Bénéfices et risques néonataux de la tentative de voie basse comparée à la césarienne programmée en cas d’antécédent de césarienne

López, E.; Patkaï, Juliana; Ayoubi, Mayass El; Jarreau, Pierre‐Henri

doi:10.1016/j.jgyn.2012.09.034

Cited by 20 publications

(10 citation statements)

References 28 publications

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“…Only 3 women were pregnant, that is to say 2.1%. Our data are comparable to those found in the literature [6,7,18].…”

Section: Socio-demographic Characteristicssupporting

confidence: 92%

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High-Grade Cytological Lesions of the Uterine Cervix Case Study From 2009 To 2017 At the Gynecological and Obstetrical Clinic at The University Hospital Aristide Le Dantec -Dakar (Senegal): Colposcopic and Therapeutic Aspects

Gassama¹,

Aom²,

Biaye³

et al. 2019

Gynecol Reprod Health

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involving 145 cases. We recruited all patients received for colposcopy after a Pap smear suggestive of a high-grade lesion according to the 2001 Bethesda classification. The parameters studied included epidemiological data, colposcopic features, colposcopy biopsy findings, therapeutic aspects. , the results of the histology of the operative specimen and the follow-up. The analysis was done by the means of SPSS 21. Results: During the study period, we performed 145 colposcopies for patients with high grade lesions. Postmenopausal women accounted for almost half of the patients (48.3%), followed by women in genital activity (42.1%). The average age at first intercourse was 18 years with extremes of 12 and 32 years. One third of our patients (36.5%) used modern contraception. The patients had more than 4 pregnancies in the majority of the cases (82.8%) with an average of 6 pregnancies with extremes of 0 and 15 pregnancies. The average parity was 5.8 with extremes of 0 and 12. The majority of women had given birth at least four times (64.9%). In colposcopy, vulvoscopy was normal in all patients, examination without preparation found a red zone in 52.4%, examination after application of acetic acid found a mild acidophilus in 4.8%, intense acidophilus in 44.8% and the junction area was visible in 55.9%. Examination after application of lugol found an iodine-negative zone with fuzzy contours in 57.9% of cases. Colposcopy resulted in Grade I atypical transformation in 6.2% and Grade II atypical transformation in 59.3%. After the biopsy under colposcopy, the histology found a microinvasive and invasive squamous cell carcinoma in 37.9%, a CIN 3 in 21.2%, a CIN 2 in 4.5%, a CIN 1 in 9% and a carcinoma in situ in 3%. We achieved 13 conizations (18%), 29 hysterectomies (40.3%) and 9 colpohysterectomies associated with a lymphadenectomy (12.6%). The postoperative course was simple in all our patients. After surgical treatment, pathology examination showed CIN3 in 34% of cases, CIN2 in 22% of cases, CIN1 in 11% of cases, squamous cell carcinoma in 17% of cases and was normal in 17% of cases.

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“…Only 3 women were pregnant, that is to say 2.1%. Our data are comparable to those found in the literature [6,7,18].…”

Section: Socio-demographic Characteristicssupporting

confidence: 92%

“…In our study, female patients at the time of genital activity accounted for 42.1%. Khaola [6] in Morocco and Samaké in Mali have found higher rates with respectively 58.3% and 59.3% [7].…”

Section: Socio-demographic Characteristicsmentioning

confidence: 99%

High-Grade Cytological Lesions of the Uterine Cervix Case Study From 2009 To 2017 At the Gynecological and Obstetrical Clinic at The University Hospital Aristide Le Dantec -Dakar (Senegal): Colposcopic and Therapeutic Aspects

Gassama¹,

Aom²,

Biaye³

et al. 2019

Gynecol Reprod Health

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“…Kamath et al compared elective repeat cesarean delivery and vaginal birth after cesarean and concluded that neonates born after elective repeat cesarean delivery have significantly higher rates of respiratory morbidity and admission in neonatal intensive care unit [ 22 ]. However, Lopez et al found opposite results in their study [ 23 ]. Roth-Kleiner et al found that severity of respiratory morbidity was higher in newborns after elective cesarean section than in emergency cesarean section, probably because of the changes occurring to the fetal lungs when the mother gets into labor [ 24 ].…”

