Gynecologie Obstetrique Fertilite & Senologie最新文献

{"title":"Analyse d’une cohorte française d’encéphalopathies néonatales anoxo-ischémiques à l’ère de l’hypothermie thérapeutique : questions–réponses","authors":"Thierry Debillon ,&nbsp;Jonathan Beck ,&nbsp;Isabelle Guellec ,&nbsp;Antoine Vilotitch ,&nbsp;Véronique Pierrat ,&nbsp;Olivier Baud ,&nbsp;Loïc Sentilhes ,&nbsp;Gilles Kayem ,&nbsp;Anne Ego","doi":"10.1016/j.gofs.2024.02.025","DOIUrl":"10.1016/j.gofs.2024.02.025","url":null,"abstract":"<div><h3>Objective</h3><p>To improve knowledge of neonatal hypoxic-ischemic encephalopathy, a prospective, nationwide, population-based cohort of affected children is being set up between September 2015 and March 2017.</p></div><div><h3>Methods</h3><p>During this period, 794 cases are collected, with information on pregnancy, delivery, neonatal stay and outcome at the end of hospitalization. Clinical and parental questionnaire follow-up is planned until the child is 4 years old.</p></div><div><h3>Results</h3><p>This article presents the clinical presentation of the newborns included, the analysis of factors associated with short-term outcome at hospital discharge and the organizational factors associated with treatment with therapeutic hypothermia.</p></div><div><h3>Conclusion</h3><p>These data illustrate the value of a prospective cohort to analyze the management of anoxo-ischemic encephalopathy in France.</p></div>","PeriodicalId":56056,"journal":{"name":"Gynecologie Obstetrique Fertilite & Senologie","volume":"52 7","pages":"Pages 473-480"},"PeriodicalIF":0.6,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140013807","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":"L’étiologie de la pré-éclampsie est-elle vraiment placentaire ?","authors":"Emmanuel Simon","doi":"10.1016/j.gofs.2024.06.001","DOIUrl":"https://doi.org/10.1016/j.gofs.2024.06.001","url":null,"abstract":"","PeriodicalId":56056,"journal":{"name":"Gynecologie Obstetrique Fertilite & Senologie","volume":"52 7","pages":"Pages 443-445"},"PeriodicalIF":0.6,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141484058","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(24)00239-3","DOIUrl":"https://doi.org/10.1016/S2468-7189(24)00239-3","url":null,"abstract":"","PeriodicalId":56056,"journal":{"name":"Gynecologie Obstetrique Fertilite & Senologie","volume":"52 7","pages":"Page v"},"PeriodicalIF":0.6,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2468718924002393/pdfft?md5=a5acb2508a128ba4754064640832d2e3&pid=1-s2.0-S2468718924002393-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141484057","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":"Le neurodéveloppement et la neuroprotection du jeune enfant","authors":"Stéphane Marret ,&nbsp;Alexandra Chadie ,&nbsp;Jean-Baptiste Muller ,&nbsp;Clément Chollat","doi":"10.1016/j.gofs.2024.03.003","DOIUrl":"10.1016/j.gofs.2024.03.003","url":null,"abstract":"<div><p>In France, the most pessimistic estimates put the prevalence of neurodevelopmental disorders (NDD) at 15 % of births. The two largest populations of newborns at highest risk of NDD are premature babies and babies born into siblings with one or more infants who already have an autism spectrum disorder or another NDD. The high prevalence of these disorders justifies a health promotion policy, centred on the child and his or her family. Prevention is based on the early identification of high-risk factors, by informing families and training pregnancy and early childhood professionals, and implementing perinatal prevention protocols for high-risk newborns (antenatal corticosteroid therapy and magnesium sulfate for women at risk of preterm delivery before 32 weeks, developmental care, therapeutic hypothermia for full-term infants with early neonatal encephalopathy presumed to be anoxic). Preventing the severity of NDD depends on their early identification, as early as possible in the highest plastic “1000 days” developmental window, a smooth flow of diagnosis and care for mothers and children, and the establishment of an ecosystem that includes multi-modal early intervention, at the best in multi-disciplinary teams such as the early medical and social action centres, support for families through guidance programs and inclusion in the community, first in day-care centers and then in nursery schools.