Publications by authors named "Anne-Gael Cordier"

Background: Temporary fetoscopic endoluminal tracheal occlusion (FETO) promotes lung growth and increases survival in selected fetuses with congenital diaphragmatic hernia (CDH). FETO is performed percutaneously by inserting into the trachea a balloon designed for vascular occlusion. However, reports on the potential postnatal side-effects of the balloon are scarce.

View Article and Find Full Text PDF
Article Synopsis
  • Neonatal herpes simplex virus (HSV) infection is rare but has high mortality and morbidity rates, especially in infants under 6 weeks old, with a retrospective study in France revealing an incidence of 5.5 cases per 100,000 live births over 10 years.
  • The predominant serotype found was HSV-1, and many cases were attributed to post-natal transmission through the orolabial route, with early diagnosis and treatment via acyclovir significantly improving outcomes for asymptomatic infants.
  • Key risk factors identified for poor outcomes included being born to HSV-seronegative mothers and being preterm, highlighting the need for better understanding and management of HSV infections in neonates.
View Article and Find Full Text PDF

Pregnancy-related complications (PRC) impact maternal and fetal morbidity and mortality and place a huge burden on healthcare systems. Thus, effective diagnostic screening strategies are crucial. Currently, national and international guidelines define patients at low risk of PRC exclusively based on their history, thus excluding the possibility of identifying patients with de novo risk (patients without a history of disease), which represents most women.

View Article and Find Full Text PDF
Article Synopsis
  • The study investigates the effects of SARS-CoV-2 infection in pregnant women during their 2nd and 3rd trimesters, focusing on outcomes for both mothers and newborns during the first two COVID-19 waves in Paris from April 2020 to January 2021.
  • Conducted in 10 maternity hospitals, the research included 2,410 pregnant women, with 310 testing positive for the virus, mostly around 28 to 37 weeks of gestation, and found that many could be treated as outpatients, while 23% required hospitalization.
  • Key findings revealed that multiparous women were more likely to have serious outcomes such as preterm delivery and an
View Article and Find Full Text PDF

Background: The treatment of fetuses with a congenital diaphragmatic hernia is challenging, but there is evidence that fetoscopic endoluminal tracheal occlusion has a benefit over expectant care. In addition, standardization and expertism have a great impact on survival and are probably crucial in centers that rely on expectant management with extracorporeal membrane oxygenation after birth.

Objective: This study aimed to examine the survival and morbidity rates of fetuses with a severe isolated left-sided congenital diaphragmatic hernia who underwent fetoscopic endoluminal tracheal occlusion vs expectant management in high-volume centers.

View Article and Find Full Text PDF

Objectives: To describe the outcomes of preterm born infants with congenital diaphragmatic hernia (CDH; ≤32.0 weeks of gestation) and the associations between prenatal imaging markers and survival.

Design: Retrospective cohort study.

View Article and Find Full Text PDF

Introduction: One of the drawbacks of fetoscopic endoluminal tracheal occlusion (FETO) for congenital diaphragmatic hernia is the need for a second invasive intervention to reestablish airway patency. The "Smart-TO" (Strasbourg University-BSMTI, France) is a new balloon for FETO, which spontaneously deflates when positioned near a strong magnetic field, e.g.

View Article and Find Full Text PDF

Background: The occurrence of COVID-19 during the pregnancy can cause several negative maternal and neonatal outcomes. Nasopharyngeal viral load is associated with inflammatory markers and might influence the disease severity in non-pregnant patients, but there are no data about the relationship between viral load and perinatal outcomes in pregnant patients.

Objective: To investigate the hypothesis that nasopharyngeal SARS-CoV-2 load (estimated with real-time polymerase chain reaction delta cycle (ΔCt), measured in hospital clinical laboratories) is associated with perinatal outcomes, when COVID-19 is diagnosed in the third trimester of pregnancy.

View Article and Find Full Text PDF

Objectives: The main objective of this study was to evaluate parents' current demands following the announcement of trisomy 18 and maternal risks.

Material And Methods: A single-centre retrospective study was performed in the Paris Saclay Foetal Medicine Department from 2018 to 2021. All patients followed up in the department who had cytogenetic confirmation of trisomy 18 were included.

View Article and Find Full Text PDF
Article Synopsis
  • - The study focuses on congenital diaphragmatic hernia (CDH), a serious birth defect that affects 1 in 4000 births, and aims to analyze genetic variations (CNVs) linked to this condition using advanced genetic testing methods.
  • - Researchers examined 47 fetuses and newborns with CDH and discovered an average of 10.2 CNVs per individual, identifying a total of 480 CNVs categorized by their potential significance.
  • - The analysis suggests a connection between 11 candidate genes and the occurrence of CDH, which may enhance diagnostic approaches and understanding of this complex condition.
View Article and Find Full Text PDF

(1) Background: In a period where systematic screening of CMV during pregnancy is still debated, diagnosis of non primary infection (NPI) remains challenging and an obstacle to systematic screening. Our aim is to report kinetics of serological and molecular CMV markers of NPI. (2) Methods: We identified immunocompetent pregnant women with CMV NPI as women known to be seropositive for CMV before pregnancy who gave birth to cCMV infected infants.

