Publications by authors named "Jean Patrick Metz"

Background: The first feasibility study of the OdonAssist inflatable device for use in clinically indicated assisted vaginal birth reported a success rate of 48% with no significant safety concerns. Additional studies exploring the device performance in other clinical settings are warranted before definitive conclusions can be drawn about its safety and efficacy in current practice.

Objective: This study aimed to investigate the safety and efficacy of the OdonAssist before conducting a randomized controlled trial.

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Background: Cervical dilatation curves are widely used to describe normal and abnormal labor progression for cephalic presentation. Labor curves for breech presentations have never been described.

Objectives: The aims of this study were to examine the pattern of labor progression in women with a breech presentation and to determine whether the type of breech or parity can influence the speed of cervical dilatation.

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Article Synopsis
  • The study aimed to measure and model the elasticity of normal fetal lungs and liver from 24 to 39 weeks of gestation using a technique called 2D shear wave elastography (2D-SWE).* -
  • Results showed that liver elasticity consistently increased during gestation, while fetal lung elasticity first increased, then decreased after 32 weeks, suggesting distinct maturation processes for the two organs.* -
  • The research indicates that the distance between the probe and the organ affects elasticity measurements, with reliable results obtained only if the probe is less than 8 cm away from the target organ.*
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Objectives: In 5 % of vaginal deliveries in case of cephalic presentation there is a persistent occipital posterior position known to be associated with a higher maternal and neonatal morbidity. In these situations, vacuum extractor seems to be the best choice for assisted delivery but it also has limits and contraindications, for example an important caput succadenum or premature birth. The aim of our study was to evaluate the rate of intra-pelvic rotation of persistent occipital posterior position without instrumental rotation in case of operative delivery with spatulas.

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Acute leukemia during pregnancy is rare (1 for 100000 pregnancies). The association of arsenic trioxide (ATO) and all-trans retinoic acid (ATRA) is known as the best therapy in standard-risk acute promyelocytic leukemia (APL). We describe the first case of a pregnancy with ATRA and ATO reported in the literature.

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Article Synopsis
  • This report explores the use of 2-D ultrasound shear wave elastography (2D-SWE) to study fetal lung malformations in two fetuses, one with Congenital Pulmonary Airway Malformation and the other with congenital obstructive emphysema.
  • The researchers monitored the Congenital Pulmonary Airway Malformation Volume Ratio (CVR) every three weeks and compared the stiffness of the lesions to normal lung and liver stiffness using the Lung to Liver Elastography (LLE) ratio.
  • The findings indicate that the LLE ratios changed before the CVR ratios in both cases, suggesting that 2D-SWE could effectively track stiffness changes in fetal lung mal
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A 5,6 Mb de novo 19q12-q13.12 interstitial deletion was diagnosed prenatally by array-comparative genomic hybridization in a 26 weeks male fetus presenting with intra-uterine growth retardation, left clubfoot, atypical genitalia and dysmorphic features. Autopsic examination following termination of pregnancy identified a severe disorder of sex development (DSD) including hypospadias, micropenis, bifid scrotum and right cryptorchidism associated with signs of ectodermal dysplasia: scalp hypopigmentation, thick and frizzy hair, absence of eyelashes, poorly developed nails and a thin skin with prominent superficial veins.

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Introduction: 2-D ultrasound shear wave elastography (SWE) could be considered as a new noninvasive tool for monitoring fetal lung development based on evaluation of mechanical properties during pregnancy. Interesting results are available concerning the use of SWE on developing organs, especially on premature infants and animal models. The main objective in this study is to evaluate the feasibility of 2-D SWE in human fetal lungs between 24 and 34 weeks of gestation (WG).

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