119 results match your criteria: "Poissy Saint Germain Hospital[Affiliation]"

Article Synopsis
  • * Of the women surveyed, 63% responded, revealing a postpartum depression prevalence of 16.4% when using a specific scoring scale (EPDS score of 13 or higher), which rose to 23.1% with a slightly lower cutoff (score of 11 or higher).
  • * Key risk factors identified included younger maternal age and being born in a non-European country, highlighting the need for tailored support and interventions for at-risk populations after cesarean delivery.
View Article and Find Full Text PDF

Background: Transmission of SARS-CoV-2 highlighting the importance of social distancing guidelines. Following a series of lockdowns and the widespread vaccination of the European population, many countries began to lift these restrictions. During this period, while some parents yearned for emotional support and family presence, others found that the solitude facilitated by the restrictions was beneficial for bonding and breastfeeding.

View Article and Find Full Text PDF

This study aimed to explore the perception of an underutilised collaborative information system through qualitative research, utilizing semi-structured, in-depth interviews with independent midwives and physician. PROSPERO, is a collaborative information system designed to bridge the communication gap between community-based healthcare workers and hospital-based care teams for parturients in Lyon, France. Through 27 semi-structured in-depth interviews with midwives, obstetricians, and general practitioners, we identified key themes related to the system's adoption: implementation challenges, utilisation barriers, interprofessional dynamics, and hidden variables affecting system use.

View Article and Find Full Text PDF

Objective: To evaluate the impact of body mass index (BMI) on sonographic measurement of head perineum distance (HPD) before operative vaginal delivery (OVD).

Methods: This was a single-center retrospective cohort study (Lille, France) conducted from March 1, 2019 to October 31, 2020 including all singleton and OVD. HPD measurement was systematically performed without and with compression on the perineum soft tissues.

View Article and Find Full Text PDF
Article Synopsis
  • The study aimed to define which gynecological and obstetrical services can be effectively offered through teleconsultation using expert insights and literature review.
  • A Delphi consensus survey with 22 French healthcare experts was conducted to evaluate the relevance of various teleconsultation practices across prevention, gynecology, and antenatal/postnatal care.
  • Results showed that out of 71 practices reviewed, a high percentage (92%) were approved for teleconsultation in prevention, while lower rates were seen in gynecology (55%) and prenatal (31%) or postnatal (12%) care, with some practices still needing further consensus.
View Article and Find Full Text PDF

Aim: This study compared neurodevelopmental screening questionnaires completed when preterm-born children reached 2 years of corrected age with social communication skills at 5.5 years of age.

Methods: Eligible subjects were born in 2011 at 24-34 weeks of gestation, participated in a French population-based epidemiological study and were free of motor and sensory impairment at 2 years of corrected age.

View Article and Find Full Text PDF

Objective: To report neurodevelopment at age 5.5 years according to developmental delay screening with the Ages & Stages Questionnaire (ASQ) in late infancy in preterm-born children.

Design: Population-based cohort study, EPIPAGE-2.

View Article and Find Full Text PDF

Clinical Chorioamnionitis and Neurodevelopment at 5 Years of Age in Children Born Preterm: The EPIPAGE-2 Cohort Study.

J Pediatr

April 2024

Université Paris Cité, Sorbonne Paris-Nord, Inserm, INRAE, CRESS, Obstetrical Perinatal and Pediatric Epidemiology Research Team, EPOPé, Paris, France; Department of Neonatal Pediatrics, Poissy Saint Germain Hospital, Clamart, France.

Objective: To assess the association between clinical chorioamnionitis and neurodevelopmental disorders at 5 years of age in children born preterm.

Study Design: EPIPAGE 2 is a national, population-based cohort study of children born before 35 weeks of gestation in France in 2011. We included infants born alive between 24 and 34 weeks after preterm labor or preterm premature rupture of membranes.

View Article and Find Full Text PDF

Doxapram for apnoea of prematurity and neurodevelopmental outcomes at age 5-6 years.

Arch Dis Child Fetal Neonatal Ed

June 2024

Sorbonne Paris-Nord, Inserm, INRAE, CRESS, Obstetrical Perinatal and Pediatric Epidemiology Research Team, EPOPé, Université Paris Cité, Paris, France.

Objective: To assess the long-term neurodevelopmental impact of doxapram for treating apnoea of prematurity.

Design: Secondary analysis of the French national cohort study EPIPAGE-2. Recruitment took place in 2011.

View Article and Find Full Text PDF

Tocolysis after preterm prelabor rupture of membranes and 5-year outcomes: a population-based cohort study.