View Article and Find Full Text PDF

Objectives: To provide clinicians with concrete solutions on the best management of and counseling for patients in a subsequent pregnancy following uterine rupture.

Methods: A retrospective analysis of patients treated between 2005 and 2020 at Sheba Medical Center was conducted. All patients who had undergone a complete uterine rupture and subsequently had a full-term pregnancy were included.

View Article and Find Full Text PDF

Iron is required for energy production, DNA synthesis, and cell proliferation, mainly as a component of the prosthetic group in hemoproteins and as part of iron-sulfur clusters. Iron is also a critical component of hemoglobin and plays an important role in oxygen delivery. Imbalances in iron metabolism negatively affect these vital functions.

View Article and Find Full Text PDF

Introduction: Pregnant women are at increased risk for COVID-19, and COVID-19 vaccine is the most promising solution to overcome the current pandemic. This study was conducted to evaluate pregnant women's perceptions and acceptance of COVID-19 vaccination.

Materials & Methods: A cross-sectional study was conducted from February 18 to April 5 2021.

View Article and Find Full Text PDF

Background: Prenatal care providers will play an important role in the acceptance of SARS-Cov-2 vaccination for pregnant women.

Objective: To determine the perceptions of French prenatal care providers: midwives, general practitioners (GPs) and obstetricians and gynaecologists (Ob-Gyn) regarding SARS-CoV-2 vaccination during pregnancy.

Study Design: An anonymous online survey was sent to members of French professional societies representing prenatal practitioners.

View Article and Find Full Text PDF
Article Synopsis
  • A study called COVIPREG in France looks at how many pregnant women had COVID-19 during delivery and how it affects them and their babies.
  • The study tested 529 pregnant women at a hospital to see how many had antibodies against the virus; only 25 women tested positive, making it about 4.7% of the group.
  • The findings show that, four months into the pandemic in Paris, not many pregnant women had the virus, which is important for future research on COVID-19 effects during pregnancy.
View Article and Find Full Text PDF

Introduction: Pregnant women with sickle cell disease (SCD) are at high risk for sickle cell-related complications, obstetrical complications, and perinatal morbidity. Chronic inflammation and the proangiogenic environment associated with SCD have been associated with endothelial damage. It is unknown whether SCD complications could be associated with placental dysfunction or abnormal placental morphology.

View Article and Find Full Text PDF

Until recently the in utero environment of pregnant women was considered sterile. Recent high-sensitivity molecular techniques and high-throughput sequencing lead to some evidence for a low-biomass microbiome associated with the healthy placenta. Other studies failed to reveal evidence for a consistent presence of bacteria using either culture or molecular based techniques.

View Article and Find Full Text PDF
Article Synopsis
  • The study examined the safety of inducing labor in women with a history of one cesarean delivery, focusing on perinatal outcomes.
  • It included 339 women, comparing outcomes between those who had spontaneous labor and those who were induced, finding higher risks of complications in the induced group.
  • The results indicated that labor induction was linked to increased chances of uterine rupture, cesarean delivery, and longer maternal hospital stays, emphasizing the need for careful consideration in such cases.
View Article and Find Full Text PDF
Article Synopsis
  • Amniocentesis and chorionic villus sampling are key prenatal diagnostic procedures with a small miscarriage risk of about 0.5%, and a training model for these procedures has been developed and evaluated using simulation-based learning for obstetricians-gynecologists.
  • A preliminary study was conducted through an anonymous online survey sent to 82 trained obstetricians-gynecologists to assess whether simulation training impacted their professional practices.
  • Out of 48 respondents, 98% felt the training significantly influenced their work, with half deeming the impact major, and 60% now affiliated with a Multidisciplinary Center for Prenatal Diagnosis, indicating the training's effectiveness.
View Article and Find Full Text PDF

Fix data are available on the management of pregnant women infected with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). We conducted a retrospective study of 100 pregnant women with SARS-CoV-2 infection in 4 obstetric units in the Paris metropolitan area of France during March 12-April 13, 2020. Among patients, 52 (52%) were hospitalized, 10 (10%) in intensive care units (ICUs).

View Article and Find Full Text PDF

Objective: To describe the course over time of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection in French women from the beginning of the pandemic until mid-April, the risk profile of women with respiratory complications, and short-term pregnancy outcomes.

Methods: We collected a case series of pregnant women with COVID-19 in a research network of 33 French maternity units between March 1 and April 14, 2020. All cases of SARS-CoV-2 infection confirmed by a positive result on real-time reverse transcriptase polymerase chain reaction tests of a nasal sample and/or diagnosed by a computed tomography chest scan were included and analyzed.

View Article and Find Full Text PDF