</p></div>","PeriodicalId":56056,"journal":{"name":"Gynecologie Obstetrique Fertilite & Senologie","volume":"52 7","pages":"Pages 481-489"},"PeriodicalIF":0.6,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140141224","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":"Les forums de discussion dédiés au cancer du sein peuvent-ils être utiles aux soignants ? Analyse des messages initiaux du forum de la Ligue nationale contre le cancer pendant une année","authors":"Hélène Burgué ,&nbsp;Philippe Trensz ,&nbsp;Carole Mathelin ,&nbsp;Anna Schohn","doi":"10.1016/j.gofs.2024.02.003","DOIUrl":"10.1016/j.gofs.2024.02.003","url":null,"abstract":"<div><h3>Objectives</h3><p>Forums are a source of health information and exchange. They can be studied to determine patients’ needs and improve caregivers’ practices. The aim of this study was to identify the needs of breast cancer patients based on messages posted on a discussion forum.</p></div><div><h3>Methods</h3><p>Initial messages posted in 2021 on the <em>Ligue nationale contre le cancer</em> (LNCC) breast cancer forum were analyzed quantitatively. Message content was classified into three categories: testimonial, request for advice or request for medical opinion. The tone of the message (positive, neutral, or negative) was recorded. The temporality of the illness during which the patient expressed herself was defined. Analysis was carried out on the initial messages using the Chi², Fisher, and Kruskal-Wallis tests, with a significance level of<!--> <!-->&lt;<!--> <!-->0.05.</p></div><div><h3>Results</h3><p>In 2021, 640 initial messages posted on the LNCC forum dedicated to breast cancer were analyzed. Messages were posted by 312 authors, including 275 patients and 37 family members. Three main types of messages were identified: requests for medical advice (<em>n</em> <!-->=<!--> <!-->339), advice (<em>n</em> <!-->=<!--> <!-->164), and testimonials (<em>n</em> <!-->=<!--> <!-->137). Requests for medical advice elicited fewer responses than testimonials (<em>P</em> <!-->&lt;<!--> <!-->0.001). A need for supportive care was identified in 42.8% of messages, mostly concerning social (17.3%) and psychological (13%) care.</p></div><div><h3>Conclusion</h3><p>Our study revealed a need for more information especially regarding the social impact of the disease and the side-effects of treatment. The period of greatest need of information was the diagnostic waiting time. However, patients using discussion forums are not representative of all women with breast cancer and our results should not be generalized to all patients treated for breast cancer.</p></div>","PeriodicalId":56056,"journal":{"name":"Gynecologie Obstetrique Fertilite & Senologie","volume":"52 7","pages":"Pages 466-472"},"PeriodicalIF":0.6,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139718095","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":"Facteurs de risque de lésions malpighiennes intra-épithéliale de haut grade ou de cancer du col de l’utérus en cas de maladie inflammatoire chronique de l’intestin","authors":"Clémence Dujardin ,&nbsp;Thibault Balcaen ,&nbsp;Antoine Vanoost ,&nbsp;Denis Chatelain ,&nbsp;Jean Gondry ,&nbsp;Mathurin Fumery ,&nbsp;Arthur Foulon","doi":"10.1016/j.gofs.2024.01.008","DOIUrl":"10.1016/j.gofs.2024.01.008","url":null,"abstract":"<div><h3>Introduction</h3><p>Chronic inflammatory bowel disease (IBD) is thought to increase the risk of high-grade histological intraepithelial lesions (HGIL) and cervical cancer. The risk factors for developing these lesions are poorly understood.