Gynecologie Obstetrique Fertilite & Senologie最新文献

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Comment je fais… Optimiser mes réglages Doppler pour une analyse du cœur fœtal au premier trimestre de la grossesse ? 如何...... 优化多普勒设置，以便在怀孕前三个月进行胎心分析？

IF 0.6 4区医学 Q4 OBSTETRICS & GYNECOLOGY

Gynecologie Obstetrique Fertilite & Senologie

Pub Date : 2024-05-24 DOI: 10.1016/j.gofs.2024.05.002

Maud Allary , Edwin Quarello

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Faut-il dépister un vasa prævia ? 有必要筛查前置胎盘吗？

IF 0.6 4区医学 Q4 OBSTETRICS & GYNECOLOGY

Gynecologie Obstetrique Fertilite & Senologie

Pub Date : 2024-05-23 DOI: 10.1016/j.gofs.2024.05.001

Jeremy Boujenah , Celine Dupont-Bernabe , Claire Thuillier , Nicolas Sananes , Philippe Bouhanna , Patrick Rozenberg

引用次数: 0

L’hyperparathyroïdie primaire durant la grossesse : étude d’un cas [妊娠期原发性甲状旁腺功能亢进症：病例报告]。

IF 0.6 4区医学 Q4 OBSTETRICS & GYNECOLOGY

Gynecologie Obstetrique Fertilite & Senologie

Pub Date : 2024-05-09 DOI: 10.1016/j.gofs.2024.04.005

Jonathan Sabah , Alexis Marouk , Eric Boudier , Gilles-Davy Kossa-Ko-Ouakoua , Philippe Deruelle

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Impact du mode de suivi des ruptures prématurées des membranes avant 36 SA sur la durée de latence [妊娠36周前胎膜早破的随访方式对潜伏期的影响]。

IF 0.6 4区医学 Q4 OBSTETRICS & GYNECOLOGY

Gynecologie Obstetrique Fertilite & Senologie

Pub Date : 2024-05-09 DOI: 10.1016/j.gofs.2024.04.006

Charlotte Le Lann , Élodie Drumez , Louise Ghesquiere , Norbert Winer , Vincent Dochez , Émilie Misbert

Introduction

Preterm premature rupture of membranes (PPROM) is the main cause of premature delivery, complicating 1–3% of all pregnancies. Conventional hospitalization (CH) is the most frequent mode of follow-up, but homecare (HC) seems to be an alternative.

Objectives

Study of the impact of the monitoring mode on the duration of the latency period and on the latency ratio after PPROM, and analysis of the risk factors modifying this ratio.

Methods

This was a bicentric retrospective cohort study here-abouts including patients who presented a PPROM between 24 and 36 weeks of gestation from 2016 to 2018. Patients had a follow-up in HC at Lille University Hospital center (UHC) and in CH at Nantes UHC according to two different follow-up protocols. The latency ratio corresponded to the real latency period divided by the latency period to theoretical term.

Results

We included 154 patients: 102 in HC and 52 in CH. The mean latency period was significantly higher in HC: 36.9 ± 21.8 days, corresponding to an 85.5 ± 23.7% latency ratio versus 20.2 ± 12 days, corresponding to an 66.9 ± 29.8% latency ratio in CH (P < 0.001). The latency ratio in CH was correlated with term at PPROM (P = 0.001).

Conclusions

The duration of the latency period seems prolonged for PPROM followed by HC management versus CH in selected populations. This study suggests a benefit to HC in stable patients.

导言早产胎膜早破（PPROM）是导致早产的主要原因，1%-3%的孕妇会因此并发早产。传统的住院治疗（CH）是最常见的随访方式，但家庭护理（HC）似乎是另一种选择：研究监测模式对早产后潜伏期持续时间和潜伏期比率的影响，并分析改变这一比率的风险因素：这是一项双中心回顾性队列研究，包括2016年至2018年妊娠24周至36周期间出现PPROM的患者。根据两种不同的随访方案，患者分别在里尔大学医院中心（UHC）的HC和南特大学医院中心（UHC）的CH接受随访。潜伏期比率相当于实际潜伏期除以理论足月潜伏期：我们共纳入了154名患者：102名HC患者和52名CH患者。HC患者的平均潜伏期明显更高：36.9±21.8天，潜伏期比率为85.5±23.7%；CH患者的平均潜伏期为20.2±12天，潜伏期比率为66.9±29.8%（P< 0.001）。结论：结论：在特定人群中，PPROM 后进行 HC 管理与 CH 相比，潜伏期的持续时间似乎更长。这项研究表明，在病情稳定的患者中使用 HC 有好处。

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引用次数: 0

Mise au point sur les modalités de gestion des efforts expulsifs lors de l’accouchement [分娩过程中排气处理方式的最新进展]

