Gynecologie Obstetrique Fertilite & Senologie最新文献_第4页

La fraude dans les publications médicales et scientifiques : la nouvelle pandémie à haut risque ? 医学和科学出版物中的欺诈：新的高风险大流行？

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

Parcours professionnel des gynécologues-obstétricien(ne)s après leur internat [妇产科医生的职业轨迹]。

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":"Parcours professionnel des gynécologues-obstétricien(ne)s après leur internat","authors":"Anaïs Turcsak, Chrystèle Rubod, Damien Subtil, Charles Garabedian, Louise Ghesquiere, Nassima Ramdane, Véronique Debarge","doi":"10.1016/j.gofs.2025.02.005","DOIUrl":"10.1016/j.gofs.2025.02.005","url":null,"abstract":"<div><h3>Objectives</h3><div>To analyze the career paths of gynecologists-obstetricians to identify the factors that lead them to stop practicing obstetrics or on-call duties.</div></div><div><h3>Material and methods</h3><div>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.</div></div><div><h3>Results</h3><div>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 (<em>P</em>  <!-->0.001): 95% practiced it in their first position, 43% did so in their fourth position. Eighty percent 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.</div></div><div><h3>Conclusion</h3><div>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.</div></div>","PeriodicalId":56056,"journal":{"name":"Gynecologie Obstetrique Fertilite & Senologie","volume":"53 5","pages":"Pages 236-240"},"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

Étude monocentrique sur les bénéfices de l’éducation thérapeutique pré-vaginoplastie [阴道成形术前治疗性教育益处的单中心研究]。

IF 0.6 4区医学

Gynecologie Obstetrique Fertilite & Senologie Pub Date : 2025-02-21 DOI: 10.1016/j.gofs.2025.02.004

David Bembaron, Jonathan Rausky, Michale Atlan, Patricia Laprade, Sarra Cristofari

{"title":"Étude monocentrique sur les bénéfices de l’éducation thérapeutique pré-vaginoplastie","authors":"David Bembaron, Jonathan Rausky, Michale Atlan, Patricia Laprade, Sarra Cristofari","doi":"10.1016/j.gofs.2025.02.004","DOIUrl":"10.1016/j.gofs.2025.02.004","url":null,"abstract":"<div><h3>Objectives</h3><div>Therapeutic education has been investigated in various surgical contexts to assess its impact on outcomes and hospital stay duration. This retrospective observational study evaluates the benefits of therapeutic education in vaginoplasty, focusing on hospital stay duration, follow-up rate, and vaginal stenosis incidence.</div></div><div><h3>Materials and methods</h3><div>This study included all patients who underwent vaginoplasty between October 2018 and April 2021. A therapeutic education program, conducted by a specialized nurse, was introduced in June 2020, providing a control group (pre-June 2020) and a therapeutic education (TE) group (post-June 2020). Data were retrospectively analyzed, with the primary outcome being the length of hospital stay post-surgery.</div></div><div><h3>Results</h3><div>A total of 153 patients were included, with 121 in the control group and 32 in the TE group. The TE group experienced a significantly reduced hospital stay (5.56 days) compared to the control group (9.98 days), <em>P</em>  <!-->0.001. Although no significant increase in follow-up rates was observed, a decrease in loss to follow-up was noted in the TE group. No significant reduction in the vaginal stenosis rate was found.</div></div><div><h3>Conclusion</h3><div>Preoperative therapeutic education for vaginoplasty appears to reduce hospital stay and reduce the loss to follow-up rate. To our knowledge, this is the first and largest study on this topic.</div></div>","PeriodicalId":56056,"journal":{"name":"Gynecologie Obstetrique Fertilite & Senologie","volume":"53 5","pages":"Pages 231-235"},"PeriodicalIF":0.6,"publicationDate":"2025-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143484839","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… les bonnes mesures par échographie périnéale pour caractériser une incontinence urinaire 我如何通过会阴超声正确测量尿失禁的特征？］

IF 0.6 4区医学

Gynecologie Obstetrique Fertilite & Senologie Pub Date : 2025-02-19 DOI: 10.1016/j.gofs.2025.02.002

Chloé Miguet-Bensouda , Charles-André Philip , Ana Gjorgjievska-Delov , Erdogan Nohuz , Laura Vernier , Delphine Nantois , Gautier Chene , Gery Lamblin

引用次数: 0

Don d’engendrement en France : la proposition d’un nouveau modèle 【法国生育捐赠：新模式的提出】。

