Journal of gynecology obstetrics and human reproduction
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J Gynecol Obstet Hum Reprod · Sep 2020
Multicenter StudyA snapshot of the Covid-19 pandemic among pregnant women in France.
To describe the course over time of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection in French women from the beginning of the pandemic until mid-April, the risk profile of women with respiratory complications, and short-term pregnancy outcomes. ⋯ COVID-19 can be responsible for significant rates of severe acute, potentially deadly, respiratory distress syndromes. The most vulnerable pregnant women, those with comorbidities, may benefit particularly from prevention measures such as a lockdown.
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J Gynecol Obstet Hum Reprod · Oct 2019
Randomized Controlled Trial Multicenter StudyBaseline severe constipation negatively impacts functional outcomes of surgery for deep endometriosis infiltrating the rectum: Results of the ENDORE randomized trial.
Predictive factors of functional outcomes after the surgery of rectal endometriosis are not well identified. Our recent randomized trial did not find significant differences between functional outcomes in patients managed by radical or conservative rectal surgery. ⋯ Patients with severe preoperative constipation are less likely to achieve normal bowel movements after surgery for rectal endometriosis, using either radical or conservative rectal procedures.
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J Gynecol Obstet Hum Reprod · Mar 2018
Multicenter StudyFrench validation and adaptation of the Grobman nomogram for prediction of vaginal birth after cesarean delivery.
To validate Grobman nomogram for predicting vaginal birth after cesarean delivery (VBAC) in a French population and adapt it. ⋯ The nomogram to predict VBAC developed by Grobman et al. is validated in the French population. Adaptation to the French population, by excluding ethnicity, appeared to improve its performance. Impact of the nomogram use on the caesarean section rate has to be validated in a randomized control trial.
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J Gynecol Obstet Hum Reprod · Mar 2018
Randomized Controlled Trial Multicenter StudyFactors affecting rotation of occiput posterior position during the first stage of labor.
Fetal occiput posterior (OP) positions account for 15 to 20% of cephalic presentations and are associated with poorer maternal and neonatal outcomes than occiput anterior (OA) positions. The aim of this study was to identify maternal, neonatal and obstetric factors associated with rotation from OP to OA position during the first stage of labor. ⋯ Oxytocin administration may affect rotation of OP positions during the first stage of labor. Further studies should be performed to assess the risks and benefits of its utilization for managing labor with a fetus in OP position.