Am J Obstet Gynecol

May 2024

Université Paris Cité, Inserm, INRAE, Centre for Research in Epidemiology and Statistics (CRESS), Obstetrical Perinatal and Pediatric Epidemiology Research Team (EPOPé), Paris, France; Department of Gynecology and Obstetrics, Armand Trousseau Hospital, APHP, FHU Prema, Paris Sorbonne University, Paris, France.

Background: The administration of tocolytics after preterm prelabor rupture of membranes remains a controversial practice. In theory, reducing uterine contractility should delay delivery and allow for optimal antenatal management, thereby reducing the risks for prematurity and adverse consequences over the life course. However, tocolysis may be associated with neonatal death or long-term adverse neurodevelopmental outcomes, mainly related to prolonged fetal exposure to intrauterine infection or inflammation.

View Article and Find Full Text PDF

The management of breast cancer during pregnancy (PrBC) is a relatively rare indication and an area where no or little evidence is available since randomized controlled trials cannot be conducted. In general, advances related to breast cancer (BC) treatment outside pregnancy cannot always be translated to PrBC, because both the interests of the mother and of the unborn should be considered. Evidence remains limited and/or conflicting in some specific areas where the optimal approach remains controversial.

View Article and Find Full Text PDF

Circumstances, causes and timing of death in extremely preterm infants admitted to NICU: The EPIPAGE-2 study.

Acta Paediatr

October 2023

Université Paris Cité, Sorbonne Paris-Nord, Inserm, INRAE, CRESS, Obstetrical Perinatal and Pediatric Epidemiology Research Team, Université Paris Cité, Paris, France.

Aim: To describe the circumstances, causes and timing of death in extremely preterm infants.

Methods: We included from the EPIPAGE-2 study infants born at 24-26 weeks in 2011 admitted to neonatal intensive care units (NICU). Vital status and circumstances of death were used to define three groups of infants: alive at discharge, death with or without withholding or withdrawing life-sustaining treatment (WWLST).

View Article and Find Full Text PDF

Comparison of quantitative and calculated postpartum blood loss after vaginal delivery.

Am J Obstet Gynecol MFM

September 2023

Université Paris Cité, Women's Health IHM, U1153, Centre of Research In Epidemiology and Statistics, Obstetrical, Perinatal and Pediatric Epidemiology EPOPé Research Team, INSERM, INRAE, Paris, France (Drs Madar, Goffinet, Bonnet, and Deneux-Tharaux).

Article Synopsis
  • * Data were collected from three clinical trials involving vaginal deliveries of live infants to examine the incidence of abnormal blood loss using both methods.
  • * The results aimed to determine how closely the two methods correlate and to identify any biases or limitations in each assessment.
View Article and Find Full Text PDF

JAK Inhibition in Aicardi-Goutières Syndrome: a Monocentric Multidisciplinary Real-World Approach Study.

J Clin Immunol

August 2023

Paediatric Haematology-Immunology and Rheumatology Unit, Necker Hospital, APHP Centre, Université Paris Cité, 149 rue de Sèvres, 75015, Paris, France.

Article Synopsis
  • Aicardi-Goutières syndrome (AGS) is an immune-mediated disorder primarily affecting the nervous system, and conventional treatments are largely ineffective.
  • A study on JAK1/2 inhibitors showed significant improvement in systemic symptoms of AGS over a median follow-up of 17 months, although neurological benefits were less clear.
  • The findings highlight the need for better treatment strategies for AGS's neurological symptoms, emphasizing early diagnosis and potential intrathecal drug delivery for improved outcomes.
View Article and Find Full Text PDF
Article Synopsis
  • This study aimed to understand the outcomes of patients with severe meningoencephalitis in intensive care, analyzing data from 599 adults across 68 medical centers in 7 countries from 2017 to 2020.
  • Results showed that more than half of the patients (50.5%) had poor functional outcomes at three months, with 25.8% resulting in death; causes of meningoencephalitis were varied, with acute bacterial meningitis being the most common.
  • Key factors linked to worse outcomes included being older than 60, having a weakened immune system, delays in ICU admission, and severe neurological impairments, highlighting the need for timely care and monitoring.
View Article and Find Full Text PDF

Impact of laparoscopic sacrocolpopexy (LSC) on sexual function in women with advanced stages of pelvic organ prolapse (POP): A five-year prospective study.

