DECISION DE VOIE D'ACCOUCHEMENT DANS LES PRESENTATIONS DU SIEGE SIMPLE A TERME PDF Download

Author: STEPHANIE.. DENOIX
Publisher:
ISBN:
Category :
Languages : fr
Pages :

View

Book Description

Author: Charlotte Rostang
Publisher:
ISBN:
Category :
Languages : fr
Pages : 0

View

Book Description
Objectif. - La voie d'accouchement d'un foetus en présentation du siège est un sujet de débat depuis les années 1960 et plus encore depuis l'essai randomisé de 2000. Bien qu'existent en France des recommandations concernant les critères d'acceptabilité de la voie basse des présentations podaliques, on remarque une grande disparité de pratiques entre les maternités françaises. Dans notre centre, la décision de voie d'accouchement est laissée à l'appréciation du médecin responsable du suivi de la grossesse. L'objectif de cette étude a été d'évaluer les pratiques obstétricales pour l'accouchement du siège à terme au CHU Grenoble Alpes et de proposer, le cas échéant, des pistes d'amélioration. Matériel et méthodes. - Étude rétrospective et analytique sur dossiers à l'aide d'une grille de recueil de données, d'une population de 163 patientes ayant accouché à terme d'un foetus en présentation du siège à la maternité du CHU de Grenoble Alpes entre le 01/01/2017 et le 31/01/2019. Résultats. - Cent cinquante-quatre patientes ont été inclues sur la période étudiée (9 cas de non inclusion). Pour 51 % des patientes une césarienne a été programmée (une seule patiente a accouché voie basse parmi elles) et dans 23 % des cas, l'accouchement s'est déroulé par voie vaginale. Parmi les 45 % des patientes considérées comme éligibles à une tentative de voie basse, seules 44 % de celles-ci ont finalement accouché par voie vaginale (66 % d'échec de tentative de voie basse). Il faut noter que notre série comporte 5 % de siège inopiné. La morbidité sévère néonatale a concerné 2 nouveau-nés du groupe “voie basse acceptée”, dont un est né par voie basse et l'autre par césarienne. Le bassin considéré comme transversalement rétréci et le refus maternel d'accoucher par voie vaginale, représentaient respectivement 60 % et 30 % des césariennes programmées. Les patientes avec utérus cicatriciel n'étaient pas contre-indiquées à l'accouchement par voie basse pour cet unique motif, mais seules 12 % d'entre elles ont accouché par voie vaginale. Discussion et conclusion. - Une formation optimale théorique et pratique des jeunes obstétriciens, la mise en place d'un protocole de service, et la discussion collégiale de ces dossiers, nous semblent être des pistes d'amélioration de nos pratiques dans l'accouchement du siège singleton à terme. Une fiche d'information à l'intention des patientes pourrait nous aider à promouvoir l'accouchement par voie vaginale.

Author: Marcelo G. Kohen
Publisher: Cambridge University Press
ISBN: 9780521849289
Category : Law
Languages : en
Pages : 560

View

Book Description
This book is a comprehensive study of secession from an international law perspective.

Author: David Looseley
Publisher: Oxford University Press
ISBN: 1781382573
Category : Biography & Autobiography
Languages : en
Pages : 264

View

Book Description
The world-famous French singer Édith Piaf (1915-63) was never just a singer. This book suggests new ways of understanding her, her myth and her meanings over time at home and abroad, by proposing the notion of an 'imagined Piaf.

Author:
Publisher:
ISBN:
Category : Immigrants
Languages : en
Pages : 4

View

Book Description

Author: Amelie Nothomb
Publisher: St. Martin's Press
ISBN: 1429978961
Category : Fiction
Languages : en
Pages : 148