</p></div><div><h3>Materials and methods</h3><p>This is a single-center retrospective case-control study including IBD patients followed at our University Hospital Center from 2011 to 2021 who presented with HGIL or cervical cancer. Four controls were case-matched according to IBD type, age, active smoking and multiparity.</p></div><div><h3>Results</h3><p>Eighteen cases and 72 controls were included. We found no significant differences between the 2 groups with regard to mean age at IBD diagnosis, mean duration of IBD, IBD location, history of IBD-related surgery or even association with another chronic inflammatory disease. In our study, the use of immunosuppressants/biotherapies in these patients [50% (9/18) for cases vs. 56% (40/72) for controls; <em>P</em> <!-->=<!--> <!-->0.9] was not a risk factor for IGRA or cervical cancer. Similarly, neither the total duration of exposure to immunosuppressants/biotherapies (9.9<!--> <!-->±<!--> <!-->8<!--> <!-->years for cases vs. 6.6<!--> <!-->±<!--> <!-->5.3<!--> <!-->years for controls; <em>P</em> <!-->=<!--> <!-->0.1), nor combined therapies [11% (2/18) for cases vs. 6% (4/72) for controls; <em>P</em> <!-->=<!--> <!-->0.3], nor azathioprine or methotrexate use [22% (4/18) for cases vs. 11% (8/72) for controls; <em>P</em> <!-->=<!--> <!-->0.3] were found to be risk factors.</p></div><div><h3>Conclusion</h3><p>In our study, we found no risk factors for patients with IBD to develop IGRA or cervical cancer.</p></div>","PeriodicalId":56056,"journal":{"name":"Gynecologie Obstetrique Fertilite & Senologie","volume":"52 7","pages":"Pages 460-465"},"PeriodicalIF":0.6,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2468718924000126/pdfft?md5=6571d35b3659fdf91bc30a791741452e&pid=1-s2.0-S2468718924000126-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139547761","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":"Influence de l’immersion dans l’eau sur le recours à la péridurale pendant le travail","authors":"Nesrine Kacha ,&nbsp;Gwendoline Dorel ,&nbsp;Paul Frappé ,&nbsp;Céline Chauleur ,&nbsp;Tiphaine Raia-Barjat","doi":"10.1016/j.gofs.2024.01.016","DOIUrl":"10.1016/j.gofs.2024.01.016","url":null,"abstract":"<div><h3>Objective</h3><p>Immersion in water during labor could reduce pain and use of epidural anesthesia during childbirth. The main objective of this study was to evaluate the influence of immersion in water during labor on the use of epidural anesthesia in a midwife care setting.</p></div><div><h3>Methods</h3><p>We conducted a single-center retrospective study of all women who gave birth in the physiological ward of Saint-Étienne University Hospital between October 2020 and December 2022.</p></div><div><h3>Results</h3><p>The study did not find difference between immersion group and control group concerning the use of epidural anesthesia (<em>P</em> <!-->=<!--> <!-->0.49). The immersion group counted more women with a duration of labor greater than 6<!--> <!-->hours than in the control group. The multivariate analysis adjusted for parity and duration of labor did not find difference between both groups [OR 0.58; 95% CI (0.30; 1.09)].</p></div><div><h3>Conclusion</h3><p>Even if it does not seem to modify the use of epidurals, immersion in water does not seem to increase maternal and neonatal morbidity and mortality. It represents a therapeutic alternative with reasonable cost to offer for pregnant women who wish to give birth without epidural anesthesia.</p></div>","PeriodicalId":56056,"journal":{"name":"Gynecologie Obstetrique Fertilite & Senologie","volume":"52 7","pages":"Pages 454-459"},"PeriodicalIF":0.6,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139693640","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":"Accouchement voie basse spontané compliqué d’un abcès du muscle ilio-psoas. À propos d’un cas et revue de la littérature","authors":"Asma Dali ,&nbsp;Bilel Guidara ,&nbsp;Jean-Daniel Hini","doi":"10.1016/j.gofs.2024.01.013","DOIUrl":"10.1016/j.gofs.2024.01.013","url":null,"abstract":"","PeriodicalId":56056,"journal":{"name":"Gynecologie Obstetrique Fertilite & Senologie","volume":"52 