Gynecologie Obstetrique Fertilite & Senologie最新文献

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IF 0.8 4区医学 Q4 OBSTETRICS & GYNECOLOGY

Gynecologie Obstetrique Fertilite & Senologie

Pub Date : 2026-01-01

引用次数: 0

IF 0.8 4区医学 Q4 OBSTETRICS & GYNECOLOGY

Gynecologie Obstetrique Fertilite & Senologie

Pub Date : 2026-01-01

引用次数: 0

IF 0.8 4区医学 Q4 OBSTETRICS & GYNECOLOGY

Gynecologie Obstetrique Fertilite & Senologie

Pub Date : 2026-01-01

引用次数: 0

IF 0.8 4区医学 Q4 OBSTETRICS & GYNECOLOGY

Gynecologie Obstetrique Fertilite & Senologie

Pub Date : 2026-01-01

引用次数: 0

Comment je fais… Un « tamponnement » intra-utérin par aspiration avec une sonde de Foley en cas d’hémorragie du post-abortum ou du post-partum – Présentation de la technique FOCUS [如何…在流产后或产后出血的病例中使用Foley导管进行真空诱导的子宫填塞- FOCUS技术的介绍]。

IF 0.8 4区医学 Q4 OBSTETRICS & GYNECOLOGY

Gynecologie Obstetrique Fertilite & Senologie

Pub Date : 2026-01-01 DOI: 10.1016/j.gofs.2025.09.003

Frank I. Jackson , Sarah H. Abelman , Oladunni Ogundipe , Matthew J. Blitz

引用次数: 0

Conception et évaluation d’un programme pédagogique dédié aux lésions obstétricales du sphincter anal [专门针对肛门括约肌产科损伤的培训项目的开发和评估]。

IF 0.8 4区医学 Q4 OBSTETRICS & GYNECOLOGY

Gynecologie Obstetrique Fertilite & Senologie

Pub Date : 2026-01-01 DOI: 10.1016/j.gofs.2025.10.021

Eva Fuss , Lucie Piemont-Schwartz , Victor Gabriele , Cherif Akladios , Lise Lecointre

Objectives

The main objective is to create a training program dedicated to the management of obstetric anal sphincter injuries (OASIS). The secondary objective is to evaluate the educational benefits.

Methods

A program comprising a course followed by a suturing workshop using a simulated beef tongue model of a 4th degree lesion was created. The training was offered to birth professionals from different maternity units. The educational impact was assessed by self-questionnaires evaluating the professionals’ self-confidence and by knowledge tests.

Results

The training was presented to 56 professionals. The beef tongue model was considered realistic in 97% (n = 32/33) of cases. There was a significant improvement in the perceived level of knowledge (+130%, P < 0.001) and the perceived ability to diagnose (+71%, P < 0.001) and repair OASIS (+81%, P < 0.001). Average scores on the knowledge test were significantly improved (+ 3 points, P < 0.001). Participants wanted the training to continue (96%, n = 51/53 for the theoretical part and 100%, n = 34/34 for the practical part).

Conclusion

An educational program dedicated to the management of OASIS, based on an innovative anatomical model, was created. The program had a significant educational benefit. Healthcare simulation is a tool for improving care.

目的：主要目的是建立一个专门管理产科肛门括约肌损伤（OASIS）的培训计划。第二个目标是评估教育效益。方法：创建了一个程序，包括一个课程，然后是一个使用模拟牛肉舌模型的四度病变的缝合工作坊。培训对象是来自不同妇产单位的接生专业人员。通过自我调查问卷评估专业人员的自信心和知识测试来评估教育影响。结果：对56名专业人员进行培训。97% （n = 32/33）的病例认为牛舌模型是真实的。感知知识水平（+ 130%,p < 0.001）、感知诊断能力（+ 71%,p < 0.001）和感知修复OASIS能力（+ 81%,p < 0.001）均有显著提高。知识测试平均得分显著提高（+ 3分，p < 0.001）。参与者希望继续培训（96%，理论部分n = 51/53, 100%，实践部分n = 34/34）。结论：基于一种创新的解剖模型，建立了一个专门用于管理OASIS的教育计划。该项目具有显著的教育效益。医疗保健模拟是一种改善护理的工具。

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引用次数: 0

Validation d’une grille d’évaluation des compétences techniques liées aux lésions obstétricales du sphincter anal [产科肛门括约肌损伤相关技术技能评估网格的验证]。

IF 0.8 4区医学 Q4 OBSTETRICS & GYNECOLOGY

Gynecologie Obstetrique Fertilite & Senologie

Pub Date : 2026-01-01 DOI: 10.1016/j.gofs.2025.09.089

Eva Fuss , Lucie Piemont-Schwartz , Victor Gabriele , Cherif Akladios , Lise Lecointre

Objective

The objective is to create and validate an objective structured assessment for technical skills (OSATS) grid, specific to the repair of obstetric anal sphincter injuries (OASIS).

