Publications by authors named "Coralie Chiesa-Dubruille"
Article Synopsis
- Eclampsia, a rare and serious complication of hypertensive disorders in pregnancy, shows an incidence of 2.8 per 10,000 births, highlighting its potential for being preventable with better care.
- A study analyzed the care quality provided to women with eclampsia compared to those with severe maternal morbidity from non-eclamptic high blood pressure and found significant inadequacies in antenatal (39% inadequate), pre-eclampsia (76% inadequate), and eclampsia care (50% inadequate).
- The findings indicate a critical need for improved, evidence-based standards for managing hypertensive disorders during pregnancy to prevent adverse outcomes for mothers and their babies.
Erratum to "The challenge of defining women at low-risk for childbirth: analysis of peripartum severe acute maternal morbidity in women considered at low-risk according to French guidelines." [Journal of Gynecology Obstetrics and Human Reproduction 52 (2023) 102551].
J Gynecol Obstet Hum Reprod
April 2024
[Maternal mortality due to venous thromboembolism in France 2016-2018].
Gynecol Obstet Fertil Senol
April 2024
Pregnancy and the post-partum period represent a thromboembolic risk situation, with pulmonary embolism (PE) remaining one of the leading causes of direct maternal deaths in developed countries. Between 2016 and 2018 in France, twenty maternal deaths were caused by venous thromboembolic complications (VTE), yielding a Maternal Mortality Ratio (MMR) of 0.9 per 100,000 live births (95%CI 0.
View Article and Find Full Text PDF[Maternal mortality and health care organization in France 2016-2018].
Gynecol Obstet Fertil Senol
April 2024
Article Synopsis
- When assessing mortality cases, the organization of care is a crucial element, focusing on factors like the right place of care, timely transfers, adequate resources, and communication between caregivers.
- From 2016-2018, 24% of assessed cases showed preventability factors related to care organization, with communication issues being the most common, followed by inappropriate care settings and insufficient resources.
- To improve care, better emergency response in maternity units and enhanced coordination with other medical sectors are needed, particularly in managing patients with combined psychiatric and somatic issues.
[Maternal mortality due to obstetric haemorrhage in France 2016-2018].
Gynecol Obstet Fertil Senol
April 2024
Article Synopsis
- Between 2016 and 2018, there were 20 maternal deaths due to obstetric haemorrhage, resulting in a mortality ratio of 0.87 per 100,000 live births and accounting for 7.4% of all maternal deaths within a year.
- The rate of maternal mortality from obstetric haemorrhage has decreased significantly since the early 2000s, but it remains a leading direct cause of maternal deaths, with many cases considered preventable due to shortcomings in care.
- Most deaths from haemorrhage during this period occurred during caesarean deliveries, often linked to complications like uterine rupture and surgical injuries, highlighting the need for hospitals to be prepared for such emergencies.
The challenge of defining women at low-risk for childbirth: analysis of peripartum severe acute maternal morbidity in women considered at low-risk according to French guidelines.
J Gynecol Obstet Hum Reprod
April 2023
Background: Knowledge of severe acute maternal morbidity (SAMM) and its risk factors is constantly growing, but studies have rarely focused on the specific population of low-risk women.
Aim: To estimate the prevalence and to identify subgroups at risk of peripartum SAMM in low-risk women METHODS: From a population-based cohort-nested case-control study conducted in six French regions, i.e.
Study Objective: Fibrinogen concentrate is used to treat severe postpartum hemorrhage despite limited evidence of its effectiveness in obstetric settings. We aimed to explore the association between its administration and maternal outcomes in women with severe postpartum hemorrhage.
Design, Setting And Patients: This secondary analysis of the EPIMOMS prospective population-based study, exploring severe maternal morbidity, as defined by national expert consensus (2012-2013, 182,309 deliveries, France), included all women with severe postpartum hemorrhage and transfused with red blood cells during active bleeding.
Objectives: Most indicators proposed for assessing quality of care in obstetrics are process indicators and do not directly measure health effects, and cannot always be identified from routinely available databases. Our objective was to propose a set of indicators to assess the quality of hospital obstetric care from maternal morbidity outcomes identifiable in permanent hospital discharge databases.
Methods: Various maternal morbidity outcomes potentially reflecting quality of obstetric care were first selected from a systematic literature review.