Eur J Obstet Gynecol Reprod Biol

May 2023

Department of Functional Pelvic Surgery & Oncology, Geoffroy Saint-Hilaire, Ramsay Santé, Paris, France. Electronic address:

Objective: To compare patients undergoing laparoscopic sacrocolpopexy (LSC) for pelvic organ prolapse (POP), in terms of sexual function and surgical anatomical outcomes more than 5-years follow up period.

Study Design: This is a cohort study of prospectively collected data that includes all women who underwent LSC between July 2005 and December 2021 at a tertiary care center. A total of 228 women were enrolled in this study.

View Article and Find Full Text PDF

Introduction: Forty years passed between the two most important definitions of primary health care from Alma Alta Conference in 1978 to WHO's definition in 2018. Since then, reforms of healthcare systems, changes in ambulatory sector and COVID 19, have created a need for reinterpretations and redefinition of primary healthcare. The primary objective of the study was to precise the definitions and the representations of primary healthcare by healthcare professionals.

View Article and Find Full Text PDF

Barrier measures implemented in French maternity hospitals during the COVID-19 pandemic: A cross-sectional survey.

Midwifery

March 2023

Geneva School of Health Sciences, HES-SO University of Applied Sciences and Arts, Western Switzerland, Geneva, Switzerland; Université Claude Bernard Lyon 1, Research on Healthcare Performance (RESHAPE), INSERM U1290, F-69008 Lyon, France; Hospices Civils de Lyon, Hôpital Femme Mère-Enfant, F-69500 Bron, France. Electronic address:

Objectives: The objectives of this survey were 1) to describe the changes over time of barrier measures in maternity units, specifically, co-parent visits and women wearing masks in birth rooms, and 2) to identify potential institutional determinants of these barrier measures.

Design: We used an online questionnaire to conduct a descriptive cross-sectional survey from May to July 2021.

Setting: All districts in mainland France.

View Article and Find Full Text PDF
Article Synopsis
  • SARS-CoV-2 positive pregnant women have a varying risk of severe maternal adverse outcomes depending on the circulating variant, with higher risks during the Delta variant wave.
  • A study of 2055 unvaccinated pregnant women from March 2020 to September 2022 showed 3.4% had severe outcomes in the pre-Delta period, increasing to 6.5% during Delta, and decreasing to 1.0% during Omicron.
  • The study also highlighted that pregnancy complications were common across all periods, with stillbirth rates rising significantly during the Delta wave.
View Article and Find Full Text PDF

A 48-year-old man presented to the ENT department of a general hospital after a traumatic event that occurred at work. During arc welding, an incandescent metallic projectile entered the left external auditory canal immediately causing earache, tinnitus, hearing loss, vertigo, and completed peripheral facial palsy on the left side. A burnt middle ear is a rare situation for which very few cases are described in the literature.

View Article and Find Full Text PDF

Background: To evaluate the association between exposure to early skin-to-skin contact (SSC) and incidence of late-onset sepsis (LOS) in extremely and very preterm infants.

Methods: Observational study using the national population-based EPIPAGE-2 cohort in 2011. A propensity score for SSC exposure was used to match infants with and without exposure to SSC before day 4 of life and binomial log regression used to estimate risk ratios and CIs in the matched cohort.

View Article and Find Full Text PDF

Is gestational age at term a risk factor for ongoing pregnancies in nulliparous women: A prospective cohort study.

Am J Obstet Gynecol MFM

February 2023

Clinical Epidemiology, Centre for Research in Epidemiology and Population Health (CESP), National Institute of Health and Medical Research (Inserm), Team U1018, University of Paris-Saclay, Versailles Saint-Quentin-en-Yvelines University, Villejuif, France (XX J Bouyer).

Article Synopsis
  • The study investigates the relationship between gestational age and cesarean delivery rates in nulliparous women (first-time mothers) in France, aiming to clarify gaps in existing data about this issue in high-income countries.
  • It analyzed a cohort of women with singleton, cephalic-position pregnancies from a network of maternity units over a two-year period, focusing on deliveries that occurred at or after 37 weeks of gestation.
  • The researchers employed statistical models to compare cesarean rates for pregnancies ongoing at each gestational week, adjusting for various maternal characteristics and hospital factors to provide a comprehensive assessment.
View Article and Find Full Text PDF

Background: Because virtual simulation promotes learning and cognitive skill development, it may be useful for teaching students to manage postpartum hemorrhage (PPH) and its complex decision algorithm.

Objective: This study aimed to compare the satisfaction and effectiveness of virtual simulation with usual supervised work in producing knowledge and satisfaction.

Methods: This two-center two-stage crossover randomized controlled trial included student midwives.

View Article and Find Full Text PDF