Pub Date : 2024-06-01DOI: 10.1016/j.gofs.2024.01.011
Aurélie Reitz , Marion Rouzaire , Romain Cahierc , Bruno Pereira , Richard Lemal , Cyril Garrouste , Denis Gallot
Aim
To describe pregnancy outcome of kidney transplant patients till 1 year postpartum.
Methods
This retrospective, monocentric study included 15 kidney transplant patients who presented 18 pregnancies, between January 2000 and January 2020. For each of them, we searched for possible obstetrical, fetal and renal complications and we evaluated renal function before, during and after pregnancy.
Results
The live birth rate was 84% (16/19) with an average gestational age at delivery of 37 weeks of gestation. The rate of prematurity was 50% (8/16), gestational diabetes was 16.6% (3/18) and preeclampsia was 27.7% (5/18). Cesarean section was performed in 61.1% (11/18) of cases including, 81.8% (9/11) unplanned surgery. The average birth weight was 2635 grams and 37.5% (6/16) of the newborn were small for gestational age. All patients had stable renal function before conception of pregnancy. We noticed two acute graft rejection during pregnancy with only one resulting in graft loss. Four patients had a reduced graft function in 12 months of the postpartum.
Conclusion
Risk of maternal, fetal and renal complications remained high in kidney transplant recipients. Pregnancy should be carefully planned in transplanted women associated with adequate follow-up according to clinical guidelines (normal renal function and blood pressure without proteinuria before pregnancy, no recent graft rejection, period of one year after transplant respected and no teratogenic treatment in the month before pregnancy).
{"title":"Devenir obstétrical des patientes transplantées rénales suivies dans une maternité de type III. Étude rétrospective de 2000 à 2020","authors":"Aurélie Reitz , Marion Rouzaire , Romain Cahierc , Bruno Pereira , Richard Lemal , Cyril Garrouste , Denis Gallot","doi":"10.1016/j.gofs.2024.01.011","DOIUrl":"10.1016/j.gofs.2024.01.011","url":null,"abstract":"<div><h3>Aim</h3><p>To describe pregnancy outcome of kidney transplant patients till 1 year postpartum.</p></div><div><h3>Methods</h3><p>This retrospective, monocentric study included 15 kidney transplant patients who presented 18 pregnancies, between January 2000 and January 2020. For each of them, we searched for possible obstetrical, fetal and renal complications and we evaluated renal function before, during and after pregnancy.</p></div><div><h3>Results</h3><p>The live birth rate was 84% (16/19) with an average gestational age at delivery of 37 weeks of gestation. The rate of prematurity was 50% (8/16), gestational diabetes was 16.6% (3/18) and preeclampsia was 27.7% (5/18). Cesarean section was performed in 61.1% (11/18) of cases including, 81.8% (9/11) unplanned surgery. The average birth weight was 2635 grams and 37.5% (6/16) of the newborn were small for gestational age. All patients had stable renal function before conception of pregnancy. We noticed two acute graft rejection during pregnancy with only one resulting in graft loss. Four patients had a reduced graft function in 12<!--> <!-->months of the postpartum.</p></div><div><h3>Conclusion</h3><p>Risk of maternal, fetal and renal complications remained high in kidney transplant recipients. Pregnancy should be carefully planned in transplanted women associated with adequate follow-up according to clinical guidelines (normal renal function and blood pressure without proteinuria before pregnancy, no recent graft rejection, period of one year after transplant respected and no teratogenic treatment in the month before pregnancy).</p></div>","PeriodicalId":56056,"journal":{"name":"Gynecologie Obstetrique Fertilite & Senologie","volume":"52 6","pages":"Pages 391-397"},"PeriodicalIF":0.8,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139687813","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 : 2024-05-24DOI: 10.1016/j.gofs.2024.05.002
Maud Allary , Edwin Quarello