7","pages":"Pages 490-491"},"PeriodicalIF":0.6,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139681950","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":"Devenir clinique après transfert de blastocystes vitrifiés selon l’indication de congélation","authors":"Emmanuelle Bodin ,&nbsp;Romane Sainte-Rose ,&nbsp;Claire Petit ,&nbsp;Marion Cornuau ,&nbsp;Fabrice Guérif","doi":"10.1016/j.gofs.2024.06.002","DOIUrl":"10.1016/j.gofs.2024.06.002","url":null,"abstract":"<div><h3>Objectives</h3><div>In France, embryo thawing concern 45.8% of attempts at assisted reproductive technologies excluding artificial inseminations. This proportion is constantly increasing for various reasons. The main objective of this study is to compare the live birth rate following frozen blastocyst transfer (FBT) according to the initial indication for freezing.</div></div><div><h3>Methods</h3><div>This is a retrospective study including patients who underwent FBT between 01/01/2020 and 06/30/2022 at the Regional University Hospital Center of Tours. The results were compared (univariate and multivariate analyses) between the three main indications for freezing: freezing of the complete cohort of blastocysts for risk of ovarian hyperstimulation (=OHS), freezing of supernumerary blastocysts after fresh blastocyst transfer (BT) with pregnancy (=second request) or without pregnancy (=BT failure). Results have also been described for other indications.</div></div><div><h3>Results</h3><div>Among the 963 FBT cycles selected, 28% of live births by thawing were obtained, all indications of freezing combined. A significantly lower rate was identified in the FBT failure group compared to the OHS group. However, after adjustment, the results remained significant for the age of the patient on the freezing cycle but not for the indication for freezing.</div></div><div><h3>Conclusions</h3><div>The outcome of a FBT does not seem significantly impacted by the indication of freezing considering the confounding factors. The prospective analysis of more data from a multicenter study would be necessary to confirm these results.</div></div>","PeriodicalId":56056,"journal":{"name":"Gynecologie Obstetrique Fertilite & Senologie","volume":"52 12","pages":"Pages 690-696"},"PeriodicalIF":0.6,"publicationDate":"2024-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141473099","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":"La nouvelle version du site internet du Centre de référence sur les agents tératogènes et ses fonctionnalités optimisées","authors":"Bénédicte Coulm ,&nbsp;Delphine Beghin ,&nbsp;Mathilde Latour ,&nbsp;Bilal Majed ,&nbsp;Catherine Vauzelle ,&nbsp;Elisabeth Elefant ,&nbsp;Benoît Marin","doi":"10.1016/j.gofs.2024.05.005","DOIUrl":"10.1016/j.gofs.2024.05.005","url":null,"abstract":"<div><div>The Centre de Référence sur les Agents Tératogènes (CRAT) is a unique French national reference center involved in the risk assessment of exogenous agents (mainly drugs, but also medical imaging and addictions) on pregnancy, breastfeeding and fertility. To help improve patient care, CRAT makes its expertise available to healthcare professionals via its website (<span><span>www.lecrat.fr</span><svg><path></path></svg></span>), a free, independent and public online resource regularly updated by its multidisciplinary team. In December 2023, a new version was launched, based on the evolutions desired by the CRAT team and on a satisfaction survey of website's users. A predictive search bar integrated into the home page now enables users to find the specific information they are looking for more quickly. To optimize the access via smartphones, a mobile version is now available.</div></div>","PeriodicalId":56056,"journal":{"name":"Gynecologie Obstetrique Fertilite & Senologie","volume":"52 12","pages":"Pages 725-729"},"PeriodicalIF":0.6,"publicationDate":"2024-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141285400","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}