Section: Discussionmentioning

confidence: 78%

Fetal outcome in emergency versus elective cesarean sections at Souissi Maternity Hospital, Rabat, Morocco

Benzouina¹,

Boubkraoui²,

Mrabet³

et al. 2016

Pan Afr Med J

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IntroductionPerinatal mortality rates have come down in cesarean sections, but fetal morbidity is still high in comparison to vaginal delivery and the complications are more commonly seen in emergency than in elective cesarean sections. The objective of the study was to compare the fetal outcome and the indications in elective versus emergency cesarean section performed in a tertiary maternity hospital.MethodsThis comparative cross-sectional prospective study of all the cases undergoing elective and emergency cesarean section for any indication at Souissi maternity hospital of Rabat, Morocco, was carried from January 1, to February 28, 2014. Data were analyzed with emphasis on fetal outcome and cesarean sections indications. Mothers who had definite antenatal complications that would adversely affect fetal outcome were excluded from the study.ResultsThere was 588 (17.83%) cesarean sections among 3297 births of which emergency cesarean section accounted for 446 (75.85%) and elective cesarean section for 142 cases (24.15%). Of the various factors analyzed in relation to the two types of cesarean sections, statistically significant associations were found between emergency cesarean section and younger mothers (P < 0.001), maternal illiteracy (P = 0.049), primiparity (P = 0.005), insufficient prenatal care (P < 0.001), referral from other institution for pregnancy complications or delivery (P < 0.001), cesarean section performed under general anesthesia (P < 0.001), lower birth weight (P < 0.016), neonatal morbidity and early mortality (P < 0.001), and admission in neonatal intensive care unit (P = 0.024). The commonest indication of emergency cesarean section was fetal distress (30.49%), while the most frequent indication in elective cesarean section was previous cesarean delivery (47.18%).ConclusionThe overall fetal complications rate was higher in emergency cesarean section than in elective cesarean section. Early recognition and referral of mothers who are likely to undergo cesarean section may reduce the incidence of emergency cesarean sections and thus decrease fetal complications.

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“…While this serious complication is still common in Africa, it has become rare in industrialized countries. In France, the frequency of uterine rupture varies from 1/1000 to 1/2000 deliveries [7,8]. In the United States, it was 0.07% of deliveries in 2004 [10,11] and less than 0.001 deliveries according to another study published in 2005.…”

Section: Discussionmentioning

confidence: 98%

“…Uterine rupture of the uterus is more important in developed countries, whereas in developing countries, where the caesarean section rate is still low, it occurs mainly in a healthy uterus [3,13,14]. Spontaneous rupture of a non-cicatricle uterus has become exceptional in developed countries where its frequency is estimated to be between 1 in 10 000 and 1 in 20 000 deliveries [7,8,14,15]. It can be spontaneous or provoked.…”

Section: Discussionmentioning

confidence: 99%

Uterine Rupture Case Study at Kolda Regional Hospital Center

Biaye¹,

Gassama²,

Me³

et al. 2018

Gynecol Reprod Health

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Bénéfices et risques néonataux de la tentative de voie basse comparée à la césarienne programmée en cas d’antécédent de césarienne

Cited by 20 publications

References 28 publications

High-Grade Cytological Lesions of the Uterine Cervix Case Study From 2009 To 2017 At the Gynecological and Obstetrical Clinic at The University Hospital Aristide Le Dantec -Dakar (Senegal): Colposcopic and Therapeutic Aspects

High-Grade Cytological Lesions of the Uterine Cervix Case Study From 2009 To 2017 At the Gynecological and Obstetrical Clinic at The University Hospital Aristide Le Dantec -Dakar (Senegal): Colposcopic and Therapeutic Aspects

Fetal outcome in emergency versus elective cesarean sections at Souissi Maternity Hospital, Rabat, Morocco

Uterine Rupture Case Study at Kolda Regional Hospital Center

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