Gynecologie Obstetrique Fertilite & Senologie最新文献

{"title":"Les déterminants de la vaccination anti-papillomavirus humain des garçons à La Réunion : enquête auprès des parents et des médecins généralistes","authors":"Camille Rouglan ,&nbsp;Antoine Bertolotti ,&nbsp;Vincent Balaya ,&nbsp;Marie France Malcher ,&nbsp;Mohamed Khettab ,&nbsp;Malik Boukerrou ,&nbsp;Phuong Lien Tran","doi":"10.1016/j.gofs.2024.07.002","DOIUrl":"10.1016/j.gofs.2024.07.002","url":null,"abstract":"<div><h3>Objectives</h3><div>To describe the knowledge, barriers and acceptability factors of parents and general practitioners about HPV vaccination amongst boys in Reunion Island, in order to adapt primary prevention locally.</div></div><div><h3>Methods</h3><div>This was a quantitative, descriptive, cross-sectional, observational study involving 88 parents of boys aged 11 to 19 and 81 general practitioners based in Reunion Island. Both populations volunteered to answer a questionnaire available online or on paper.</div></div><div><h3>Results</h3><div>Parents’ knowledge about HPV was insufficient. In Reunion Island, social media and the precarious status of parents play a particularly negative role in the vaccine intention. The number of doctors who have started HPV vaccination on boys is low despite awareness of the recommendation, particularly older doctors who practice alone, in certain sectors of the island.</div></div><div><h3>Conclusions</h3><div>The young and precarious population of Reunion Island is particularly at risk of pathologies related to HPV and requires adapted prevention to the territory's specificities. It seems necessary to continue to inform general practitioners, in order to promote vaccination and to fight against the misinformation of media about the HPV vaccine.</div></div>","PeriodicalId":56056,"journal":{"name":"Gynecologie Obstetrique Fertilite & Senologie","volume":"53 2","pages":"Pages 94-101"},"PeriodicalIF":0.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141604548","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":"Conduite à tenir devant une femme ayant une cytologie cervico-utérine anormale : actualisation des recommandations INCa après la mise en place du dépistage par le test HPV","authors":"Jean-Luc Brun ,&nbsp;Christine Bergeron ,&nbsp;Gerlinde Averous ,&nbsp;Katty Ardaens ,&nbsp;Olivier Aynaud ,&nbsp;Hortense Baffet ,&nbsp;Sylvain Bouquet ,&nbsp;Geoffroy Canlorbe ,&nbsp;Charlotte Charpentier ,&nbsp;Christine Clavel ,&nbsp;Béatrix Cochand-Priollet ,&nbsp;Monique Courtade ,&nbsp;Mélanie Frigenza ,&nbsp;Isabelle Garrigue ,&nbsp;Jean Gondry ,&nbsp;Isabelle Hernandez ,&nbsp;Raphaël Hocquemiller ,&nbsp;Bernard Huynh ,&nbsp;Philippe Judlin ,&nbsp;Karine Le Bail-Carval ,&nbsp;Xavier Carcopino","doi":"10.1016/j.gofs.2024.11.006","DOIUrl":"10.1016/j.gofs.2024.11.006","url":null,"abstract":"<div><h3>Objective</h3><div>To update the recommendations issued by the National Cancer Institute (INCa) on the management of women with abnormal cervical cytology.</div></div><div><h3>Methods</h3><div>INCa recommendations on the management of women with abnormal cervical cytology were published in 2016. In 2019, the High Authority of Health (HAS) recommends HPV test for cervical cancer screening in women over 30. It was therefore necessary to update the initial management and follow-up of women with a reflex cytology abnormality after a positive HPV test. We used the modified Delphi method. Each decision tree was modified by the 3 members of the organizing committee and then presented to 35 experts over 2 rounds, in order to obtain their agreement in terms of validity and clarity.</div></div><div><h3>Results</h3><div>This formalized consensus of experts allowed the creation of 17 decision trees instead of 15 previously: 13 on the diagnostic management of abnormal cytology, stratified according to age, and 4 on therapeutic indications in abnormal histology. The median agreement scores were 89% (81–97).</div></div><div><h3>Conclusion</h3><div>These 17 decision trees respond to the different situations that health professionals may encounter in order to enable them to act, to follow-up or delegate according to their specialties.</div></div>","PeriodicalId":56056,"journal":{"name":"Gynecologie Obstetrique Fertilite & Senologie","volume":"53 2","pages":"Pages 54-75"},"PeriodicalIF":0.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143069808","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":"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":"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":"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":"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":"Sexualité du couple pendant une grossesse obtenue par assistance médicale à la procréation : une étude comparative","authors":"Marine Beaumont ,&nbsp;Mikael Agopiantz ,&nbsp;Jeannine Ohl ,&nbsp;Marie-Laure Eszto ,&nbsp;Cedric Baumann ,&nbsp;Matthieu Dap","doi":"10.1016/j.gofs.2025.01.005","DOIUrl":"10.1016/j.gofs.2025.01.005","url":null,"abstract":"<div><h3>Objective</h3><div>To study the sexuality of pregnant women after assisted reproductive technology (ART).</div></div><div><h3>Methods</h3><div>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.</div></div><div><h3>Results</h3><div>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 (<em>n</em> <!-->=<!--> <!-->108/215) and 44.1% in the spontaneous pregnancy group (<em>n</em> <!-->=<!--> <!-->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, <em>P</em> <!-->=<!--> <!-->0.07) but was significantly reduced across all trimesters (23.4<!--> <!-->±<!--> <!-->9.2 vs. 25.4<!--> <!-->±<!--> <!-->5.8, <em>P</em> <!-->=<!--> <!-->0.02). Couple relationship quality (CSI 32) was similar between the two groups (134.4<!--> <!-->±<!--> <!-->22.2 vs. 133.9<!--> <!-->±<!--> <!-->23.9, <em>P</em> <!-->=<!--> <!-->0.85). Only 13.9% of ART women (<em>n</em> <!-->=<!--> <!-->30/215) and 8.6% of spontaneous pregnancy women (<em>n</em> <!-->=<!--> <!-->16/186) had discussed their sexuality during pregnancy with a healthcare professional.</div></div><div><h3>Conclusion</h3><div>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.</div></div>","PeriodicalId":56056,"journal":{"name":"Gynecologie Obstetrique Fertilite & Senologie","volume":"53 5","pages":"Pages 258-263"},"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":"Comment je fais… l’annonce d’une anomalie fœtale en échographie de dépistage","authors":"Olivia Anselem ,&nbsp;Eve Mousty ,&nbsp;Nadine Knezovic ,&nbsp;Florence Becker ,&nbsp;Philippe Bouhanna ,&nbsp;Nicolas Sananès","doi":"10.1016/j.gofs.2024.07.007","DOIUrl":"10.1016/j.gofs.2024.07.007","url":null,"abstract":"","PeriodicalId":56056,"journal":{"name":"Gynecologie Obstetrique Fertilite & Senologie","volume":"53 1","pages":"Pages 38-40"},"PeriodicalIF":0.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142006005","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}