J Gynecol Obst Bio R
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J Gynecol Obst Bio R · Dec 2007
["Safe motherhood initiative: from control to trust." Anthropologic analysis of risk in Mali (West Africa)].
This article addresses risk management in maternal health in Mali. Risk concept is used as a tracer to investigate uncertainties and their answers at the different levels of maternal health. Representations and practices related to risk are analyzed through concept of trust and uncertainties linked to the maternal health system reform. ⋯ Safe Motherhood call for a better control on danger associated to pregnancy and birth. Such control is allowed by the elaboration of a relation of trust between population and its health system.
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J Gynecol Obst Bio R · Apr 2009
Review Case Reports[Abdominal migration of a levonorgestrel-releasing intrauterine device. Case report and review of the literature].
We report the case of a 27-year-old woman in amenorrhea after the installation of a levonorgestrel releasing intra-uterine device, 3 years previously. In front of pelvic continuing pains, paraclinic explorations diagnosed the DIU-LNG in intra-abdominal situation. An exploratory laparoscopy was realized and allowed its ablation. The authors discuss the systemic distribution of the levonorgestrel and the impact of the DIU-LNG in intra-abdominal situation by a review of the literature.
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J Gynecol Obst Bio R · Oct 2007
Review[Clinical approach and epidemiological aspects of mood and anxiety disorders during pregnancy and postpartum. Review and synthesis].
The aim of this article is to review clinical and epidemiological data on pre- and postnatal anxious and depressive disorders. To this end, we systematically analysed definitions, prevalence, risk factors and obstetrical consequences of perinatal disorders, as reported in seminal as well as more recent publications. ⋯ The potential severity of bipolar disorders and puerperal psychosis is highlighted by the fact that they heavily contribute to maternal mortality. The specificity of perinatal disorders, their impact on public health, the extensive research and mounting knowledge in that field, provide ample justification for the recognition of perinatal psychiatry as a distinct branch of psychiatry.
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To determine whether morbidly obese women have an increased risk of pregnancy complications and adverse perinatal outcome. ⋯ Morbid obesity appears to be an independent risk factor for perinatal and gestational complications.
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J Gynecol Obst Bio R · Feb 2008
Review[Emergency caesarean delivery: is there an ideal decision-to-delivery interval?].
Among data on medical liability for obstetrical practice in labour ward, one of the claims concerns the decision-to-delivery interval during emergency caesarean section, for which an optimal time is frequently advocated. A realistic review on this subject is needed. ⋯ A detailed analysis of obstetrical context and of each sequence of the decision-to-delivery interval is more efficient and realistic for evaluation in medical liability cases than an optimal "gold standard". In addition, it allows a prophylactic reflexion for a risk management approach in each labour ward.