{"title":"Comment je fais… Optimiser mes réglages Doppler pour une analyse du cœur fœtal au premier trimestre de la grossesse ?","authors":"Maud Allary , Edwin Quarello","doi":"10.1016/j.gofs.2024.05.002","DOIUrl":"10.1016/j.gofs.2024.05.002","url":null,"abstract":"","PeriodicalId":56056,"journal":{"name":"Gynecologie Obstetrique Fertilite & Senologie","volume":"52 12","pages":"Pages 720-724"},"PeriodicalIF":0.6,"publicationDate":"2024-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141131520","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 : 2024-05-09DOI: 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。
{"title":"Impact du mode de suivi des ruptures prématurées des membranes avant 36 SA sur la durée de latence","authors":"Charlotte Le Lann , Élodie Drumez , Louise Ghesquiere , Norbert Winer , Vincent Dochez , Émilie Misbert","doi":"10.1016/j.gofs.2024.04.006","DOIUrl":"10.1016/j.gofs.2024.04.006","url":null,"abstract":"<div><h3>Introduction</h3><div>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.</div></div><div><h3>Objectives</h3><div>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.</div></div><div><h3>Methods</h3><div>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.</div></div><div><h3>Results</h3><div>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 (<em>P</em> <!--><<!--> <!-->0.001). The latency ratio in CH was correlated with term at PPROM (<em>P</em> <!-->=<!--> <!-->0.001).</div></div><div><h3>Conclusions</h3><div>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.</div></div>","PeriodicalId":56056,"journal":{"name":"Gynecologie Obstetrique Fertilite & Senologie","volume":"52 12","pages":"Pages 677-682"},"PeriodicalIF":0.6,"publicationDate":"2024-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140909644","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}
Pub Date : 2024-05-01DOI: 10.1016/j.gofs.2024.01.014
Charlotte Sonigo , Geoffroy Robin , Florence Boitrelle , Eloïse Fraison , Nathalie Sermondade , Emmanuelle Mathieu d’Argent , Pierre-Emmanuel Bouet , Charlotte Dupont , Hélène Creux , Maeliss Peigné , Olivier Pirrello , Sabine Trombert , Emmanuel Lecorche , Ludivine Dion , Laurence Rocher , Emmanuel Arama , Valérie Bernard , Margaux Monnet , Laura Miquel , Eva Birsal , Blandine Courbiere
<div><h3>Objective</h3><p>To update the 2010 CNGOF clinical practice guidelines for the first-line management of infertile couples.</p></div><div><h3>Materials and methods</h3><p>Five major themes (first-line assessment of the infertile woman, first-line assessment of the infertile man, prevention of exposure to environmental factors, initial management using ovulation induction regimens, first-line reproductive surgery) were identified, enabling 28 questions to be formulated using the Patients, Intervention, Comparison, Outcome (PICO) format. Each question was addressed by a working group that had carried out a systematic review of the literature since 2010, and followed the Grading of Recommendations Assessment, Development and Evaluation (GRADE®) methodology to assess the quality of the scientific data on which the recommendations were based. These recommendations were then validated during a national review by 40 national experts.</p></div><div><h3>Results</h3><p>The fertility work-up is recommended to be prescribed according to the woman's age: after one year of infertility before the age of 35 and after 6<!--> <!