Pub Date : 2026-02-01DOI: 10.1016/j.gofs.2025.10.013
Emmanuelle Jornet , François Goffinet , Jacques Lepercq
<div><h3>Objectifs</h3><div>Décrire les motifs de réclamations en maternité, puis identifier les patientes à risque accru de formuler une réclamation.</div></div><div><h3>Méthodes</h3><div>Étude rétrospective observationnelle des réclamations portant sur la prise en charge médicale ou soignante, puis étude cas-témoins (un cas, deux témoins consécutifs non appariés n’ayant pas formulé de réclamation). Les caractéristiques démographiques, maternelles, obstétricales et du post-partum ont été comparées en analyse univariée puis multivariée.</div></div><div><h3>Résultats</h3><div>Entre 2018 et 2022, 26 049 patientes ont accouché à la maternité Port-Royal. Parmi elles, cinquante (2‰) réclamantes ont été comparées à 100 témoins. Les trois principaux motifs de réclamations étaient un défaut d’information (58 %), une attitude incorrecte des professionnels (44 %), et une prise en charge médicale considérée comme inadaptée (30 %). En analyse univariée, les facteurs de risque de réclamation étaient les antécédents psychologiques ou psychiatriques (20 vs 7 %, <em>p</em> <!-->=<!--> <!-->0,02), la gémellité (16 vs 3 %, <em>p</em> <!-->=<!--> <!-->0,01), la survenue d’une pathologie fœtale (20 vs 6 %, <em>p</em> <!-->=<!--> <!-->0,01), la durée du travail<!--> <!-->≥<!--> <!-->12<!--> <!-->heures (30 vs 16 %, <em>p</em> <!-->=<!--> <!-->0,04), et l’hospitalisation de l’enfant en néonatologie (18 vs 5 %, <em>p</em> <!-->=<!--> <!-->0,01). En analyse multivariée, la gémellité (ORa IC 95 % 4,74 [0,97–23,23]) et la durée du travail<!--> <!-->≥<!--> <!-->12<!--> <!-->heures (ORa IC 95 % 2,45 [0,96–6,27]) étaient associées à une augmentation non significative des réclamations.</div></div><div><h3>Conclusion</h3><div>Ces résultats suggèrent des axes d’amélioration de la prise en charge des patientes en maternité en général, et chez certaines patientes à risque accru plus particulièrement.</div></div><div><h3>Objectives</h3><div>Quantify and describe the reasons for complaints in maternity, then identify patients at risk of complaining.</div></div><div><h3>Methods</h3><div>Retrospective observational study of complaints relating to medical or nursing care, then case-control study (one case, two consecutive unmatched controls). Demographic, maternal, obstetric and postpartum characteristics were compared using univariate and then multivariate analysis.</div></div><div><h3>Results</h3><div>Between 2018 and 2022, 26,049 patients gave birth at the Port-Royal maternity ward. Among them, 50 (2‰) complained to the patients’ rights department and were compared to 100 controls. The three main reasons for complaints were a lack of information (58%), an incorrect attitude of professionals (44%) and medical care considered unsuitable (30%). In univariate analysis, the risk factors for complaints were psychological or psychiatric background (20 vs. 7%, <em>P</em> <!-->=<!--> <!-->0.02), twinning (16 vs. 3%, <em>P</em> <!-->=<!--> <!-->0.01), the occurrence of a fetal pathology (20%
目的：量化和描述产妇投诉的原因，然后识别有投诉风险的患者。方法：对与医疗或护理有关的投诉进行回顾性观察研究，然后进行病例对照研究（1例，2个连续的不匹配对照）。采用单因素和多因素分析比较人口统计学、产妇、产科和产后特征。结果：2018年至2022年期间，有26,049名患者在皇家港产科病房分娩。其中向病权科投诉50例（2‰），对照100例。投诉的三个主要原因是缺乏信息（58%）、专业人员的不正确态度（44%）和认为不合适的医疗服务（30%）。在单因素分析中，主诉的危险因素为心理或精神病学背景（20%对7%，p=0.02）、双胞胎（16%对3%，p=0.01）、胎儿病理（20%对6%，p=0.01）、产程≥12小时（30%对16%，p=0.04）和新生儿住院（18%对5%，p=0.01）。在多变量分析中，双胞胎（OR 95% CI 4.74[0.97-23.23]）和工作时间≥12小时（OR 95% CI 2.45[0.96-6.27]）与投诉无显著性增加相关。结论：这些结果揭示了产妇护理的改进领域，特别是在某些高危患者中。
