Postpartum practice: guidelines for clinical practice from the French College of Gynaecologists and Obstetricians (CNGOF)

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; Breart, Gérard; Marpeau, L.

doi:10.1016/j.ejogrb.2016.04.032

Cited by 45 publications

(60 citation statements)

References 16 publications

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“…[7][8][9][10][11][12] It is also recommended in clinical practice guidelines. [13][14][15][16][17] The clinical implementation of this knowledge is argued to benefit from close collaborations between researchers and knowledge users. 18 The Knowledge to Action Translation framework 18 suggests identification of barriers and facilitators, involvement of stakeholders such as clinicians and patients and tailoring knowledge messages to the end-user as supporting the process of change.…”

Section: Introductionmentioning

confidence: 99%

Strategies to assist uptake of pelvic floor muscle training for people with urinary incontinence: A clinician viewpoint

Slade

Hay‐Smith

Mastwyk

et al. 2018

Neurourology and Urodynamics

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Clinicians who use pelvic floor muscle training to treat urinary incontinence advised can benefit from accessing explicit details of interventions tested in research and reported as effective. They viewed tailoring therapy to individual goals and the use of verbal prompts and visualization cues as important engagement strategies for effective exercise performance. Explicit reporting could be facilitated by using an exercise guideline template, such as the Consensus on Exercise Reporting Template (CERT).

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Section: Introductionmentioning

confidence: 99%

Strategies to assist uptake of pelvic floor muscle training for people with urinary incontinence: A clinician viewpoint

Slade

Hay‐Smith

Mastwyk

et al. 2018

Neurourology and Urodynamics

View full text Add to dashboard Cite

show abstract

“…The present study had several limitations. First, the population analyzed was not representative of the general population, with a VTE risk of 2.8 per 1000 pregnancies, which was higher than the average rate (1/1000) . The aim of the present study was to assess the benefits of using a VTE risk score; however, it was not designed to evaluate a reduction of VTE prevalence.…”

Section: Discussionmentioning

confidence: 91%

“…The current iterative assessment seemed necessary to enable appropriate prophylaxis of a complex and multifactorial disease, with multiple but conflicting published guidelines . Use of the VTE risk score markedly reduced the likelihood of undertreatment or overtreatment during pregnancy and puerperium.…”

Section: Discussionmentioning

confidence: 99%

“…Thus, emergency cesarean delivery was added to the current VTE risk score in accordance with guidelines from the RCOG that consider this procedure to pose an increased risk of VTE. For elective cesarean deliveries, RCOG and the French National College of Obstetricians and Gynaecologists both recommend the use of anticoagulants when there are other cumulated risk factors.…”

Section: Discussionmentioning

confidence: 99%

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Use of a personalized iterative score to evaluate risk of venous thromboembolism during pregnancy and puerperium

Chau

Campagna

Vial

et al. 2019

Intl J Gynecology & Obste

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Objective To determine whether a personalized iterative venous thromboembolism (VTE) risk score improved preventive prophylaxis during pregnancy and puerperium. Methods An observational retrospective comparative study was conducted at single French hospital. Women who gave birth from February 1 to April 30, 2012 (n=557) or from February 1 to April 30, 2015 (n=512) underwent VTE risk assessment. The VTE risk score comprised known risk factors for this condition. Results Use of the VTE risk score at the first consultation increased the likelihood of appropriate treatment (odds ratio [OR] 1.5, 95% confidence interval [CI] 1.2–1.9; P=0.002) and reduced the risk of undertreatment (OR 0.5, 95% CI 0.4–0.7; P<0.001). During hospitalization and puerperium, the VTE risk score increased the likelihood of appropriate treatment. The ORs were 6.2 (95% CI 2.1–18.9; P<0.001) and 5.4 (95% CI 4.1–7.2; P<0.001), respectively. The risk of undertreatment was also reduced at these time points. Conclusion Use of the VTE risk score increased the number of appropriately treated patients during pregnancy and puerperium.

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“…Therefore, most women choose cesarean section to the detriment of vaginal delivery. After-birth discomfort in women who had C-section is caused by the abdominal incision (5).…”

Section: Discussionmentioning

confidence: 99%

The psychosocial impact of vaginal delivery and cesarean section in primiparous women

Pleș¹,

Sima²,

Carp³

et al. 2018

JMMS

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The aim of this study was to identify how the method of delivery and birth experience interfere with maternal psychological status early after puerperium. We conducted a prospective study on 148 women after puerperium from November 2017 to January 2018 in Bucur Maternity Hospital. Women that delivered vaginally mobilized in the first 6 hours in 73.7% of the cases, but for cesarean section after 12-24 hours in 43.6% of the cases. Women described good support from the obstetrician in 58.1% of the cases. 90.5% of the women reported that the method of delivery did not have an impact on infant care and 73% had no lactation problems. The majority described little trauma, in 32.4% of the cases. 70.3% of the patients reported that they wanted to have more children and 59.5% of them desired the same method of delivery. Negative feelings, lactation, and taking care of the baby were not influenced in this study by the method of delivery, but by prematurity of birth and the complications that women experienced at birth.

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Postpartum practice: guidelines for clinical practice from the French College of Gynaecologists and Obstetricians (CNGOF)

Cited by 45 publications

References 16 publications

Strategies to assist uptake of pelvic floor muscle training for people with urinary incontinence: A clinician viewpoint

Strategies to assist uptake of pelvic floor muscle training for people with urinary incontinence: A clinician viewpoint

Use of a personalized iterative score to evaluate risk of venous thromboembolism during pregnancy and puerperium

The psychosocial impact of vaginal delivery and cesarean section in primiparous women

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