-->months after the age of 35. A couple's initial infertility work-up includes a single 3D ultrasound scan with antral follicle count, assessment of tubal permeability by hysterography or HyFOSy, anti-Mullerian hormone assay prior to assisted reproduction, and vaginal swabbing for vaginosis. If the 3D ultrasound is normal, hysterosonography and diagnostic hysteroscopy are not recommended as first-line procedures. <em>Chlamydia trachomatis</em> serology does not have the necessary performance to predict tubal patency. Post-coital testing is no longer recommended. In men, spermogram, spermocytogram and spermoculture are recommended as first-line tests. If the spermogram is normal, it is not recommended to check the spermogram. If the spermogram is abnormal, an examination by an andrologist, an ultrasound scan of the testicles and hormonal test are recommended. Based on the data in the literature, we are unable to recommend a BMI threshold for women that would contraindicate medical management of infertility. A well-balanced Mediterranean-style diet, physical activity and the cessation of smoking and cannabis are recommended for infertile couples. For fertility concern, it is recommended to limit alcohol consumption to less than 5 glasses a week. If the infertility work-up reveals no abnormalities, ovulation induction is not recommended for normo-ovulatory women. If intrauterine insemination is indicated based on an abnormal infertility work-up, gonadotropin stimulation and ovulation monitoring are recommended to avoid multiple pregnancies. If the infertility work-up reveals no abnormality, laparoscopy is probably recommended before the age of 30 to increase natural pregnancy rates. In the case of hydrosalpinx, surgical management is recommended prior to ART, with either salpingotomy or salpingectomy depending on the tubal score. It is
{"title":"Prise en charge de première intention du couple infertile : mise à jour des RPC 2010 du CNGOF","authors":"Charlotte Sonigo , Geoffroy Robin , Florence Boitrelle , Eloïse Fraison , Nathalie Sermondade , Emmanuelle Mathieu d’Argent , Pierre-Emmanuel Bouet , Charlotte Dupont , Hélène Creux , Maeliss Peigné , Olivier Pirrello , Sabine Trombert , Emmanuel Lecorche , Ludivine Dion , Laurence Rocher , Emmanuel Arama , Valérie Bernard , Margaux Monnet , Laura Miquel , Eva Birsal , Blandine Courbiere","doi":"10.1016/j.gofs.2024.01.014","DOIUrl":"10.1016/j.gofs.2024.01.014","url":null,"abstract":"<div><h3>Objective</h3><p>To update the 2010 CNGOF clinical practice guidelines for the first-line management of infertile couples.</p></div><div><h3>Materials and methods</h3><p>Five major themes (first-line assessment of the infertile woman, first-line assessment of the infertile man, prevention of exposure to environmental factors, initial management using ovulation induction regimens, first-line reproductive surgery) were identified, enabling 28 questions to be formulated using the Patients, Intervention, Comparison, Outcome (PICO) format. Each question was addressed by a working group that had carried out a systematic review of the literature since 2010, and followed the Grading of Recommendations Assessment, Development and Evaluation (GRADE®) methodology to assess the quality of the scientific data on which the recommendations were based. These recommendations were then validated during a national review by 40 national experts.</p></div><div><h3>Results</h3><p>The fertility work-up is recommended to be prescribed according to the woman's age: after one year of infertility before the age of 35 and after 6<!--> <!-->months after the age of 35. A couple's initial infertility work-up includes a single 3D ultrasound scan with antral follicle count, assessment of tubal permeability by hysterography or HyFOSy, anti-Mullerian hormone assay prior to assisted reproduction, and vaginal swabbing for vaginosis. If the 3D ultrasound is normal, hysterosonography and diagnostic hysteroscopy are not recommended as first-line procedures. <em>Chlamydia trachomatis</em> serology does not have the necessary performance to predict tubal patency. Post-coital testing is no longer recommended. In men, spermogram, spermocytogram and spermoculture are recommended as first-line tests. If the spermogram is normal, it is not recommended to check the spermogram. If the spermogram is abnormal, an examination by an andrologist, an ultrasound scan of the testicles and hormonal test are recommended. Based on the data in the literature, we are unable to recommend a BMI threshold for women that