Post-partum : recommandations pour la pratique clinique — Texte court

Sénat, Marie-Victoire; Sentilhes, Loïc; Battut, A.; Benhamou, Dan; Bydlowski, Sarah; Chantry, Anne; Deffieux, X.; Diers, F.; Doret, Muriel; Ducroux-Schouwey, Chantal; Fuchs, Florent; Gascoin, Géraldine; Lebot, C.; Marcellin, Louis; Plu‐Bureau, Geneviève; Raccah-Tebeka, Brigitte; Simon, Emmanuel; Bréart, G.; Marpeau, L.

doi:10.1016/j.sagf.2015.10.007

Cited by 4 publications

(7 citation statements)

References 3 publications

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“…We must interpret these results cautiously because the use of pain relief drugs during the postpartum period is proposed to treat pain of various origins, and our sample size was not calculated with this variable in mind. Further analysis is therefore required [ 9 ].…”

Section: Discussionmentioning

confidence: 99%

“…These issues may negatively affect early maternal bonding and breastfeeding. In addition, pain relief drugs are used widely during the postpartum period to treat the pain of various origins, such as uterine trenches, breastfeeding, and perineal trauma [ 9 ]. These drugs can be responsible for maternal side effects and can be found in maternal milk [ 10 ].…”

Section: Introductionmentioning

confidence: 99%

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Application of Honey to Reduce Perineal Laceration Pain during the Postpartum Period: A Randomized Controlled Trial

et al. 2022

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Perineal lacerations affect between 35 and 85% of women during childbirth and may be responsible for postpartum pain. Honey has been demonstrated to have interesting properties that can promote wound healing. The aim was to evaluate the effectiveness of the application of honey to the perineum to reduce perineal pain during the early postpartum period. A randomized controlled trial including 68 women was conducted. In the intervention group, honey was applied to perineal lacerations for four days, in addition to standard care. The control group received only standard care. The primary outcome was pain intensity using the Visual Analog Scale and pain perception using the McGill Pain Questionnaire (QDSA). The secondary outcomes were a burning sensation, the use of a pain killer, and the women’s satisfaction with the honey application. The intensity of pain was not significantly different between the groups on Day 1 (VAS 3.38 in the control group versus 3.34 in the intervention group, p = 0.65) or on Day 4 (VAS 2.28 versus 1.41, respectively, p = 0.09). There was no significant difference regarding the perception of pain with the QDSA. Despite this, most of the women in the intervention group (93%) were satisfied or very satisfied with the use of honey on their perineum.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Application of Honey to Reduce Perineal Laceration Pain during the Postpartum Period: A Randomized Controlled Trial

et al. 2022

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“…Participating centers adhered to the French national guidelines for prevention of maternal venous thromboembolism, which do not recommend postpartum venous thromboembolism prophylaxis in women with no or a single clinical risk factor. 25,26 For all cesarean deliveries, thromboprophylaxis by compression socks for at least 7 days is recommended 25,26 ; if prescribed,…”

Section: Participantsmentioning

confidence: 99%

“…single clinical risk factor. 25,26 For all cesarean deliveries, thromboprophylaxis by compression socks for at least 7 days is recommended 25,26 ; if prescribed, low-molecularweight heparin should be provided for 7 to 14 days. 25 Women known to be at risk of venous thromboses at baseline (with, for instance, known thrombophilia or a history of venous thromboembolism) were excluded from the TRAAP2 trial because of the potential prothrombotic role of tranexamic acid.…”

Section: Key Pointsmentioning

confidence: 99%

Association Between Surgeon Gender and Maternal Morbidity After Cesarean Delivery