View

Book Description
The Japanese believe that until the age of three, children, whether Japanese or not, are gods, each one an okosama, or "lord child." On their third birthday they fall from grace and join the rest of the human race. In Amelie Nothomb's new novel, The Character of Rain, we learn that divinity is a difficult thing from which to recover, particularly if, like the child in this story, you have spent the first tow and a half years of life in a nearly vegetative state. "I remember everything that happened to me after the age of two and one-half," the narrator tells us. She means this literally. Once jolted out of her plant-like , tube-like trance (to the ecstatic relief of her concerned parents), the child bursts into existence, absorbing everything that Japan, where her father works as a diplomat, has to offer. Life is an unfolding pageant of delight and danger, a ceaseless exploration of pleasure and the limits of power. Most wondrous of all is the discovery of water: oceans, seas, pools, puddles, streams, ponds, and, perhaps most of all, rain-one meaning of the Japanese character for her name. Hers is an amphibious life. The Character of Rain evokes the hilarity, terror, and sanctity of childhood. As she did in the award-winning, international bestesller Fear and Trembling, Nothomb grounds the novel in the outlines of her experiences in Japan, but the self-portrait that emerges from these pages is hauntingly universal. Amelie Nothomb's novels are unforgettable immersion experiences, leaving you both holding your breath with admiration, your lungs aching, and longing for more.

Author: Dennis van der Veur
Publisher: Council of Europe
ISBN: 9789287163936
Category : Political Science
Languages : en
Pages : 180

View

Book Description
"'Gender Matters' is a manual aimed to assist educators and youth leaders work on issues of gender and gender-based violence with young people. This publication presents theoretical information, methods and resources for education and training activities, along with concrete exercises that users can put into practice in their daily work. Violence is a serious issue which directly affects the lives of many young people. It often results in lasting damage to their well-being and integrity, putting even their lives at risk. Gender-based violence, including violence against women, remains a key human rights challenge in contemporary Europe and in the world. Working with young people on human rights education is one way of preventing gender-based violence from occurring. By raising awareness on why and how it manifests and exploring its impact on people and in society, gender-based violence will no longer go undetected. Gender really does matter, to women, to men, to young people - to all of us. This manual serves to explore these human rights issues and act upon them."--Book jacket.

Author: Jojo Moyes
Publisher: Penguin
ISBN: 1101606371
Category : Fiction
Languages : en
Pages : 385

View

Book Description
From the #1 New York Times bestselling author of The Giver of Stars and the forthcoming Someone Else's Shoes, discover the love story that captured over 20 million hearts in Me Before You, After You, and Still Me. They had nothing in common until love gave them everything to lose . . . Louisa Clark is an ordinary girl living an exceedingly ordinary life—steady boyfriend, close family—who has barely been farther afield than their tiny village. She takes a badly needed job working for ex–Master of the Universe Will Traynor, who is wheelchair bound after an accident. Will has always lived a huge life—big deals, extreme sports, worldwide travel—and now he’s pretty sure he cannot live the way he is. Will is acerbic, moody, bossy—but Lou refuses to treat him with kid gloves, and soon his happiness means more to her than she expected. When she learns that Will has shocking plans of his own, she sets out to show him that life is still worth living. A Love Story for this generation and perfect for fans of John Green’s The Fault in Our Stars, Me Before You brings to life two people who couldn’t have less in common—a heartbreakingly romantic novel that asks, What do you do when making the person you love happy also means breaking your own heart?

Author: Gaia Gubbini
Publisher: Walter de Gruyter GmbH & Co KG
ISBN: 3110615983
Category : Literary Criticism
Languages : en
Pages : 312

View

Book Description
A crucial question throughout the Middle Ages, the relationship between body and spirit cannot be understood without an interdisciplinary approach – combining literature, philosophy and medicine. Gathering contributions by leading international scholars from these disciplines, the collected volume explores themes such as lovesickness, the five senses, the role of memory and passions, in order to shed new light on the complex nature of the medieval Self.

Author: Leah Dickerman
Publisher: National Gallery of Art, Washington/D.A.P.
ISBN:
Category : Art
Languages : en
Pages : 542

View

Book Description
Edited by Leah Dickerman. Essays by Brigid Doherty, Sabine T. Kriebel, Dorothea Dietrich, Michael R. Taylor, Janine Mileaf and Matthew S. Witkovsky. Foreword by Earl A. Powell III.