would contraindicate medical management of infertility. A well-balanced Mediterranean-style diet, physical activity and the cessation of smoking and cannabis are recommended for infertile couples. For fertility concern, it is recommended to limit alcohol consumption to less than 5 glasses a week. If the infertility work-up reveals no abnormalities, ovulation induction is not recommended for normo-ovulatory women. If intrauterine insemination is indicated based on an abnormal infertility work-up, gonadotropin stimulation and ovulation monitoring are recommended to avoid multiple pregnancies. If the infertility work-up reveals no abnormality, laparoscopy is probably recommended before the age of 30 to increase natural pregnancy rates. In the case of hydrosalpinx, surgical management is recommended prior to ART, with either salpingotomy or salpingectomy depending on the tubal score. It is","PeriodicalId":56056,"journal":{"name":"Gynecologie Obstetrique Fertilite & Senologie","volume":"52 5","pages":"Pages 305-335"},"PeriodicalIF":0.8,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2468718924000370/pdfft?md5=c4d64ad6a22756c6c3b0a798d6d3ea8a&pid=1-s2.0-S2468718924000370-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139708665","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}
Pub Date : 2024-05-01DOI: 10.1016/j.gofs.2024.03.051
C. Prats , C. Garabedian , P. Rozenberg , P. Berveiller
<div><h3>Contexte</h3><p>Le recours au ballon de tamponnement intra-utérin (BTIU) dans la prise en charge de l’hémorragie du post-partum immédiate (HPPI), après échec des traitements utérotoniques, fait partie des algorithmes de prise en charge. Les facteurs prédictifs d’échec avant l’insertion du BTIU sont bien connus, de même que l’importance pronostique des premières minutes après la mise en place du ballon. Après contrôle de l’hémorragie par le BTIU, des questions subsistent quant à la durée appropriée de tamponnement par ballon.</p></div><div><h3>Objectif</h3><p>Évaluer l’impact de la réduction de la durée du BTIU sur le risque de récidive de l’hémorragie.</p></div><div><h3>Méthode</h3><p>Il s’agit d’une analyse secondaire non planifiée de l’essai multicentrique TUB (essai validé par le CPP de Poissy, consentement écrit des patientes), qui évaluait l’efficacité d’un BTIU précoce sur l’HPPI après un accouchement par voie vaginale. Dans notre étude, seules les femmes prises en charge par un BTIU ont été incluses. Les femmes dont le ballon a été retiré dans les deux premières heures suivant sa mise en place et les femmes ayant eu une procédure invasive avant le retrait du BTIU ont été exclues. Les critères de jugement ont été : la survenue d’une procédure invasive après le retrait du ballon, les pertes sanguines totales, les transfusions de culots globulaires, ainsi que l’endométrite du postpartum, l’allaitement à la sortie de l’hôpital et la durée du séjour à l’hôpital. Le premier quartile pour la durée totale du BTIU dans notre population étant de 6,9<!--> <!-->heures, les patientes qui ont eu un BTIU pendant ≤<!--> <!-->7<!--> <!-->heures ont été comparées à celles qui ont eu un BTIU pendant<!--> <!-->><!--> <!-->7<!--> <!-->heures.</p></div><div><h3>Résultats</h3><p>199 patientes ont été incluses, dont 51 ont eu un BTIU pendant moins de 7<!--> <!-->heures. Il n’y avait pas de différence significative entre les deux groupes sur les caractéristiques maternelles, l’accouchement et la prise en charge de l’HPPI. Il n’y a eu aucun recours à une procédure invasive après le retrait du ballon dans les deux groupes. Il n’y avait pas de différence significative en ce qui concerne les pertes sanguines totales quantifiées (BTIU ≤ 7<!--> <!-->h : 1126<!--> <!-->mL (383) vs BTIU<!--> <!-->><!--> <!-->7<!--> <!-->h : 1240<!--> <!-->mL (505), <em>p</em> <!-->=<!--> <!-->0,1) ou la transfusion de CGR (BTIU<!--> <!-->≤<!--> <!-->7<!--> <!-->h : 9 (18 %) vs BTIU<!--> <!-->><!--> <!-->7<!--> <!-->h : 40 (27 %), <em>p</em> <!-->=<!--> <!-->0,2). Concernant le postpartum, aucune différence significative n’était observée sur la survenue d’une endométrite 6 semaines après l’accouchement (BTIU<!--> <!-->≤<!--> <!-->7<!--> <!-->h : 1 (2 %) vs BTUI<!--> <!-->><!--> <!-->7<!--> <!-->h : 2 (2 %), <em>p</em> <!-->=<!--> <!-->0,9), l’allaitement à la sortie (BTIU ≤<!--> <!-->7<!--> <!-->h : 40 (78 %) vs BTIU<!--> <!-->><!--> <!-->7<!--> <!-->h : 104 (70 %),