et al. 2023

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ImportanceThe stereotype that men perform surgery better than women is ancient. Surgeons have long been mainly men, but in recent decades an inversion has begun; the number of women surgeons is increasing, especially in obstetrics and gynecology. Studies outside obstetrics suggest that postoperative morbidity and mortality may be lower after surgery by women.ObjectiveTo evaluate the association between surgeons’ gender and the risks of maternal morbidity and postpartum hemorrhage (PPH) after cesarean deliveries.Design, Setting, and ParticipantsThis prospective cohort study was based on data from the Tranexamic Acid for Preventing Postpartum Hemorrhage after Cesarean Delivery (TRAAP2) trial, a multicenter, randomized, placebo-controlled trial that took place from March 2018 through January 2020 (23 months). It aimed to investigate whether the administration of tranexamic acid plus a prophylactic uterotonic agent decreased PPH incidence after cesarean delivery compared with a uterotonic agent alone. Women having a cesarean delivery before or during labor at or after 34 weeks’ gestation were recruited from 27 French maternity hospitals.ExposuresSelf-reported gender (man or woman), assessed by a questionnaire immediately after delivery.Main Outcomes and MeasuresThe primary end point was the incidence of a composite maternal morbidity variable, and the secondary end point was the incidence of PPH (the primary outcome of the TRAAP2 trial), defined by a calculated estimated blood loss exceeding 1000 mL or transfusion by day 2.ResultsAmong 4244 women included, men surgeons performed 943 cesarean deliveries (22.2%) and women surgeons performed 3301 (77.8%). The rate of attending obstetricians was higher among men (441 of 929 [47.5%]) than women (687 of 3239 [21.2%]). The risk of maternal morbidity did not differ for men and women surgeons: 119 of 837 (14.2%) vs 476 of 2928 (16.3%) (adjusted risk ratio, 0.92 [95% CI, 0.77-1.13]). Interaction between surgeon gender and level of experience on the risk of maternal morbidity was not statistically significant. Similarly, the groups did not differ for PPH risk (adjusted risk ratio, 0.98 [95% CI, 0.85-1.13]).Conclusions and RelevanceRisks of postoperative maternal morbidity and of PPH exceeding 1000 mL or requiring transfusion by day 2 did not differ by the surgeon's gender.

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“…Instead, family planning counseling usually starts 21-40 days after delivery as previous guidelines recommended. (8,9) Many studies concluded that interval counseling was associated with an increased number of women (up to 40%) who were either unable to attend or have resumed ovulation and/or sex resulting in a more unwanted pregnancy. (9)(10)(11) This is particularly true in the current COVID-19 pandemic circumstances as women are reluctant to attend their appointments and contraceptives stocks are at risk of depletion.…”

Section: Introductionmentioning

confidence: 99%

Iraqi women Attitude towards Immediate Post-partum/ Post-abortion Contraception: a multi-institutional study

Jafaar¹,

Alhaidari

Razaq³

et al. 2020

Al-Kindy Col. Med. J

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Background: Immediate postpartum contraceptive and post abortion contraception methods are effective safe methods and are becoming a standard practice in many countries, yet it is not widely used in Iraq. Aims: this study: is designed to assess the attitude and willingness of women to immediate contraception after giving birth or abortion and their satisfaction to previous use. Methods and Material: Four hundred thirty-four women were surveyed in the labor word immediately after giving birth/ abortion. Their knowledge, attitude and contraception use were assessed according to the response they reported to a given questionnaire. Results: women were not sure about the ideal time to begin using birth control post- partum.122 out of 434 (28%) have not heard about the immediate use of contraception before, only 97/434 (22.3%) reported a previous use of immediate contraception after previous birth / abortion. The satisfaction of the women to previous immediate contraception use was reported by 61/97 (77%) versus 7/97 (7%) who were not satisfied. High educated females with unstable income and women having more than five children depicted significantly higher willingness to immediate postpartum/ abortion contraception use (P=0.026, P<0.001, P=0.001) respectively. Similarly, a significant association was observed between positive attitude and pregnancy complications, including diabetes, bleeding and hypertension (P=0.001) and craving (P=0.003). Conclusions: Iraqi women showed high willingness to immediate post-partum/abortion contraception use; nonetheless small proportion have actually used it. Poor knowledge of various contraceptive types, best time of use with less side effect are the main obstacles for family planning.

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Post-partum : recommandations pour la pratique clinique — Texte court

Cited by 4 publications

References 3 publications

Application of Honey to Reduce Perineal Laceration Pain during the Postpartum Period: A Randomized Controlled Trial

Application of Honey to Reduce Perineal Laceration Pain during the Postpartum Period: A Randomized Controlled Trial

Association Between Surgeon Gender and Maternal Morbidity After Cesarean Delivery

Iraqi women Attitude towards Immediate Post-partum/ Post-abortion Contraception: a multi-institutional study

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