J Gynecol Obst Bio R
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J Gynecol Obst Bio R · Feb 2008
Review[Emergency caesarean delivery: is there an ideal decision-to-delivery interval?].
Among data on medical liability for obstetrical practice in labour ward, one of the claims concerns the decision-to-delivery interval during emergency caesarean section, for which an optimal time is frequently advocated. A realistic review on this subject is needed. ⋯ A detailed analysis of obstetrical context and of each sequence of the decision-to-delivery interval is more efficient and realistic for evaluation in medical liability cases than an optimal "gold standard". In addition, it allows a prophylactic reflexion for a risk management approach in each labour ward.
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This review aims to evaluate, in France, oocyte donation, an assisted reproductive technique (ART), for which 25 years of experience have shown its efficacy for the palliative treatment of infertility caused by ovarian exocrine failure. Its indications have since been expanded to cover certain genetic diseases and document failures of other ART attempts. Oocyte donation is performed within the framework of French legislation - bioethics laws 94-653 and 94-654 of 29 July 1994, and the revised bioethics law 2004-800 of 6 August 2004. ⋯ The major difficulties encountered in the daily practice of oocyte donation concern the recruitment and management of donors, but also, and above all, the lack of optimal means to exercise this medical specialty, due to the lack of recognition of the organizational duties incurred, which are the cornerstone of the character-specific functioning of this type of ART. In comparison, we foresee that the discrepancies of this ART practice in Europe, with it differential facets, will lead to medical nomadism for those couples financially able to do so, when national conditions of access fail because of prohibitions but also as a consequence of insufficient means to perform the inherent tasks. Today, it seems essential to provide information on the particularity and practice of oocyte donation required for the comprehension of its obligations for the different players with the aim of obtaining the means necessary for the perpetuation of its practice.
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J Gynecol Obst Bio R · Dec 2007
["Safe motherhood initiative: from control to trust." Anthropologic analysis of risk in Mali (West Africa)].
This article addresses risk management in maternal health in Mali. Risk concept is used as a tracer to investigate uncertainties and their answers at the different levels of maternal health. Representations and practices related to risk are analyzed through concept of trust and uncertainties linked to the maternal health system reform. ⋯ Safe Motherhood call for a better control on danger associated to pregnancy and birth. Such control is allowed by the elaboration of a relation of trust between population and its health system.
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J Gynecol Obst Bio R · Dec 2007
[Development of a linguistically validated French version of two short-form, condition-specific quality of life questionnaires for women with pelvic floor disorders (PFDI-20 and PFIQ-7)].
The aim of this work was to develop a linguistically validated French version of two short-form questionnaires on symptoms and quality of life in female patients with pelvic floor disorders (PFDI-20, PFIQ-7), originally developed and psychometrically validated in English. ⋯ The French versions of the PFDI-20 and PFIQ-7 are the first linguistically validated instruments available in French to evaluate symptoms and quality of life in patients with pelvic floor disorders.
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Pregnancy has an important impact on thyroid homeostasis. The main hormonal criteria of the thyroid function are modified particularly in case of low iodine supply. ⋯ However, to date, there are no convincing trials assessing the efficacy levothyroxine in subclinical hypothyroidism all the more when TSH levels are between 3 and 4 mU/l. Therefore routine screening for and treatment of subclinical hypothyroidism during pregnancy are unwarranted.