{"title":"Description et prévention des réclamations des patientes en maternité","authors":"Emmanuelle Jornet , François Goffinet , Jacques Lepercq","doi":"10.1016/j.gofs.2025.10.013","DOIUrl":"10.1016/j.gofs.2025.10.013","url":null,"abstract":"<div><h3>Objectifs</h3><div>Décrire les motifs de réclamations en maternité, puis identifier les patientes à risque accru de formuler une réclamation.</div></div><div><h3>Méthodes</h3><div>Étude rétrospective observationnelle des réclamations portant sur la prise en charge médicale ou soignante, puis étude cas-témoins (un cas, deux témoins consécutifs non appariés n’ayant pas formulé de réclamation). Les caractéristiques démographiques, maternelles, obstétricales et du post-partum ont été comparées en analyse univariée puis multivariée.</div></div><div><h3>Résultats</h3><div>Entre 2018 et 2022, 26 049 patientes ont accouché à la maternité Port-Royal. Parmi elles, cinquante (2‰) réclamantes ont été comparées à 100 témoins. Les trois principaux motifs de réclamations étaient un défaut d’information (58 %), une attitude incorrecte des professionnels (44 %), et une prise en charge médicale considérée comme inadaptée (30 %). En analyse univariée, les facteurs de risque de réclamation étaient les antécédents psychologiques ou psychiatriques (20 vs 7 %, <em>p</em> <!-->=<!--> <!-->0,02), la gémellité (16 vs 3 %, <em>p</em> <!-->=<!--> <!-->0,01), la survenue d’une pathologie fœtale (20 vs 6 %, <em>p</em> <!-->=<!--> <!-->0,01), la durée du travail<!--> <!-->≥<!--> <!-->12<!--> <!-->heures (30 vs 16 %, <em>p</em> <!-->=<!--> <!-->0,04), et l’hospitalisation de l’enfant en néonatologie (18 vs 5 %, <em>p</em> <!-->=<!--> <!-->0,01). En analyse multivariée, la gémellité (ORa IC 95 % 4,74 [0,97–23,23]) et la durée du travail<!--> <!-->≥<!--> <!-->12<!--> <!-->heures (ORa IC 95 % 2,45 [0,96–6,27]) étaient associées à une augmentation non significative des réclamations.</div></div><div><h3>Conclusion</h3><div>Ces résultats suggèrent des axes d’amélioration de la prise en charge des patientes en maternité en général, et chez certaines patientes à risque accru plus particulièrement.</div></div><div><h3>Objectives</h3><div>Quantify and describe the reasons for complaints in maternity, then identify patients at risk of complaining.</div></div><div><h3>Methods</h3><div>Retrospective observational study of complaints relating to medical or nursing care, then case-control study (one case, two consecutive unmatched controls). Demographic, maternal, obstetric and postpartum characteristics were compared using univariate and then multivariate analysis.</div></div><div><h3>Results</h3><div>Between 2018 and 2022, 26,049 patients gave birth at the Port-Royal maternity ward. Among them, 50 (2‰) complained to the patients’ rights department and were compared to 100 controls. The three main reasons for complaints were a lack of information (58%), an incorrect attitude of professionals (44%) and medical care considered unsuitable (30%). In univariate analysis, the risk factors for complaints were psychological or psychiatric background (20 vs. 7%, <em>P</em> <!-->=<!--> <!-->0.02), twinning (16 vs. 3%, <em>P</em> <!-->=<!--> <!-->0.01), the occurrence of a fetal pathology (20%","PeriodicalId":56056,"journal":{"name":"Gynecologie Obstetrique Fertilite & Senologie","volume":"54 2","pages":"Pages 57-62"},"PeriodicalIF":0.8,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145281753","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}
Pub Date : 2026-02-01DOI: 10.1016/j.gofs.2025.11.001
Charlotte Fortun , Esther Samba , Claire Guinot , Isabelle Derrendinger , Isabelle Bouhier , Norbert Winer , Vincent Dochez
Objective
In obstetrics, walking or ambulatory epidural analgesia (APDD) represents an evolution of non-ambulatory epidural analgesia (APD), allowing women to maintain mobility during labor. In a context of increasing demand for more physiological childbirth, it is important to assess its impact on maternal satisfaction and obstetric safety. This article aims to compare maternal satisfaction and obstetric outcomes between women who received APDD and those who received non-ambulatory APD.
