Journal de gynécologie, obstétrique et biologie de la reproduction
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J Gynecol Obstet Biol Reprod (Paris) · Dec 2014
Review[Anesthetic management of severe or worsening postpartum hemorrhage.]
Risk factors of maternal morbidity and mortality during postpartum hemorrhage (PPH) include non-optimal anesthetic management. As the anesthetic management of the initial phase is addressed elsewhere, the current chapter is dedicated to the management of severe PPH. ⋯ The anesthetic management aims to restore and maintain optimal respiratory state and circulation, to treat coagulation disorders, and to allow invasive obstetrical and radiologic procedures. Clinical and instrumental monitoring are needed to evaluate the severity of PPH, to guide the choice of therapeutic options, and to assess treatments efficacy.
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J Gynecol Obstet Biol Reprod (Paris) · Dec 2014
Review[Obstetric and anesthetic specificities in the management of a postpartum hemorrhage (PPH) associated with cesarean section.]
To describe the characteristics of post-partum hemorrhage (PPH) associated with cesarean section (CS), the modalities diagnosis and specific obstetric and anesthetic management. ⋯ The occurrence of PPH associated with cesarean delivery requires close collaboration between obstetrician and anesthesiologist to ensure a rapid and coordinated management (professional consensus).
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J Gynecol Obstet Biol Reprod (Paris) · Nov 2014
[Management of blood products in obstetric services.]
Define the access conditions and mode of use of blood products in the context of the management of immediate postpartum hemorrhage. ⋯ Transfusion management in postpartum hemorrhage should be a multidisciplinary approach and requires mastery of emergency circuits to obtain promptly blood products.
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J Gynecol Obstet Biol Reprod (Paris) · May 2014
[Current and future use of surgical skills simulation in gynecologic resident education: a French national survey].
Simulation is a promising method to enhance surgical education in gynecology. The purpose of this study was to provide baseline information on the current use of simulators across French academic schools. ⋯ Surgical skills simulators are already experienced by a majority of French gynecologic residents. However, the use of these educational tools varies among surgical schools and remains occasional for the majority of residents. There was a strong agreement that simulation technology should be a component of training.
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J Gynecol Obstet Biol Reprod (Paris) · May 2014
Comparative Study[Evolution of waiting time and length of stay between 2005 and 2012 in an obstetric and gynaecologic emergency unit in a French teaching hospital].
To compare and analyze waiting time and length of stay between 2005 and 2012 in the obstetric and gynaecologic emergency unit of Nantes teaching hospital, new unit opened in 2004. ⋯ Our organization enabled to improve some lengths of time despite an increased activity. Those lengths of time should be monitored as they reflect our organizations and are indicators of efficiency.