Methods

An educational program with a suture workshop using a simulation model was offered to obstetrician-gynecologists from several maternity units. The suture workshops were filmed and then evaluated twice by three experts using an OSATS grid. The scores awarded were compared to assess the reliability and validity of the OSATS grid.

Results

The training was presented to 30 physicians. The OSATS score was a reliable (Cronbach's alpha coefficient of 0.905) and valid (inter-rater ICC of 0.892, and intra-rater ICC of 0.889 and 0.710) method for assessing professionals’ technical skills.

Conclusion

In a simulation context, OSATS scores are reliable and valid educational tools for training healthcare professionals. Research should be carried out to develop OSATS scores as technical skills certification tools, ensuring a standardized quality of care.

目的-目的是创建和验证技术技能（OSATS）网格的客观结构化评估，具体针对产科肛门括约肌损伤（OASIS）的修复。方法：采用模拟模型对来自多个产科单位的妇产科医生进行缝合车间教育。缝合车间被拍摄下来，然后由三名专家使用OSATS网格进行两次评估。将获得的分数进行比较，以评估OSATS网格的可靠性和有效性。结果：30名医生接受了培训。OSATS评分是评估专业人员技术技能的可靠（Cronbach’s alpha系数为0.905）和有效（等级间ICC为0.892，等级内ICC为0.889和0.710）方法。结论——在模拟环境中，OSATS分数是培训医疗保健专业人员的可靠和有效的教育工具。应进行研究，发展OSATS分数作为技术技能认证工具，确保标准化的护理质量。

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引用次数: 0

Gestation pour autrui: la position de la FIGO est-elle acceptable en France? 为他人怀孕：FIGO的立场在法国可以接受吗？

IF 0.8 4区医学 Q4 OBSTETRICS & GYNECOLOGY

Gynecologie Obstetrique Fertilite & Senologie

Pub Date : 2026-01-01 DOI: 10.1016/j.gofs.2025.12.004

Joëlle Belaisch-Allart , Mikaël Agopiantz , Margot Lherbet , Michaël Grynberg , Olivier Morel

引用次数: 0

Revue des pratiques de prise en charge des infections génitales hautes compliquées d’abcès tubo-ovarien 盆腔炎合并输卵管卵巢脓肿的治疗方法评价

IF 0.8 4区医学 Q4 OBSTETRICS & GYNECOLOGY

Gynecologie Obstetrique Fertilite & Senologie

Pub Date : 2026-01-01 DOI: 10.1016/j.gofs.2025.10.018

Laetitia Schmutz , Claire Toubin , Lise Lecointre , Rajeev Ramanah

Objectives

Assessing management practices for pelvic inflammatory disease (PID) complicated by tubo-ovarian abscesses (TOA) at Besançon University Hospital since the 2018 French guidelines.

Methods

A single-center, retrospective, observational and analytical study was undertaken from 1^st January 2018 to 31^st December 2023 to evaluate the rate of compliance with current PID management guidelines. We did groups comparisons, according to management accurate to the guidelines or not, to evaluate the differences between treatment groups and the probability of complications.

Results

Compliance to the 2018 French guidelines was 50% for surgical treatment and 90% for antibiotic therapy. Patients treated accordingly to guidelines had a non-significant decreased probability of PID recurrence OR 0.62 CI 95% [0.10–4.02] P = 0.6, a non-significant decreased probability of remote surgery OR 0.20 CI 95% [0.01–4.35] P = 0.3, a non-significant increased probability of persistent ultrasound image at follow-up OR 2.67 CI 95% [0.24–29.6] P = 0.4 and a non-significant increased probability of persistent pelvic pain OR 1.62 [0.25–10.5] P = 0.6.

Conclusions

Compliance to the guidelines for surgical treatment was 50% in our center.

目的：评估贝桑大学医院自2018年法国指南以来盆腔炎（PID）合并输卵管卵巢脓肿（TOA）的管理实践。方法：2018年1月1日至2023年12月31日进行单中心、回顾性、观察性和分析性研究，以评估当前PID管理指南的符合率。我们进行分组比较，根据治疗是否符合指南，评估治疗组之间的差异和并发症的发生概率。结果：2018年法国指南的手术治疗符合性为50%，抗生素治疗符合性为90%。患者相应的指导方针已经与PID或复发的概率下降0.62 CI 95% [0.10 - 4.02] p = 0.6,与远程手术或0.20的概率降低95% CI [0.01 - 4.35] p = 0.3,与概率的增加持续超声图像后续或2.67 CI 95% [0.24 - 29.6] p = 0.4和非重要的概率增加持久骨盆疼痛或1.62 (0.25 - 10.5)p = 0.6。结论：本中心手术治疗依从性为50%。

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引用次数: 0

IF 0.8 4区医学 Q4 OBSTETRICS & GYNECOLOGY

Gynecologie Obstetrique Fertilite & Senologie

Pub Date : 2026-01-01

引用次数: 0

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