gofs.2024.03.011","DOIUrl":"10.1016/j.gofs.2024.03.011","url":null,"abstract":"<div><h3>Objective</h3><div>Induction of labor in France concerns one birth out of four with 70% of induction starting by cervical ripening, either with a pharmacological (prostaglandins) or a mechanical (balloon) method. This review aims to compare these two methods within current knowledge, using the PRISMA methodology.</div></div><div><h3>Methods</h3><div>Trials comparing these two methods, published or unpublished up to July 2023, in French or English were searched for in the PubMed, Cochrane Library and ClinicalTrial.govs datasets. Fifty articles including 10,689 women were selected. The outcomes of interest were those from the Core Outcome Set for trails on Induction of Labour (COSIOL) list: mode of delivery, time from induction-to-birth, maternal and neonatal morbidity, and maternal satisfaction.</div></div><div><h3>Result</h3><div>No differences were observed between the two methods for the mode of delivery or neonatal and maternal morbidity. The time from induction-to-birth was longer for mechanical methods. Those were also associated with a greater need for oxytocin, less uterine hyperstimulation and less instrumental deliveries. Maternal satisfaction was assessed in only nine trials using various scales which made the interpretation of maternal satisfaction.</div></div><div><h3>Conclusion</h3><div>The efficacy of these two induction methods is similar for vaginal delivery, but it remains to be seen which one best meets women's satisfaction criteria.</div></div>","PeriodicalId":56056,"journal":{"name":"Gynecologie Obstetrique Fertilite & Senologie","volume":"52 11","pages":"Pages 646-652"},"PeriodicalIF":0.6,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140332323","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

[Paraganglioma and pregnancy: A thrilling urination story]. [副神经节瘤与怀孕：一个惊心动魄的排尿故事]。

IF 0.6 4区医学

Gynecologie Obstetrique Fertilite & Senologie Pub Date : 2024-10-24 DOI: 10.1016/j.gofs.2024.10.008

Geoffrey Groussard, Alexandre Esnault, Quentin Meurdra, Michael Joubert, Thérèse Simonet, Adrien Lee Bion, Michel Dreyfus

{"title":"[Paraganglioma and pregnancy: A thrilling urination story].","authors":"Geoffrey Groussard, Alexandre Esnault, Quentin Meurdra, Michael Joubert, Thérèse Simonet, Adrien Lee Bion, Michel Dreyfus","doi":"10.1016/j.gofs.2024.10.008","DOIUrl":"10.1016/j.gofs.2024.10.008","url":null,"abstract":"<p><strong>Objectives: </strong>Carrying out a pregnancy to term in a patient with a paraganglioma or pheochromocytoma (PPGL) results from a multidisciplinary challenge. The objective was to compare our therapeutic attitude with the existing literature and to identify optimal treatment.</p><p><strong>Methods: </strong>Description of a case of paraganglioma treated during pregnancy at the University Hospital Center of Caen (France) in 2024 and comparison with the literature.</p><p><strong>Results: </strong>We describe a patient with a family history of paraganglioma, in whom paravesical PPGL was discovered at 18 weeks of gestation. The symptoms were marked by episodes of palpitations and headaches during urination. The diagnosis was confirmed by a measurement of urinary metanephrines associated with magnetic resonance imaging. After initiation of alpha-blocker treatment, delivery was performed by cesarean section at 36 weeks of gestation. An excision was carried out by laparoscopy 2 months postpartum without intra- and postoperative complications.</p><p><strong>Conclusions: </strong>The absence of antenatal diagnosis of PPGL is the main risk factor increasing maternal and fetal mortality. Certain criteria such as a family history, the appearance of early or malignant arterial hypertension should suggest the diagnosis of PPGL. The initiation of alpha-blocker treatment upon diagnosis is essential. The curative therapy remains surgical excision. Its timing depends on its size, location, term of pregnancy and route of delivery. It is preferable to postpone it until postpartum in order to reduce the risk of complications.</p>","PeriodicalId":56056,"journal":{"name":"Gynecologie Obstetrique Fertilite & Senologie","volume":" ","pages":""},"PeriodicalIF":0.6,"publicationDate":"2024-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142513543","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