Obésité et reproduction : revue de la littérature

Goff, Sara; Lédée, Nathalie; Bader, G.

doi:10.1016/j.gyobfe.2008.03.005

Cited by 10 publications

(4 citation statements)

References 69 publications

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“…Il est connu depuis de nombreuses années que l'obésité intervient, sur la reproduction féminine : le risque de puberté précoce est plus élevé chez les petites filles obèses, l'obésité représente un facteur aggravant d'un éventuel syndrome des ovaires polykystiques sous-jacent, d'autre part, ces femmes présentent une augmentation du nombre de fausses couches (les mécanismes qui expliquent ces perturbations sont multifactoriels, complexes), enfin elles ont une diminution de la fertilité avec altération des résultats de l'AMP [4,5,6].…”

Section: Discussion:-unclassified

Grossesse Et Accouchement Chez La Femme Obese

Benkhaira¹,

Elazery²,

Fajri³

et al. 2020

IJAR

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The obesity, factor of the morbimortalite, is considered as a real health public problem. In gynecology, its consequences on the fertility and the contraception are sever. Obesity during pregnancy increases the risk of complications for both the mother (gestational hypertension, diabetes mellitus) and the newborn (malformations and macrosomia). Deliveries are also more difficult with more c-section and failure in peridural analgesia. Our practices have to take into account these complications by assuring an adapted and premature care to improve the maternal and neonatal outcomes.

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Section: Discussion:-unclassified

Grossesse Et Accouchement Chez La Femme Obese

Benkhaira¹,

Elazery²,

Fajri³

et al. 2020

IJAR

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“…The absence of certain information in the medical records raises questions about how much the medical and nursing personnel providing care and services know about risk and protective factors related to miscarriage. For example, weight (overweight or underweight) is a risk factor for miscarriage, and even stillbirth, that requires careful monitoring of the women concerned to prevent recurrence of perinatal loss (Ibrahim et al, 2016;Le Goff et al, 2008). Parity is another important risk factor, in terms of women's mental health (de Montigny, Verdon, Meunier, et al, 2017).…”

Section: Effectiveness and Quality Of Carementioning

confidence: 99%

Gaps in the Organization of Emergency Room Care and Services for Women Experiencing Miscarriage: A Multiple Case Study of Four ERs in Quebec

Montigny

Verdon

Dennie-Filion

et al. 2020

Science of Nursing and Health Practices - Science infirmière et

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Introduction:Miscarriage is common, occurring in nearly 20% of pregnancies. Most women experiencing symptoms such as bleeding or abdominal pain in early pregnancy consult emergency services, the front line of care. While research has shown the psychological and physical effects of miscarriage on women, less is known about how emergency services are organized to manage their care. Objective: To describe and analyze the organization of emergency services for women experiencing miscarriage. Methods: A multiple case study was conducted in four emergency rooms in Quebec, Canada, between 2014 and 2015. A reference framework setting out an organized system of action in care adapted to emergency services was used to analyze 198 medical records of women who experienced miscarriage and were treated in these emergency rooms. Results: From the analysis, observations were made regarding the accessibility, responsiveness, and productivity of emergency services, as well as deficiencies in care continuity. While medical treatments generally corresponded to standards, system responsiveness was poor, with long waits that may have added to women's psychological distress. Gaps were observed in care continuity, effectiveness, and quality, including missing notes in charts, high readmission rates, and lack of referrals to relevant psychosocial and other support services. Discussion and conclusion: Recommendations include developing clinical guidelines, care trajectories, and checklists for nurses' clinical assessments. As well, early pregnancy assessment clinics are an innovative care delivery model that has proven effective in reducing admissions, shortening hospitalizations, and providing comprehensive support services. Mots-clésfausse couche; infirmière oeuvrant à l'urgence; dossiers; organisation des soins; unité d'urgence RésuméIntroduction : Environ 20 % des grossesses se terminent par une fausse couche. La majorité des femmes qui présentent des symptômes de fausse couche tels les saignements ou les douleurs pelviennes ou abdominales consultent les services d'urgence. Les effets psychologiques et physiques de cet événement sur les femmes sont bien connus, or on sait moins comment les services d'urgence s'organisent pour les prendre en charge. Objectif : L'étude visait à décrire et analyser l'organisation des services d'urgence. Méthodes : Une étude de cas multiples a été réalisée dans 4 urgences du Québec (Canada) entre 2014 et 2015. Le cadre de référence décrivant un système organisé d'action a permis d'analyser 198 dossiers médicaux de femmes vivant une fausse couche et prises en charge dans ces urgences. Résultats : L'analyse permet de faire des constats sur l'accessibilité, la réactivité et la productivité des services d'urgence, de même que sur le manque dans la continuité des soins. La réactivité du système est pauvre, avec des attentes prolongées qui pourraient contribuer à la détresse des femmes. Des lacunes existent dans la continuité des soins, l'efficience et la qualité, incluant des données absentes dans les dossiers...

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“…According to the World Health Organization (WHO), infertility is defined as the absence of conception after at least 12 months of normal, regular, complete and unprotected sexual intercourse [1]. It affects around 180 million people worldwide and around one in six couples face primary or secondary infertility [1] [2]. The rate of infertility varies from one country to another, ranging from 5% to 8% in developed countries and from 5.8% to 44.2% in developing countries [3].…”

Section: Introductionmentioning

confidence: 99%

Ultrasound Causes of Female Infertility at the Fertilia Medical Clinic in Bamako

Dembele,

Kouma,

Guindo

et al. 2023

OJMI

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Aims: Infertility is a major problem in our current societies and the Fertilia medical clinic in Bamako is a center for medical assistance in procreation (MAP) where there is an increasingly growing demand for ultrasound. The objective of our study was to investigate the ultrasound causes likely to prevent the occurrence of pregnancy in a group of infertile and subfertile women. Subjects and Methods: This was a 5-year cross-sectional and prospective study, between January 2017 and January 2022, which involved 250 women wishing to become pregnant (infertile or subfertile), who came for pelvic ultrasound or follicular monitoring and who agreed to participate in our study. The parameters used were ultrasound reports including uterine, ovarian and tubal pathologies. It should be noted that in some cases no ultrasound cause of infertility was found. Data were entered and analyzed in SPSS. Results: 250 women were recruited into our. The average age was 32 years with extremes ranging from 17 to 51 years. 179 patients or 71.6% were between 17 and 35 years old. 139 patients or 55.6% had secondary infertility against 44.4% primary infertility. 202 patients or 80.8% had at least one ultrasound lesion and 48 patients or 19.2% had no significant ultrasound abnormality. The most represented ultrasound lesions were of uterine origin with 72.20%, 23.7% ovarian lesions and 04% tubal lesions. Uterine lesions were dominated by myomas, adenomyosis, endometrial polyps, uterine malformations and synechiae. As for ovarian lesions we noted cysts, polycystic ovary syndrome (PCOS), ovarian endometriosis, non-follicular ovaries and tubal ultrasound lesions showed unilateral or bilateral hydrosalpinx. Conclusion: In our study, ultrasound was an invaluable contribution to the diagnosis of the causes likely

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Obésité et reproduction : revue de la littérature

Cited by 10 publications

References 69 publications

Grossesse Et Accouchement Chez La Femme Obese

Grossesse Et Accouchement Chez La Femme Obese

Gaps in the Organization of Emergency Room Care and Services for Women Experiencing Miscarriage: A Multiple Case Study of Four ERs in Quebec

Ultrasound Causes of Female Infertility at the Fertilia Medical Clinic in Bamako

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