Methods
We conducted an ambispective cross-sectional cohort study in a tertiary maternity unit between June and November 2024. Women who delivered vaginally with either APDD or non-ambulatory APD were invited to complete the French Questionnaire d’Évaluation du Vécu de l’Accouchement (QEVA), supplemented by six items specifically addressing pain management. Obstetric and neonatal outcomes were collected from medical records.
Results
A total of 217 women were included (48 in the APDD group and 169 in the APD group). APDD was associated with lower maternal dissatisfaction: no women reported feeling “not at all active” or “not at all autonomous” during childbirth, nor that they would not recommend the technique, whereas dissatisfaction rates reached up to 5.9% in the APD group. The overall QEVA score did not significantly differ between groups (60.9 ± 5.3 vs. 60.2 ± 6.1; P = 0.44). Among extreme responses (value = 1), only the frequency of “unusual sensations” differed significantly (4.2 vs. 18.9%; P = 0.012). Obstetric and neonatal outcomes (cesarean rate, instrumental delivery, postpartum hemorrhage, neonatal complications) were comparable between groups.
Conclusion
APDD appears to be a safe technique that improves maternal satisfaction without compromising obstetric or neonatal outcomes. Its broader implementation, supported by national guidelines, could better meet women's growing expectations for a more physiological childbirth.
目的：在产科中，行走或动态硬膜外镇痛（APDD）代表了非动态硬膜外镇痛（APD）的演变，使妇女在分娩过程中保持活动能力。在越来越多的生理分娩需求的背景下，重要的是评估其对产妇满意度和产科安全的影响。本文旨在比较接受APDD和非门诊APD的产妇满意度和产科结果。方法：我们于2024年6月至11月在一家三级产科病房进行了一项双向横断面队列研究。阴道分娩时患有APDD或非门诊APD的妇女被邀请完成QEVA问卷（法语问卷d‘Évaluation du vvac del ’ accouchement），并补充了六个专门针对疼痛管理的项目。从医疗记录中收集产科和新生儿结局。结果：共纳入217例女性（APDD组48例，APD组169例）。APDD与较低的产妇不满有关：没有妇女报告在分娩过程中感到“一点也不活跃”或“一点也不自主”，也没有她们不推荐这项技术，而APD组的不满意率高达5.9%。总体QEVA评分组间差异无统计学意义（60.9±5.3比60.2±6.1;p = 0.44）。在极端反应（值= 1）中，只有“不寻常感觉”的频率差异显著（4.2% vs. 18.9%; p = 0.012）。产科和新生儿结局（剖宫产率、器械分娩、产后出血、新生儿并发症）组间具有可比性。结论：APDD似乎是一种安全的技术，可以提高产妇满意度，而不会影响产科或新生儿结局。在国家指导方针的支持下，它的广泛实施可以更好地满足女性对生理性分娩日益增长的期望。
{"title":"Analgésie péridurale obstétricale déambulatoire : satisfaction maternelle et sécurité obstétricale – étude de cohorte","authors":"Charlotte Fortun , Esther Samba , Claire Guinot , Isabelle Derrendinger , Isabelle Bouhier , Norbert Winer , Vincent Dochez","doi":"10.1016/j.gofs.2025.11.001","DOIUrl":"10.1016/j.gofs.2025.11.001","url":null,"abstract":"<div><h3>Objective</h3><div>In obstetrics, walking or ambulatory epidural analgesia (APDD) represents an evolution of non-ambulatory epidural analgesia (APD), allowing women to maintain mobility during labor. In a context of increasing demand for more physiological childbirth, it is important to assess its impact on maternal satisfaction and obstetric safety. This article aims to compare maternal satisfaction and obstetric outcomes between women who received APDD and those who received non-ambulatory APD.</div></div><div><h3>Methods</h3><div>We conducted an ambispective cross-sectional cohort study in a tertiary maternity unit between June and November 2024. Women who delivered vaginally with either APDD or non-ambulatory APD were invited to complete the French Questionnaire d’Évaluation du Vécu de l’Accouchement (QEVA), supplemented by six items specifically addressing pain management. Obstetric and neonatal outcomes were collected from medical records.