Screening of pregnant women for hepatitis B markers in a French Provincial University Hospital (Limoges) during 15 years.

During the 15 years from January 1984 to December 1998 the Limoges University Hospital screened 22,859 pregnant patients for hepatitis B surface antigen (HBs Ag) and identified 149 positives. The overall prevalence (0.65%) was intermediate between prevalences observed among women of French origin (0.

[Peritoneal tuberculosis simulating advanced ovarian carcinoma: a case report].

Disseminated peritoneal tuberculosis accounts for 1-3% of tuberculosis disease, represented by high frequency of lung defects in endemic countries. The authors report one case in a 43-year-old woman, the initial interpretation of which, based on pleural and peritoneal exudate, showed suspected latero-uterine mass and significant elevated serum CA 125 level, mimicking disseminated ovarian carcinoma. Only after exploring laparotomy with biopsy was disseminated peritoneal tuberculosis identified, thus correcting the diagnosis.

Urethral cytology and diagnosis of the pregnancy term. About some observations on the use of this method in an hospital setting.

A retrospective study of routine urethrocytograms performed over a 10-year period in 3,478 pregnant women for the diagnosis of pregnancy term was carried out to determine the reliability of urethral cytology when two, three, or four successive urethral smears were performed at 2- or 3-day intervals, and to investigate the correlations between the cytological results and the neurological ages of newborns. Microscopical examination of the 3,478 routine smears demonstrated the existence of a before-term aspect, a near-term aspect, or an at-term aspect in 7.4%, 66.

[Antepartum perineal massage: review of randomized trials].

Objective: To assess the effectiveness of ante partum perineal massage to reduce the number of perineal injuries and episiotomies through a survey of the existing literature.

Material And Methods: [corrected] A search both in English and French on randomized clinical trials using the Medline and Cochrane Library databases. The key words: "Perineum", "massage", "perineum injuries", "randomized controlled trial" were selected from the years 1966 to November 2000.

[Reflections on compliance in menopause hormone replacement therapy].

Compliance with hormone replacement therapy (HRT) in postmenopausal women is discussed. Although accurate quantitative evaluation is difficult, estimates in French women are provided. Thirty percent of postmenopausal women are under HRT, but data are lacking on the age groups in which HRT is most prevalent.

[Current status of estrogen-progestational contraception].

The final decade of the century confirms the importance of latest generation progestogens in terms of decreased risks associated with the use of doses of ethinyl estradiol of 50 gamma or more, equally effective in contraception of this type. These new combination very considerably limit the untoward effects seen in the past regarding carbohydrate and lipid metabolism, as well as cardiovascular disease. Concerning carcinogenesis, the long term protective effect against carcinomas of the endometrium and ovary is now accepted, while studies of breast cancer are not unanimous in their condemnation, the same applying to the risk of hepatocarcinoma.

[Traumatic lesions of the pregnant uterus and its contents: medico-legal aspects].

Pregnant women are not free of the risk of trauma and any abnormality of pregnancy or the child is easily attributed to an accident occurring during the preceding days, weeks or ...

[Prevalence of HBs Ag in about 21,500 pregnant women. Survey at twelve French University Hospitals. The Muticentric Study Group].

The risk of perinatal B virus transmission is estimated in France on results of limited studies carried out during a long period and essentially in metropolitan area. Systematic screening for HBsAg in pregnancy was decided in February 1992 in France. In order to obtain national data on HBsAg prevalence of pregnant women, the authors have summarized the results obtained from twelve French university hospitals during one year.

[Uterine rupture in a prior cesarean section. Review of the literature and 2 case reports].

On the basis of two cases, the authors undertake a thorough review of rupture of the uterus affecting the uterus with cesarean section scarring. They evaluate etiological factors, monitoring methods and management. An extensive review of the literature is presented.

[Perineal rehabilitation of female urinary incontinence. Long term results].

The results of perineal rehabilitation in 101 women with urinary incontinence are evaluated with a follow-up of 18 months (9-37 months). The authors try to precise the clinicals and urodynamicals initials factors of a bad pronostic.

[Infertility in France: results of a multicenter survey in three French departments (1988-1989)].

Results are presented from a survey of 1,686 couples living in three French departments who consulted a practitioner over a 12-month period for primary or secondary infertility. "The prevalence rate of infertility was found to be 14.1%, indicating that one woman out of seven in France will consult a doctor for an infertility problem during her reproductive life.

[Prevalence of antibodies to the hepatitis C virus in pregnant foreign residents in France].

Blood transfusion and intravenous drug use are the two main modes of transmission of the hepatitis C virus (HCV). Sexual intercourse seems to play a less significant part in transmission of the HCV and data are still lacking on vertical mother-to-offspring transmission. HCV seroprevalence was determined in 1,084 pregnant foreign residents of France living in a single city (Limoges).

Incidence and main causes of infertility in a resident population (1,850,000) of three French regions (1988-1989).

To estimate the prevalence and main causes of infertility, a multicentre survey was conducted over 1 year (July 1988-June 1989) in three regions of France. All the 1686 couples in these regions, who consulted a practitioner for primary or secondary infertility during this period, were included in the investigation. The prevalence rate of infertility was found to be 14.

[The effect and consequences of inflammation on urethral cytology in the 9th month of pregnancy].

Qualitative and quantitative modifications were observed in urethral smears made from week 37 to week 41 of amenorrhoea and showing leucocytes in the desquamation. The number of cell clusters decreased; the numbers of false clusters and of isolated cells with rounded borders increased. Columnar cells and degenerating isolated nuclei are often seen in these inflammatory smears.

[Prevalence of hepatitis B (Hbs Ag, Hbe Ag, DNA) and delta virus markers, in about 10,000 pregnant women in Limoges (France)].

The risk of perinatal B virus transmission is well known, but is estimated in France on results obtained from blood donors or from urban populations. In the present study, the screening of HBs Ag was carried out during five years (1984-1988), within a sample population of pregnant women (french women: 8,364, immigrant women: 1,206) seen in the university hospital of Limoges. Positive sera for HBs Ag were also tested for the other markers of B virus including specific DNA, and markers of the delta virus.

[Urethral cytology and diagnosis of the term of pregnancy. Changes in the morphological aspects during the last trimester].

Urethrocytograms were made by brushing in women during the last quarter of their pregnancy, from week 28 of amenorrhea to week 38. Two different cell patterns were present in these smears. The A-pattern is composed by round squamous cells, often in clumps.

[Pregnancy and delivery after the age of 40].

When pregnancy occurs in a woman who is more than 40 years of age there are certain risks, ranging from the risks of chromosome abnormalities to those associated with grand multiparity and the syndrome of "the precious baby", when it is a first pregnancy. We have looked at the case notes of 52 patients who delivered after the age of 40. This was a total of 59 pregnancies which occurred in our service between the 1st January 1981 and the 31st December 1986.

[Longitudinal study of the changes in glycosylated hemoglobin in normal pregnancy].

A longitudinal study of HbA1c levels during normal pregnancy was carried out on 54 women. Three measurements were systematically performed around the 14th, the 24th and the 33rd weeks of gestation. On average, an initial decrease was observed in the first period, followed by a significant increase in the second period.