Journal de gynécologie, obstétrique et biologie de la reproduction
-
J Gynecol Obstet Biol Reprod (Paris) · Apr 2011
Comparative Study[Comparison between two analgesic protocols on IVF success rates].
Analgesic protocols administered before a follicular puncture under local anesthesia are well tolerated when using NSAIDs, but we still do not know their possible impacts on in vitro fertilization (IVF) outcomes. ⋯ The protocol N/K enhances patient comfort without jeopardizing the IVF success rates.
-
J Gynecol Obstet Biol Reprod (Paris) · Apr 2011
[The confidential enquiries into maternal deaths, 1996-2006 in France: what consequences for the obstetrical care?].
The national confidential enquiry into maternal deaths (ENCMM) and its committee (CNEMM) have the target to study all maternal deaths occurring in France, in order to expertise the care provided. The current report covers the 1996--year of the ENCMM establishment--to 2006 years. After being informed of the potential maternal deaths by the Epidemiological center on medical causes of deaths (CépiDC), and agreement from the medical doctors concerned, two assessors (one anesthetist and one obstetrician) gather the medical or obstetrical information near the team involved in the care of the women, by the mean of a detailed and specific questionnaire. ⋯ Half of maternal deaths were considered preventable by the CNEMM, particularly haemorrhage and sepsis. The factors of avoidability are delay to treat (31%) inadapted therapeutics (28%), even professional default (20%) no diagnosis (15%) or reluctant patient (7%). Seven deaths are discussed in a specific section including a detailed description of, and recommendations on how the quality of care may be improved.