</div></div><div><h3>Results</h3><div>A total of 217 women were included (48 in the APDD group and 169 in the APD group). APDD was associated with lower maternal dissatisfaction: no women reported feeling “not at all active” or “not at all autonomous” during childbirth, nor that they would not recommend the technique, whereas dissatisfaction rates reached up to 5.9% in the APD group. The overall QEVA score did not significantly differ between groups (60.9<!--> <!-->±<!--> <!-->5.3 vs. 60.2<!--> <!-->±<!--> <!-->6.1; <em>P</em> <!-->=<!--> <!-->0.44). Among extreme responses (value<!--> <!-->=<!--> <!-->1), only the frequency of “unusual sensations” differed significantly (4.2 vs. 18.9%; <em>P</em> <!-->=<!--> <!-->0.012). Obstetric and neonatal outcomes (cesarean rate, instrumental delivery, postpartum hemorrhage, neonatal complications) were comparable between groups.</div></div><div><h3>Conclusion</h3><div>APDD appears to be a safe technique that improves maternal satisfaction without compromising obstetric or neonatal outcomes. Its broader implementation, supported by national guidelines, could better meet women's growing expectations for a more physiological childbirth.</div></div>","PeriodicalId":56056,"journal":{"name":"Gynecologie Obstetrique Fertilite & Senologie","volume":"54 2","pages":"Pages 63-68"},"PeriodicalIF":0.8,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145582754","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}
Pub Date : 2026-02-01DOI: 10.1016/j.gofs.2025.11.004
Charline Bertholdt , Salomé Bleurvacq , Lisa Lang , Matthieu Dap , Olivier Morel
Objectives
Exceeding the legal working hours of residents, particularly in on-call specialties such as obstetrics and gynecology, raises significant issues regarding patient safety, work-life balance, and training. Despite European regulations limiting weekly working hours to 48, available data indicate a systematic overrun, particularly on weekends, without adequate compensatory time off. This study aimed to compare the weekly working hours of residents between a period before the implementation of compensatory days off and a subsequent period. Secondary objectives included assessing the feasibility, impact on annual leave, theoretical training days, and clinical activity related to the compensatory rest.
Materials and methods
A retrospective observational before-and-after study was conducted at a French university center over two one-year periods (November 2022 to October 2024). A regulatory measure was established starting in November 2023, involving the allocation of compensatory days off after weekend on-call shifts (1 day for Friday and Sunday, 2 days for Saturday). The theoretical weekly working hours were calculated according to a standardized formula that incorporated on-call duties and compensatory rest. Data on the number of on-call responsibilities, internship posts, leaves, and training were collected for each intern from weekly schedules.
Results
The study included 46 residents over two years (20 in the pre-implementation period, 26 in the post-implementation period). The weekly working hours significantly decreased after the introduction of compensatory days off (52.1 h vs. 47.7 h, p < 0.001). The number of individual training days decreased during the post-implementation period, but there was no significant impact on the number of clinical internship days in key sectors.
Conclusion
The implementation of compensatory days off after weekend on-call duties is a feasible and effective measure to reduce the weekly working hours of residents. It allows for compliance with regulatory requirements while maintaining clinical activity or continuity of care.
