Gynécologie, obstétrique & fertilité
-
Gynecol Obstet Fertil · Jun 2013
Review Comparative Study[Planned home versus planned hospital births: adverse outcomes comparison by reviewing the international literature].
To assess the safety of planned home birth compared to hospital birth, in low-risk pregnancies. ⋯ Home birth attended by a well-trained midwife is not associated with increased mortality and morbidity rates, but with less medical interventions.
-
Gynecol Obstet Fertil · Jun 2013
Case Reports[Urogenital bleeding revealing urethral prolapse in a prepubertal girl].
Urethral prolapse is a complete eversion of the distal urethral mucosa through the external meatus. It occurs primarily in prepubertal, primarly Black girls. ⋯ We report a case of a 5-year-old girl who came to the Emergency Department with a 1-day history of genital pain and "vaginal bleeding". Early recognition makes differential diagnosis with sexual abuse and staging allows prompt management under general anesthesic like prolapse reduction or surgical excision.
-
Gynecol Obstet Fertil · May 2013
[Predictive value of combined fibronectin and ultrasound cervical assessment in twin pregnancies].
To test a sequential test with fetal fibronectin detection after ultrasound measurement of cervical length to predict preterm delivery in twin pregnancies with preterm labor. ⋯ A sequential test with selective use of fetal fibronectin detection in twin pregnancies selected by ultrasound measurement of cervical length appears to be effective for predicting preterm birth if preterm labor, avoiding half of fibronectin tests.
-
Gynecol Obstet Fertil · Apr 2013
Review[Palliative care birth plan: a field of perinatal medicine to build].
Some couples may choose to continue the pregnancy unable to decide for termination of pregnancy. Such situations recently occurred in neonatology units and may lead to neonatal palliative care. ⋯ Consistency in the reflection and intentionality of the care is essential among all different stakeholders within the same health team to facilitate support of parents up to a possible fatal outcome. This issue in perinatal medicine seems to be to explore how caregivers can contribute in the construction of parenthood in a context of a palliative care birth plan.