Évaluation des nouvelles pratiques de prise en charge des patientes présentant une rupture prématurée des membranes à terme à la maternité de l'Hôpital Couple Enfant PDF Download

Author: Marine Moyet
Publisher:
ISBN:
Category :
Languages : fr
Pages : 0

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Objectif : Evaluation des nouvelles pratiques de prise en charge des patientes présentant une rupture des membranes à terme avant travail (RMTAT) à la maternité de l'Hôpital Couple Enfant de Grenoble. Matériels et méthodes : Etude rétrospective AVANT/APRES comparant l'ancien protocole aux nouvelles pratiques de service allongeant le délai d'expectative après une RMTAT. Quatre groupes ont été formés selon le délai de prise en charge (ancien et nouveau protocole) et le statut par rapport au Streptocoque B. Les critères de jugement étaient le taux de mise en travail spontanée, le mode de déclenchement du travail, la voie d'accouchement et le taux d'infections materno-foetales. Résultats : Nous avons inclus au total 205 patientes. Chez les femmes avec un portage négatif ou inconnu pour le Streptocoque B, une expectative prolongée était associée à une augmentation non significative du taux de travail spontané. Quel que soit le portage pour le Streptocoque B, aucunes différences significatives n'ont été mises en évidence concernant le taux de césarienne et le taux d'infection materno-foetales. Conclusion : Les issues semblent comparables entre l'ancien protocole et les nouvelles pratiques de service concernant la voie d'accouchement et le risque infectieux.

Author: Marjolaine Guignard
Publisher:
ISBN:
Category :
Languages : fr
Pages : 102

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Author: Marianne Fourel
Publisher:
ISBN:
Category :
Languages : fr
Pages : 86

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Introduction : La rupture prématurée des membranes (RPM) avant terme est une situation à risque matemo-fœtal élevé, dont la prise en charge en ambulatoire se développe. Cependant, la survenue d'évènements défavorables reste redoutée. Nous avons voulu étudier les issues materno-fœtales en cas de prise en charge ambulatoire dans notre centre. Matériel et méthodes : Nous avons réalisé une étude rétrospective unicentrique au CHRU de Besançon entre janvier 2012 et décembre 2017 portant sur les patientes ayant eu une RPM avant 32 semaines d'aménorrhée (SA) porteuses d'un fœtus singleton et ayant accouché après 24 SA. Nous avons comparé les patientes prises en charge en ambulatoire (groupe A) et les patientes hospitalisées jusqu'à l'accouchement (groupe H) sur un critère de jugement principal composite de morbidité matemo-fœtale comportant : hémorragie du post-partum immédiat, endométrite du post-partum, fièvre inexpliquée en post-partum, décès péri- et néonatal, pH artériel

Author: World Health Organization
Publisher: World Health Organization
ISBN: 9241549602
Category : Medical
Languages : en
Pages : 203

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First published in March 2014 under the title "Clinical management of patients with viral haemorrhagic fever: a pocket guide for front-line health workers: interim emergency guidance for West Africa".

Author: Robert Silver
Publisher: CRC Press
ISBN: 1498746004
Category : Medical
Languages : en
Pages : 232

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Placenta accreta comprises a spectrum of disorders where all or part of the placenta becomes attached to the muscular wall of the uterus, which can result in life-threatening hemorrhage at the time of delivery. Previous surgical procedures (including cesarean delivery) and placenta previa are important risk factors, and the incidence is dramatically increasing. This important practical guide to how clinicians should diagnose and manage placenta accreta will be an invaluable reference for all obstetricians and maternal-fetal specialists.

Author: May Friedman
Publisher: Routledge
ISBN: 0429017634
Category : Social Science
Languages : en
Pages : 264

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Thickening Fat: Fat Bodies, Intersectionality, and Social Justice seeks to explore the multiple, variable, and embodied experiences of fat oppression and fat activisms. Moving beyond an analysis of fat oppression as singular, this book will aim to unpack the volatility of fat—the mutability of fat embodiments as they correlate with other embodied subjectivities, and the threshold where fat begins to be reviled, celebrated, or amended. In addition, Thickening Fat explores the full range of intersectional and liminal analyses that push beyond the simple addition of two or more subjectivities, looking instead at the complex alchemy of layered and unstable markers of difference and privilege. Cognizant that the concept of intersectionality has been filled out in a plurality of ways, Thickening Fat poses critical questions around how to render analysis of fatness intersectional and to thicken up intersectionality, where intersectionality is attenuated to the shifting and composite and material dimensions to identity, rather than reduced to an “add difference and stir” approach. The chapters in this collection ask what happens when we operationalize intersectionality in fat scholarship and politics, and we position difference at the centre and start of inquiry.

Author: World Health Organization
Publisher: World Health Organization
ISBN: 9241546158
Category : Architecture
Languages : en
Pages : 365

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This is the second edition of this publication which focuses on the public health aspects of the possible deliberate use of biological or chemical agents. Issues discussed include: the key principles for public health planning, risk assessment, hazard identification and evaluation, risk management strategies, and response planning as part of existing national emergency plans, disease surveillance and early warning systems, the national and international legal framework, and international sources of assistance. Technical annexes cover a range of issues including chemical agents, toxins, biological agents, principles of protection, precautions against the sabotage of drinking water, food and other products, information resources and the affiliation of WHO Member States to the international treaties on biological and chemical weapons.

Author: Philip A. Pizzo
Publisher: Lippincott Williams & Wilkins
ISBN: 9780683303995
Category : Medical
Languages : en
Pages : 849

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Recommended in the Brandon/Hill selected list of print books and journals for the small medical library - April 2001 & 2003 The Third Edition of this very popular book offers the most authoritative and comprehensive review of the impact of the HIV disease in infants, children, and adolescents.

Author: Organisation mondiale de la santé
Publisher: World Health Organization
ISBN: 9241562625
Category : Medical
Languages : en
Pages : 310

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Cases of listeriosis appear to be predominantly associated with ready-to-eat products. FAO and WHO have undertaken a risk assessment of Listeria monocytogenes in ready-to-eat foods, prepared and reviewed by an international team of scientists. Input was received from several international fora including expert consultations and Codex Alimentarius committee meetings as well as via public and peer review. This technical report provides complete documentation of the risk assessment, the approaches taken, the data and methodology used, and the results. It also contains four example assessments addressing the risk of listeriosis associated with fresh milk, ice cream, fermented meats and cold-smoked fish. These products were selected to represent typical classes of ready-to-eat products.

Author: Robert A. Hoekelman
Publisher: Mosby Incorporated
ISBN: 9780323008297
Category : Medical
Languages : en
Pages : 1936

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-- An outstanding offer, both the New Hoekelman book & CD! -- Important new information at your fingertips, whether at the office or home.