{"title":"Temps de travail des internes en gynécologie-obstétrique : concilier formation et réglementation","authors":"Charline Bertholdt , Salomé Bleurvacq , Lisa Lang , Matthieu Dap , Olivier Morel","doi":"10.1016/j.gofs.2025.11.004","DOIUrl":"10.1016/j.gofs.2025.11.004","url":null,"abstract":"<div><h3>Objectives</h3><div>Exceeding the legal working hours of residents, particularly in on-call specialties such as obstetrics and gynecology, raises significant issues regarding patient safety, work-life balance, and training. Despite European regulations limiting weekly working hours to 48, available data indicate a systematic overrun, particularly on weekends, without adequate compensatory time off. This study aimed to compare the weekly working hours of residents between a period before the implementation of compensatory days off and a subsequent period. Secondary objectives included assessing the feasibility, impact on annual leave, theoretical training days, and clinical activity related to the compensatory rest.</div></div><div><h3>Materials and methods</h3><div>A retrospective observational before-and-after study was conducted at a French university center over two one-year periods (November 2022 to October 2024). A regulatory measure was established starting in November 2023, involving the allocation of compensatory days off after weekend on-call shifts (1 day for Friday and Sunday, 2 days for Saturday). The theoretical weekly working hours were calculated according to a standardized formula that incorporated on-call duties and compensatory rest. Data on the number of on-call responsibilities, internship posts, leaves, and training were collected for each intern from weekly schedules.</div></div><div><h3>Results</h3><div>The study included 46 residents over two years (20 in the pre-implementation period, 26 in the post-implementation period). The weekly working hours significantly decreased after the introduction of compensatory days off (52.1<!--> <!-->h vs. 47.7<!--> <!-->h, <em>p</em> <!--><<!--> <!-->0.001). The number of individual training days decreased during the post-implementation period, but there was no significant impact on the number of clinical internship days in key sectors.</div></div><div><h3>Conclusion</h3><div>The implementation of compensatory days off after weekend on-call duties is a feasible and effective measure to reduce the weekly working hours of residents. It allows for compliance with regulatory requirements while maintaining clinical activity or continuity of care.</div></div>","PeriodicalId":56056,"journal":{"name":"Gynecologie Obstetrique Fertilite & Senologie","volume":"54 2","pages":"Pages 69-73"},"PeriodicalIF":0.8,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145643198","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 des violences conjugales chez les patientes hospitalisées lors de deux périodes de deux jours : étude pilote","authors":"Iris Bouchayer , Jean-Yves Lefrant , Sylvie Ripart","doi":"10.1016/j.gofs.2025.10.024","DOIUrl":"10.1016/j.gofs.2025.10.024","url":null,"abstract":"","PeriodicalId":56056,"journal":{"name":"Gynecologie Obstetrique Fertilite & Senologie","volume":"54 2","pages":"Pages 90-92"},"PeriodicalIF":0.8,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145477182","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}
Pub Date : 2026-02-01DOI: 10.1016/j.gofs.2025.10.017
Marion Beck , Fabien Subtil , Nathalie Hoen , Lucie Bonin-Crepet , Pierre Descargues , Delphine Raffin , Pierre-Adrien Bolze , François Golfier
Objectives
Hysteroscopic resection of submucosal fibroids is an effective technique to reduce menometrorrhagia and improve fertility. Identifying predictors of two-step resections is essential to optimize preoperative counseling and surgical planning. The objective of this retrospective study was to assess predictive factors previously reported in the literature.
Methods
We analyzed 106 patients who underwent hysteroscopic fibroid resection at Lyon Sud University Hospital between January 2019 and January 2024.
Results
Fibroid size was the only factor significantly associated with the need for a two-step resection. For fibroids ≥ 3 cm in diameter, the odds ratio for requiring a second procedure was 13.3, with the risk increasing from 4.1% to 36.4%. Complication rates and fluid deficit were also higher in two-step resections.
Conclusions
Fibroid size appears to be the main predictor of two-step hysteroscopic resection. This finding has direct clinical relevance, as it allows for more accurate preoperative counseling of patients, more than one-third of whom may require a second intervention. Prospective multicenter studies are needed to confirm these results.