IF 0.6 4区医学

Gynecologie Obstetrique Fertilite & Senologie Pub Date : 2025-02-17 DOI: 10.1016/j.gofs.2025.02.001

Mikaël Agopiantz , Hélène Malmanche , Guillaume Mougniotte , Jérôme Courduriès , Olivier Morel

引用次数: 0

Comment je fais… une chirurgie reconstructrice clitoridienne après excision rituelle en 10 étapes 我该怎么做……仪式切除后的阴蒂重建手术[j]。

IF 0.6 4区医学

Gynecologie Obstetrique Fertilite & Senologie Pub Date : 2025-02-01 DOI: 10.1016/j.gofs.2025.01.002

Erdogan Nohuz , Philippe Chabert , Gautier Chene

引用次数: 0

Réduction embryonnaire pour demande maternelle en cas de grossesse gémellaire : enquête nationale française [双胎妊娠中应产妇要求减少胚胎数量：法国的一项实践研究]。

IF 0.6 4区医学

Gynecologie Obstetrique Fertilite & Senologie Pub Date : 2025-02-01 DOI: 10.1016/j.gofs.2024.09.006

Cécile Pasteau , Karima Bettahar , Anne-Sophie Weingertner , Philippe Bouhanna , Nicolas Sananès

{"title":"Réduction embryonnaire pour demande maternelle en cas de grossesse gémellaire : enquête nationale française","authors":"Cécile Pasteau , Karima Bettahar , Anne-Sophie Weingertner , Philippe Bouhanna , Nicolas Sananès","doi":"10.1016/j.gofs.2024.09.006","DOIUrl":"10.1016/j.gofs.2024.09.006","url":null,"abstract":"<div><h3>Introduction</h3><div>In France, embryo reduction is controversial in twin pregnancy, especially when there is no underlying pathology. The objective of this study was to establish the status of this practice in France and to depict the ethical issues around this problematic.</div></div><div><h3>Study design</h3><div>A questionnaire drafted by Maternal and Fetal Medicine physicians and family planning teams of the University Hospital from Strasbourg was distributed to the 48 French Multidisciplinary Prenatal Diagnosis Centers, among which 28 answered (58,3%).</div></div><div><h3>Results</h3><div>Embryo reduction in twin pregnancy on maternal request has already challenged 71% of the centers; 29% have performed such a reduction. The overall position of the centers to these requests is negative (3.1/10), with very mixed levels of in-team agreement. The main arguments against this practice are that twin pregnancy is not a pathology, that embryo reduction exposes to the risk of loosing the entire pregnancy, the feeling of being held hostage with the alternative of abortion of the whole pregnancy, and the lack of legal framing. On the contrary, the arguments in favor of the reduction are: that the reduction can avoid an abortion, that this type of reduction can be related to a partial abortion, that it responds to women's rights and that mental health is an integral part of women's health.</div></div><div><h3>Conclusion</h3><div>There is no consensus about how to respond to patients requesting for embryo reduction in twin pregnancy. However, the majority of Centers have been confronted with it and it would be necessary to open the debate on this problem and the ethical questions it raises.</div></div>","PeriodicalId":56056,"journal":{"name":"Gynecologie Obstetrique Fertilite & Senologie","volume":"53 2","pages":"Pages 87-93"},"PeriodicalIF":0.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142333110","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

Épidémie à parvovirus B19 chez les femmes enceintes : évolution épidémiologique depuis 5 ans au CHU de Bordeaux [孕妇中的 Parvovirus B19 流行病：波尔多大学医院过去 5 年的流行趋势]。

IF 0.6 4区医学

Gynecologie Obstetrique Fertilite & Senologie Pub Date : 2025-02-01 DOI: 10.1016/j.gofs.2024.10.002

Hanane Bouchghoul , Marie Vincienne , Isabelle Garrigue , Loïc Sentilhes , Hugo Madar

引用次数: 0

Myopathie congénitale myotubulaire liée à l’X : du diagnostic prénatal au conseil génétique familial [X连锁肌管肌病：从产前诊断到家庭遗传咨询]。

IF 0.6 4区医学

Gynecologie Obstetrique Fertilite & Senologie Pub Date : 2025-02-01 DOI: 10.1016/j.gofs.2024.07.004

Jimmy Guichard , Coralie Dumont , Asma Omarjee , Marine Lafont , Malik Boukerrou , Phuong Lien Tran

引用次数: 0