Journal de gynécologie, obstétrique et biologie de la reproduction
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J Gynecol Obstet Biol Reprod (Paris) · Dec 2015
Review[Post-partum: Guidelines for clinical practice--Short text].
To determine the post-partum management of women and their newborn whatever the mode of delivery. ⋯ Postpartum is, for clinicians, a unique and privileged opportunity to address the physical, psychological, social and somatic health of their patients.
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To evaluate the diagnostic value of clinical examination and additional tests in the exploration of breast pain, to evaluate the strategy of their care and to provide recommendations. ⋯ Clinical examination and interrogation, with the use of visual analog scale used to differentiate non-cyclical breast pain from mastodynia (LE2). A calendar can be used to characterize the cyclical breast pain (LE3). Using a questionnaire can help to characterize the pain (LE3). In the absence of palpable abnormality, it is not recommended to modify systematic or individual screening modalities (LE2). MRI is not recommended in case of normal mammography and sonography. Explorations biopsy is guided by imaging. The therapeutic management includes reassurance after a normal clinical evaluation and/or normal radiological findings (LE2), and precise fitting of a brassière. In case of failure of this first approach, NSAIDs gel can be proposed (LE1-2).
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J Gynecol Obstet Biol Reprod (Paris) · Dec 2015
Review[Postnatal visit: Routine and particularity after complicated pregnancy--Guidelines for clinical practice].
To propose guidelines for clinical practice for routine postnatal visit and after pathological pregnancies. ⋯ A postpartum visit is recommended 6 to 8 weeks after delivery, including mother physical and psychological evaluation and information about contraception, short interval between pregnancy, weight loss, smoking cessation (Professional consensus). To ensure continuity in the management of women health, relevant medical elements will be pass on to the corresponding physicians (Professional consensus).
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J Gynecol Obstet Biol Reprod (Paris) · Dec 2015
Review[Postpartum pelvic floor muscle training and abdominal rehabilitation: Guidelines].
Provide guidelines for clinical practice concerning postpartum rehabilitation. ⋯ Pelvic floor muscle therapy is recommended for persistent postpartum urinary (grade A) or anal (grade C) incontinence (3 months after delivery).
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J Gynecol Obstet Biol Reprod (Paris) · Dec 2015
Review[Post-partum management after cesarean delivery. Guidelines for clinical practice].
To determine guidelines for post-partum management after cesarean delivery regarding patient monitoring, organization, postoperative analgesia, time of urinary catheter removal, resumption of feeding and drinking, timing of ambulation, indication and modalities of thromboprophylaxis. ⋯ Harmonization of care according to these recommendations is expected to enhance recovery after cesarean delivery.