{"title":"Peut-on réduire la durée du tamponnement intra-utérin par ballonnet ? Analyse secondaire d’un essai randomisé","authors":"C. Prats , C. Garabedian , P. Rozenberg , P. Berveiller","doi":"10.1016/j.gofs.2024.03.051","DOIUrl":"https://doi.org/10.1016/j.gofs.2024.03.051","url":null,"abstract":"<div><h3>Contexte</h3><p>Le recours au ballon de tamponnement intra-utérin (BTIU) dans la prise en charge de l’hémorragie du post-partum immédiate (HPPI), après échec des traitements utérotoniques, fait partie des algorithmes de prise en charge. Les facteurs prédictifs d’échec avant l’insertion du BTIU sont bien connus, de même que l’importance pronostique des premières minutes après la mise en place du ballon. Après contrôle de l’hémorragie par le BTIU, des questions subsistent quant à la durée appropriée de tamponnement par ballon.</p></div><div><h3>Objectif</h3><p>Évaluer l’impact de la réduction de la durée du BTIU sur le risque de récidive de l’hémorragie.</p></div><div><h3>Méthode</h3><p>Il s’agit d’une analyse secondaire non planifiée de l’essai multicentrique TUB (essai validé par le CPP de Poissy, consentement écrit des patientes), qui évaluait l’efficacité d’un BTIU précoce sur l’HPPI après un accouchement par voie vaginale. Dans notre étude, seules les femmes prises en charge par un BTIU ont été incluses. Les femmes dont le ballon a été retiré dans les deux premières heures suivant sa mise en place et les femmes ayant eu une procédure invasive avant le retrait du BTIU ont été exclues. Les critères de jugement ont été : la survenue d’une procédure invasive après le retrait du ballon, les pertes sanguines totales, les transfusions de culots globulaires, ainsi que l’endométrite du postpartum, l’allaitement à la sortie de l’hôpital et la durée du séjour à l’hôpital. Le premier quartile pour la durée totale du BTIU dans notre population étant de 6,9<!--> <!-->heures, les patientes qui ont eu un BTIU pendant ≤<!--> <!-->7<!--> <!-->heures ont été comparées à celles qui ont eu un BTIU pendant<!--> <!-->><!--> <!-->7<!--> <!-->heures.</p></div><div><h3>Résultats</h3><p>199 patientes ont été incluses, dont 51 ont eu un BTIU pendant moins de 7<!--> <!-->heures. Il n’y avait pas de différence significative entre les deux groupes sur les caractéristiques maternelles, l’accouchement et la prise en charge de l’HPPI. Il n’y a eu aucun recours à une procédure invasive après le retrait du ballon dans les deux groupes. Il n’y avait pas de différence significative en ce qui concerne les pertes sanguines totales quantifiées (BTIU ≤ 7<!--> <!-->h : 1126<!--> <!-->mL (383) vs BTIU<!--> <!-->><!--> <!-->7<!--> <!-->h : 1240<!--> <!-->mL (505), <em>p</em> <!-->=<!--> <!-->0,1) ou la transfusion de CGR (BTIU<!--> <!-->≤<!--> <!-->7<!--> <!-->h : 9 (18 %) vs BTIU<!--> <!-->><!--> <!-->7<!--> <!-->h : 40 (27 %), <em>p</em> <!-->=<!--> <!-->0,2). Concernant le postpartum, aucune différence significative n’était observée sur la survenue d’une endométrite 6 semaines après l’accouchement (BTIU<!--> <!-->≤<!--> <!-->7<!--> <!-->h : 1 (2 %) vs BTUI<!--> <!-->><!--> <!-->7<!--> <!-->h : 2 (2 %), <em>p</em> <!-->=<!--> <!-->0,9), l’allaitement à la sortie (BTIU ≤<!--> <!-->7<!--> <!-->h : 40 (78 %) vs BTIU<!--> <!-->><!--> <!-->7<!--> <!-->h : 104 (70 %),","PeriodicalId":56056,"journal":{"name":"Gynecologie Obstetrique Fertilite & Senologie","volume":"52 5","pages":"Page 364"},"PeriodicalIF":0.8,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140879161","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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