{"title":"Facteurs prédictifs d’une résection hystéroscopique des fibromes sous-muqueux en deux temps. Étude rétrospective unicentrique","authors":"Marion Beck , Fabien Subtil , Nathalie Hoen , Lucie Bonin-Crepet , Pierre Descargues , Delphine Raffin , Pierre-Adrien Bolze , François Golfier","doi":"10.1016/j.gofs.2025.10.017","DOIUrl":"10.1016/j.gofs.2025.10.017","url":null,"abstract":"<div><h3>Objectives</h3><div>Hysteroscopic resection of submucosal fibroids is an effective technique to reduce menometrorrhagia and improve fertility. Identifying predictors of two-step resections is essential to optimize preoperative counseling and surgical planning. The objective of this retrospective study was to assess predictive factors previously reported in the literature.</div></div><div><h3>Methods</h3><div>We analyzed 106 patients who underwent hysteroscopic fibroid resection at Lyon Sud University Hospital between January 2019 and January 2024.</div></div><div><h3>Results</h3><div>Fibroid size was the only factor significantly associated with the need for a two-step resection. For fibroids ≥<!--> <!-->3<!--> <!-->cm in diameter, the odds ratio for requiring a second procedure was 13.3, with the risk increasing from 4.1% to 36.4%. Complication rates and fluid deficit were also higher in two-step resections.</div></div><div><h3>Conclusions</h3><div>Fibroid size appears to be the main predictor of two-step hysteroscopic resection. This finding has direct clinical relevance, as it allows for more accurate preoperative counseling of patients, more than one-third of whom may require a second intervention. Prospective multicenter studies are needed to confirm these results.</div></div>","PeriodicalId":56056,"journal":{"name":"Gynecologie Obstetrique Fertilite & Senologie","volume":"54 2","pages":"Pages 51-56"},"PeriodicalIF":0.8,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145309950","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}
Pub Date : 2026-02-01DOI: 10.1016/j.gofs.2026.01.001
Catherine Uzan , Charlotte Vaysse , Carole Mathelin
{"title":"(Encore) moins de chirurgie axillaire pour le cancer du sein ?","authors":"Catherine Uzan , Charlotte Vaysse , Carole Mathelin","doi":"10.1016/j.gofs.2026.01.001","DOIUrl":"10.1016/j.gofs.2026.01.001","url":null,"abstract":"","PeriodicalId":56056,"journal":{"name":"Gynecologie Obstetrique Fertilite & Senologie","volume":"54 2","pages":"Pages 49-50"},"PeriodicalIF":0.8,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145919402","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}
Pub Date : 2026-01-31DOI: 10.1016/j.gofs.2026.01.015
Mohamed Gharbi, Hélène Yera, Jean Dupouy-Camet
Toxoplasmosis is a cosmopolitan protozoal disease caused by Toxoplasmagondii. Several studies have shown that at one instant approximately 1% of cats shed T. gondii oocysts in their faeces. In humans, the infection by this parasite is most often asymptomatic except for immunocompromised persons and seronegative pregnant women that were infected during the pregnancy. These women transmit the parasite to their foetuses who develop an infection with a variable gravity. In this context, there are two questions: what is the risk for a seronegative pregnant woman living with a cat and what attitude should she take toward this cat? Several preventive measures should be implemented to reduce the risk of T. gondii transmission from cats to pregnant women.
{"title":"[The cat, the women and the toxoplasma: What advice should be given to a pregnant woman who is seronegative for toxoplasmosis and owns a cat?]","authors":"Mohamed Gharbi, Hélène Yera, Jean Dupouy-Camet","doi":"10.1016/j.gofs.2026.01.015","DOIUrl":"10.1016/j.gofs.2026.01.015","url":null,"abstract":"<p><p>Toxoplasmosis is a cosmopolitan protozoal disease caused by Toxoplasmagondii. Several studies have shown that at one instant approximately 1% of cats shed T. gondii oocysts in their faeces. In humans, the infection by this parasite is most often asymptomatic except for immunocompromised persons and seronegative pregnant women that were infected during the pregnancy. These women transmit the parasite to their foetuses who develop an infection with a variable gravity. In this context, there are two questions: what is the risk for a seronegative pregnant woman living with a cat and what attitude should she take toward this cat? Several preventive measures should be implemented to reduce the risk of T. gondii transmission from cats to pregnant women.</p>","PeriodicalId":56056,"journal":{"name":"Gynecologie Obstetrique Fertilite & Senologie","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2026-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146108619","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}
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