Journal de gynécologie, obstétrique et biologie de la reproduction
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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[Explorations of breast microcalcifications: Guidelines].
To assess imaging performances for the detection, characterization and biopsy of breast microcalcifications and make recommendations. ⋯ Digital mammography (DR [Direct Radiography] and CR [Computed Radiography]) and screen-film mammography demonstrate good performances for the detection and the characterization of breast microcalcifications. Systematic use of the 2013 edition of the BI-RADS lexicon is recommended for description and characterization of microcalcifications. Faced with BI-RADS 4 or 5 microcalcifications, breast ultrasound is recommended but a normal result does not eliminate the diagnosis of cancer and other examination should be performed. Literature review does not allow recommending digital breast tomosynthesis, elastography or MRI to analyze microcalcifications. In case of probably benign microcalcifications (BI-RADS 3), six months, one year and at least two years follow-up are recommended. In case a biopsy is indicated, it is recommended to use a vacuum-assisted macrobiopsy system with 11-gauges needles or bigger. If no calcification is visible on the radiography of the specimen, it is recommended to obtain additional samples.
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J Gynecol Obstet Biol Reprod (Paris) · Dec 2015
Review[Exploring a non-inflammatory clinical breast mass: Clinical practice guidelines].
The aim of the study was to assess the diagnostic value of physical examination, radiologic explorations and percutaneous procedures of the breast in the exploration of a non-inflammatory palpable mass, in order to propose guidelines. ⋯ Physical examination of a non-inflammatory palpable breast mass is not sufficient to eliminate a breast cancer (LE2). Mammography alone has a sensitivity between 70 and 95% for the diagnosis of breast cancer (LE3). Echography alone has a sensitivity of 98 to 100% for the diagnosis of breast cancer (LE2). The core needle biopsy has a better sensitivity and specificity than the fine-needle aspiration for breast cancer diagnosis (LE2). The association of mammography and 2D echography presents excellent sensitivity and negative predictive value (close to 100 %) to exclude a breast cancer (LE3). A double evaluation using mammography and echography is recommended in the exploration of a non-inflammatory palpable breast mass (grade B).
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J Gynecol Obstet Biol Reprod (Paris) · Dec 2015
Review[Postpartum psychological disorders: Screening and prevention after birth. Guidelines for clinical practice].
Focusing on the mother's postpartum psychological and psychiatric disorders. ⋯ The issue of screening and prevention of postpartum mental disorders is fundamental and requires involvement of all professional receiving parents and babies in the aftermath of the birth.
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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.