IF 0.6 4区医学 Q4 OBSTETRICS & GYNECOLOGY

Gynecologie Obstetrique Fertilite & Senologie

Pub Date : 2024-04-12 DOI: 10.1016/j.gofs.2024.04.003

Ninon Dupuis , Camille Le Ray

The second stage of labour includes both the passive and active stages, involving expulsive efforts. The management of this phase of labour aims to minimise the maternal and neonatal complications that could be associated with a prolonged active2nd stage, but also to limit medical interventions. On the maternal side, prolonged duration of expulsive effort appears to be correlated with increased postpartum haemorrhage, perineal injury and, in the long term, urinary and anal incontinence. From a neonatal viewpoint, expulsive efforts carry risks of neonatal acidosis, asphyxia, admission to the neonatal intensive care unit and trauma. Optimal management of expulsive efforts involves several strategies. Various aspects need to be addressed in order to optimise this management, including the timing of the start of expulsive efforts, comparing immediate pushing with delayed pushing, and the duration of expulsive efforts. In addition, it is important to examine the different pushing modalities, whether intense or moderate, using open or closed-glottis pushing, as well as the maternal position during pushing. According to the current literature, no specific technique or predefined duration appears to reduce the risk of neonatal or maternal complications. It therefore seems essential to adopt an individualised approach for each woman, placing her at the centre of the care and decision-making process, in order to take account of her preferences during childbirth.

第二产程包括被动产程和主动产程，涉及排气。对这一产程的管理旨在最大限度地减少产妇和新生儿因第二产程过长而引起的并发症，同时也要限制医疗干预。在产妇方面，产程过长似乎与产后出血、会阴损伤以及长期的尿失禁和肛门失禁有关。从新生儿角度来看，用力挤压有可能导致新生儿酸中毒、窒息、新生儿重症监护室和创伤。为了优化这种管理，需要解决多方面的问题，包括开始用力挤压的时间、立即用力挤压与延迟用力挤压的比较以及用力挤压的持续时间。此外，还必须研究不同的催产方式，是强力催产还是适度催产，是开气门催产还是闭气门催产，以及产妇在催产过程中的体位。因此，似乎有必要对每位产妇采取个体化的方法，将其置于护理和决策过程的中心，以考虑其在分娩过程中的偏好。

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引用次数: 0

Prévalence des ménorragies chez les femmes à la Réunion [留尼汪岛妇女月经过多患病率]。

IF 0.6 4区医学 Q4 OBSTETRICS & GYNECOLOGY

Gynecologie Obstetrique Fertilite & Senologie

Pub Date : 2024-02-09 DOI: 10.1016/j.gofs.2024.02.002

Mélanie Battegay , Samy Khaled , Laurianne Reitz , Vincent Balaya , Peter Von Theobald , Malik Boukerrou , Phuong Lien Tran

Objectives

To estimate the prevalence of menorrhagia in women in Reunion Island using the Higham score, to evaluate self-reporting as an alternative diagnostic method, and to study women's level of knowledge about menorrhagia and its impact on their quality of life.

Methods

This was a descriptive, cross-sectional observational study involving 185 adult women with menstrual periods living in Reunion Island. Women volunteered to answer an online self-questionnaire proposed by healthcare professionals from January to May 2023 in Reunion Island. They completed a general information questionnaire, the Higham score, a menorrhagia knowledge questionnaire and a menstrual quality of life questionnaire.

Results

The prevalence of menorrhagia in the sample was 48.1% using the Higham score and 46.5% using self-report. Women's level of knowledge about menorrhagia is still insufficient, given the significant impact on quality of life during menstruation among those suffering from this symptom.

Conclusion

The prevalence of menorrhagia in our sample of women on Reunion Island is high. Measures need to be taken to break the taboos surrounding menstruation, promote menstrual education and foster a better understanding by women of menstrual pathologies, particularly menorrhagia. Early detection of this symptom would enable faster treatment and avoid complications and adverse effects on quality of life.

目的用海哈姆评分法估算留尼汪岛妇女月经过多的患病率，评估自我报告作为替代诊断方法的效果，研究妇女对月经过多的了解程度及其对生活质量的影响：这是一项描述性横断面观察研究，涉及居住在留尼汪岛的 185 名月经期成年女性。妇女自愿回答由留尼汪岛医疗保健专业人员于 2023 年 1 月至 5 月提出的在线自我问卷。她们填写了一份一般信息问卷、海勒姆评分、一份月经过多知识问卷和一份月经期生活质量问卷：结果：根据海勒姆评分，样本中月经过多的发生率为 48.1%，根据自我报告，发生率为 46.5%。鉴于月经过多会严重影响经期生活质量，妇女对月经过多的了解程度仍然不足：结论：留尼汪岛妇女月经过多的发病率很高。需要采取措施打破围绕月经的禁忌，促进月经教育，让妇女更好地了解月经病症，尤其是月经过多。如果能及早发现这种症状，就能更快地进行治疗，避免并发症和对生活质量的不利影响。

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引用次数: 0

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