J Gynecol Obst Bio R
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J Gynecol Obst Bio R · May 2002
[Maternal emergencies requiring controlled ventilation: epidemiology and prognosis].
Evaluation of severe maternal morbidity in peripartum period leading to controlled ventilation in the obstetrical intensive care unit. ⋯ There were 0.08 percent of obstetric patients requiring controlled ventilation. The serious maternal morbidity and the high mortality require better care of obstetric patients.
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J Gynecol Obst Bio R · Apr 2002
Review[Audits and confidential enquiry: thoughts on the technique used by the French National Committee for the reduction of maternal deaths].
This study demonstrates the need for a confidential approach to medial information when the objective is to improve medical practices, as was the goal of the French National Committee for the reduction of maternal deaths. This approach is the exact opposite of a litigation where the goal is to determine "guilt". ⋯ We review here similar actions taken to reduce other types of medical accidents such as anesthesia deaths. The confidential approach has been found to be pertinent in the perinatal audit conducted in the Seine-Saint-Denis region, including all fetal and neonatal deaths, that has shown measurable reduction in the number of fetal deaths.
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J Gynecol Obst Bio R · Feb 2002
Review[Potential role of prenatal care in reducing maternal and perinatal mortality in sub-Saharan Africa].
Prenatal care has been implemented in developing countries according to the same mode as applied in industrialized countries without considering its real effectiveness in reducing maternal and neonatal mortality. Several recent studies suggest that the goals should be revisited in order to implement a program of prenatal care based on real scientific evidence. Based on the current literature, we propose a potentially effective content for prenatal care adapted to the context of developing countries. ⋯ The purpose of these consultations would be: 1) to screen for three major risk factors, which, when recognized, lead to specific action: uterine, scare, malpresentation, premature rupture of the membranes; 2) to prevent and/or detect (and treat) specific complications of pregnancy: hypertension, infection (malaria, venereal disease, HIV, tetanus, urinary tract infection); anemia and trace element deficiencies, gestational diabetes mellitus; 3) to provide counseling, support and information for pregnant women and their families (including the partner) concerning: severe signs and symptoms of pregnancy and delivery, community organization of emergency transfer, delivery planning. These potentially effective actions can only have a real public health impact if implemented within an organized maternal health system with a functional network of delivery units, if truly quality care is given, and if the relationships between health care providers and the population are based on mutual respect. Sub-Saharan African women use prenatal care extensively when it is accessible; this opportunity must be used to implement evidence-based actions with appropriate and realistic goals.
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J Gynecol Obst Bio R · Nov 2001
Case Reports[Acute carbon monoxide poisoning during pregnancy: 2 cases with different neonatal outcome].
We report two cases of moderate maternal poisoning during the third trimester. They underwent hyperbaric oxygen therapy at 2.5 atmospheres for 90 minutes and were delivered at term. In one case the newborn presented an antenatal ischemic cerebral lesion probably due to monoxide poisoning. Pathophysiology and treatment of such accidents are discussed.
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J Gynecol Obst Bio R · Nov 2001
[Oxytocic use and duration of labor under peridural ambulatory analgesia].
Extradural analgesia is associated with an increase duration of labor and oxytocin use. ⋯ Obstetrical parameters and oxytocin consumption are not modified during walking extradural analgesia. No maternal or neonatal adverse effects were noted in our study.