Point sur la grande prématurité en 2007

Rozé, J. C.; Müller, Jean-Baptiste; Baraton, Louis; Cailleaux, G.

doi:10.1016/j.reaurg.2007.07.006

Cited by 5 publications

(4 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…It is often practiced when the pregnancy becomes threatening for the mother or when the risk of the infant to be born prematurely is smaller than the one of remaining in utero. 7 The term of 34 weeks of amenorrhea is a "cape of good hope" for the survival of premature infants, since the surfactant secretion in the lung alveoli is at its highest level in the fetus; this can prevent hyaline membrane disease for the premature neonate. 2,8 It was recorded during the study period (2 years), a rate of 3.6% of fetal extraction by cesarean section before 34 weeks of amenorrhea.…”

Section: Discussionmentioning

confidence: 99%

“…These results are consistent with others studies which had shown a survival rate around 94% in premature infants born between 27 and 31 WA and of 60% among 25 weeks of amenorrhea. 7,18 Apart gestational age, other factors such as birth weight and trophicity were also involved in premature prognosis. According to the results, lethality increases with decreasing birth weight except less than 900 g which include 100% survival.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Indications and Prognosis of Fetal Extractions by Caesarean Section before 34 Weeks of Amenorrhea in Black African Context

Ab¹,

As²,

As³

et al. 2016

OGIJ

View full text Add to dashboard Cite

Objectives:To analyze the clinical features and prognosis of fetal extractions by caesarean section before 34 weeks of amenorrhea. Materials and methods:This is a retrospective and analytical study of 196 cases of women who gave birth by caesarean section at the maternity of Sylvanus Olympio's University Hospital of Lomé, before 34 weeks of amenorrhea from 1st January 2009 to 31st December 2011.Results: Fetal extraction by caesarean section before 34 weeks of amenorrhea has represented 3.6% of caesarean sections rate. Hypertensive disease during pregnancy and its complications (gestational hypertension, preeclampsia, eclampsia, and placenta abruptio) were in 61.8% of cases, the primary indication of fetal extractions before 34 weeks. The premature mortality rate was 9.8% and neonatal infection was the most deadly disease (52.4%). The first week of life was the most fatal with 61.9% of cases of early neonatal death. The minimum gestational age of 30 weeks of amenorrhea plus 6 days and more, allowed better survival as well as birth weight above 1300g. Conclusion:Fetal extraction could be considered with confidence in the center if gestational age is about 30 weeks of amenorrhea plus 6 days or more and if the birth weight is over 1300 grams. Emphasis should be put more on the prevention of infections and on the improvement of the technical platform for management of premature newborns.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Indications and Prognosis of Fetal Extractions by Caesarean Section before 34 Weeks of Amenorrhea in Black African Context

Ab¹,

As²,

As³

et al. 2016

OGIJ

View full text Add to dashboard Cite

show abstract

“…Neonatal Intensive Care Units (NICUs) for very preterm infant do not provide the same living and development conditions as the intrauterine environment. preterm infant in incubators are cut off from the prenatal period; in the first moments of their aerial life, they are at odds with the normal biological continuum and immersed in an environment far removed from the intrauterine sensory world [ 13 ].…”

Section: The Sensory Environment Of Nicu Incubators and Its Consequen...mentioning

confidence: 99%

“…During their first days of life, these preterm infants will be confronted with numerous stress factors, such as painful care procedures and frequent and uncomfortable manipulations [ 13 ]. The preterm infant in an incubator is exposed to early sensory experiences, atypical in quantity and quality and inappropriate to his or her level of sensory maturation, whereas the temporal sequence of sensory development in utero during the 3rd trimester of gestation is well known: somesthetic and deep tactile sensitivity (proprioceptive) and chemosensory sensitivity (gustation and olfaction) at 14 weeks, vestibular sensitivity (body movement and balance) at 25 weeks, auditory sensitivity at 26 weeks, and then visual sensitivity at 28 weeks [ 14 ].…”

Section: The Sensory Environment Of Nicu Incubators and Its Consequen...mentioning

confidence: 99%

Neonatal Care Unit Interventions on Preterm Development

Séassau,

Munos,

Gire

et al. 2023

Children

View full text Add to dashboard Cite

Prematurity is becoming a real public health issue as more and more children are being born prematurely, alongside a higher prevalence of neurodevelopmental disorders. Early intervention programs in Neonatal Intensive Care Units (NICUs) correspond to these uni- or multi-sensorial solicitations aiming to prevent and detect complications in order to support the development of preterm infants. This article aims to distinguish sensory intervention programs according to the gradient of the type of solicitations, uni- or multi-modal, and according to the function of the person who performs these interventions. Uni-sensorial interventions are essentially based on proprioceptive, gustatory, or odorant solicitations. They allow, in particular, a reduction of apneas that support the vegetative states of the preterm infant. On the other hand, the benefits of multi-sensory interventions seem to have a longer-term impact. Most of them allow the support of the transition from passive to active feeding, an increase in weight, and the improvement of sleep-wake cycles. These solicitations are often practiced by caregivers, but the intervention of parents appears optimal since they are the main co-regulators of their preterm child’s needs. Thus, it is necessary to co-construct and train the parents in this neonatal care.

show abstract