Déroulement et mode d'accouchement des grossesses gémellaires PDF Download

Author: Sophie Fogarolo
Publisher:
ISBN:
Category :
Languages : fr
Pages : 116

View

Book Description

Author: Maud Tissier
Publisher:
ISBN:
Category :
Languages : fr
Pages : 44

View

Book Description
Objectifs : Observer le mode d'accouchement des grossesses gemellaires, voie basse ou cesarienne, en fonction du type de gemellite, de la presentation et du poids des jumeaux, de l'age gestationnel, des antecedents obstetricaux et sa repercussion sur la morbidite neonatale. Materiels et methodes : Nous analysons le mode d'accouchement des grossesses gemellaires, entre le 1er janvier 1994 et le 31 decembre 1999, dans le service de gynecologie obstetrique du CHU de St-Etienne. L'age gestationnel au moment de l'accouchement n'est pas un critère d'exclusion. L'etude porte sur 249 patientes et 498 enfants, après avoir exclu un cas d'interruption therapeutique de grossesse. Trois cas de mort fœtale in utero, un pour le 1er jumeau (J1) et 2 pour le 2eme jumeaux (J2) seront secondairement exclus pour permettre l'étude de deux criteres de morbidite fœtale : Apgar

Author: Émilie Jolly
Publisher:
ISBN:
Category :
Languages : fr
Pages : 114

View

Book Description
L'évaluation de la voie d'accouchement la moins risquée en cas de grossesse gémellaire avec un siège premier est complexe en raison de l'hétérogénéité des pratiques de prise en charge. Cette situation est soumise à de nombreuses controverses puisqu'elle représente un facteur de risque de complications supplémentaires à ceux des grossesses gémellaires lors de l'accouchement. Alors que le Collège des gynécologues obstétriciens français conclut que les données actuelles sur le sujet ne permettent pas de recommander une voie d'accouchement plutôt qu'une autre, les études anglo-saxonnes prônent la césarienne prophylactique. Nous avons réalisé une étude rétrospective sur une période de six ans à la maternité du CHU d'Amiens-Picardie afin d'y analyser les pratiques concernant l'accouchement des grossesses gémellaires avec le premier jumeau (J1) en siège pour y comparer le devenir maternel et néonatal. Nous avons pu constater que la tentative voie basse était envisageable lorsque celle-ci était acceptée par la patiente et après évaluation des critères de sécurité de cet accouchement. Il n'y avait pas d'excès de risque néonatal et maternel. La parité n'avait pas d'influence sur le mode d'accouchement. Les facteurs prédictifs d'échec de la voie basse retrouvés, ont été la présentation céphalique du deuxième jumeau ainsi que le poids de naissance de J1. Néanmoins, il est nécessaire de respecter les indications de césarienne programmée. Nous devons insister auprès des professionnels sur l'importance de l'enseignement aux étudiants de ce type d'accouchement, afin de les expérimenter à ces situations qui sont certes rares, mais qui peuvent rapidement être source de complications.

Author:
Publisher: Odile Jacob
ISBN: 2738172571
Category :
Languages : en
Pages : 328

View

Book Description

Author: Alessandra Piontelli
Publisher: Psychology Press
ISBN: 9780415262279
Category : Child development
Languages : en
Pages : 260

View

Book Description
Though much has been written about twins, very little research has been done into their everyday lives, both postnatal and prenatal. In this fascinating new study Alessandra Piontelli follows the development and behaviour of thirty pairs of twins from their early life in the womb through to their third year of childhood. Drawing on detailed ultrasound observations and work with mothers and families in clinical and natural settings, the text traces the subtle ways in which various types of twins live, behave and interact with their unequally shared and unique pre- and postnatal environments. Piontelli shows how from early on distinctive and personal traits can be seen in the behaviour of each member of a twin couple and how these traits continue and strengthen well beyond birth. The book describes not only the behaviour of the twins, but the impact they have on the lives of their family and carers - what family members say, how they react and how the family changes. Scientifically based, but warmly human in content, this unique longitudinal study offers new insight for professionals working with mothers and families of twins and for researchers in human development across a range of disciplines.

Author:
Publisher: Ardent Media
ISBN:
Category :
Languages : en
Pages : 18

View

Book Description

Author: UNICEF.
Publisher: UNICEF
ISBN: 9280643185
Category : Business & Economics
Languages : en
Pages : 168

View

Book Description
Having a child remains one of the biggest health risks for women worldwide. Fifteen hundred women die every day while giving birth. That's a half a million mothers every year. UNICEF's flagship publication, The State of the World's Children 2009, addresses maternal mortality, one of the most intractable problems for development work.The difference in pregnancy risk between women in developing countries and their peers in the industrialised world is often termed the greatest health divide in the world. A woman in Niger has a one in seven chance of dying during the course of her lifetime from complications during pregnancy or delivery. That's in stark contrast to the risk for mothers in America, where it's one in 4,800 or in Ireland, where it's just one in 48,000. Addressing that gap is a multidisciplinary challenge, requiring an emphasis on education, human resources, community involvement and social equality. At a minimum, women must be guaranteed antenatal care, skilled birth attendants and emergency obstetrics, and postpartum care. These essential interventions will only be guaranteed within the context of improved education and the abolition of discrimination.

Author: Marcello D. Bronstein
Publisher: Springer Science & Business Media
ISBN: 9780792374428
Category : Medical
Languages : en
Pages : 224

View

Book Description
Pituitary adenomas account for 10-15% of all intracranial tumors and they frequently impair fertility. The development of medical and surgical therapy for such tumors has turned pregnancy into a reality for women harboring pituitary adenomas. However, gestation risks for both mother and fetus are still of concern for endocrinologists, gynecologists and pediatricians. This book intends to update knowledge on this topic, mainly regarding fertility restoration as well as gestational and post gestational management of patients with pituitary tumors.

Author: Charles H. Zeanah, Jr.
Publisher: Guilford Press
ISBN: 1462506461
Category : Psychology
Languages : en
Pages : 642

View

Book Description
Widely regarded as the standard reference in the field, this state-of-the-art handbook offers a comprehensive analysis of developmental, clinical, and social aspects of mental health from birth to the preschool years. Leading authorities explore models of development; biological, family, and sociocultural risk and protective factors; and frequently encountered disorders and disabilities. Evidence-based approaches to assessment and treatment are presented, with an emphasis on ways to support strong parent–child relationships. The volume reviews the well-documented benefits of early intervention and prevention and describes applications in mental health, primary care, childcare, and child welfare settings. The chapter on psychopharmacology has been updated for the paperback edition.

Author: Matthew Wilhelm Kapell
Publisher: Bloomsbury Publishing USA
ISBN: 1623568242
Category : Social Science
Languages : en
Pages : 493

View

Book Description
Game Studies is a rapidly growing area of contemporary scholarship, yet volumes in the area have tended to focus on more general issues. With Playing with the Past, game studies is taken to the next level by offering a specific and detailed analysis of one area of digital game play -- the representation of history. The collection focuses on the ways in which gamers engage with, play with, recreate, subvert, reverse and direct the historical past, and what effect this has on the ways in which we go about constructing the present or imagining a future. What can World War Two strategy games teach us about the reality of this complex and multifaceted period? Do the possibilities of playing with the past change the way we understand history? If we embody a colonialist's perspective to conquer 'primitive' tribes in Colonization, does this privilege a distinct way of viewing history as benevolent intervention over imperialist expansion? The fusion of these two fields allows the editors to pose new questions about the ways in which gamers interact with their game worlds. Drawing these threads together, the collection concludes by asking whether digital games - which represent history or historical change - alter the way we, today, understand history itself.