17 results match your criteria: "RTH Laennec medical university[Affiliation]"

Severe adverse maternal and neonatal outcomes according to the planned birth setting being midwife-led birth centers or obstetric-led units.

Acta Obstet Gynecol Scand

December 2024

Center of Research in Epidemiology and StatisticS (CRESS), Obstetrical Perinatal and Pediatric Epidemiology Research Team (EPOPé), INSERM, INRA, Université Paris Cité, Paris, France.

Article Synopsis
  • The study investigates midwife-led birth centers (MLBCs) versus obstetric-led units (OUs) in France, focusing on severe adverse outcomes and modes of birth for low-risk women.
  • Using nationwide data from 1,294 women in MLBCs and 5,985 in OUs, researchers analyzed maternal and neonatal morbidity rates and factors like postpartum hemorrhage and the use of oxytocin.
  • Results showed that while severe outcomes were slightly higher in MLBCs (4.6% vs. 3.4%), the difference was not significant after adjustments, with notable concerns about higher severe maternal morbidity linked to postpartum hemorrhage in MLBCs.
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Objective: To investigate first, the association between endometriosis and preterm birth; second, the associations between endometriosis and preeclampsia, placenta previa, postpartum hemorrhage, stillbirth, and small-for-gestational-age infants (assessed by birthweight); and third, the risk of these adverse pregnancy outcomes with and without the use of medically assisted reproduction.

Design: Multicenter retrospective cohort study.

Patients: Deliveries by 368,935 women (377,338 infants) from 1999 through 2016.

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Changes between pre- and postpartum hemoglobin might be useful for optimizing the postpartum diagnosis of postpartum hemorrhage (PPH), defined as a blood loss exceeding 500 mL. This study's principal objective was to estimate the mean change in hemoglobin (between pre/post-delivery hemoglobin) among women with vaginal deliveries and PPH. The secondary objectives were to analyze: hemoglobin changes according to blood volume loss, the appropriateness of standard thresholds for assessing hemoglobin loss, and the intrinsic and extrinsic performances of these threshold values for identifying PPH.

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Introduction: Maternal pushing techniques during the second stage of labor may affect women's pelvic floor function. Our main objective was to assess the impact of the type of pushing used at delivery on the mother's medium-term pelvic floor function.

Material And Methods: This is a secondary analysis of a randomized clinical trial (clinicaltrials.

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Is directed open-glottis pushing more effective than directed closed-glottis pushing during the second stage of labor? A pragmatic randomized trial - the EOLE study.

Midwifery

December 2020

Université Clermont Auvergne, CHU, CNRS, SIGMA Clermont, Institut Pascal, F-63000, CLERMONT-FERRAND, France; Réseau de Santé en Périnatalité d'Auvergne, F-63000, Clermont-Ferrand, France; AUDIPOG (Association des Utilisateurs de Dossiers Informatisés en Pédiatrie, Obstétrique et Gynécologie), RTH Laennec Medical University, 7 rue Guillaume Paradin, 69372, Lyon Cedex 08, France.

Objective: To compare the effectiveness of directed open-glottis and directed closed-glottis pushing.

Design: Pragmatic, randomised, controlled, non-blinded superiority study.

Settings: Four French hospitals between July 2015 and June 2017 (2 academic hospitals and 2 general hospitals).

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Introduction: The main objective of this study is to assess the prevalence of depression at 2, 6 and 12 months postpartum in women who have had an immediate postpartum haemorrhage (PPH) (blood loss ≥500 mL within 24 hours of delivery). The secondary objectives are to assess the prevalence of anxiety and post-traumatic stress disorder among these women and to evaluate the prevalence of psychological disorders according to the severity of the PPH.

Methods And Analysis: This repeated, cross-sectional, single-centre study will take place at the Clermont-Ferrand University Hospital (France).

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Practices during the active second stage of labor: A survey of French midwives.

Midwifery

May 2018

Université Clermont Auvergne, CNRS, CHU Clermont-Ferrand, SIGMA, INSTITUT PASCAL, F-63000 Clermont-Ferrand, France; Réseau de Santé en Périnatalité d'Auvergne, F-63000 Clermont-Ferrand, France; AUDIPOG (Association des Utilisateurs de Dossiers Informatisés en Pédiatrie, Obstétrique; et Gynécologie), RTH Laennec Medical University, 7 rue Guillaume Paradin, 69372 Lyon Cedex 08, France.

Objective: the principal objective of our study was to describe the practices reported by French midwives during the active second stage of labor (expulsion phase).

Design: this cross-sectional Internet survey questioned French midwives who attended at least one childbirth in 2013.

Setting: this open survey was posted on a website from June 15 through December 1, 2014.

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Positions during the first stage and the passive second stage of labor: A survey of French midwives.

Midwifery

January 2018

Université Clermont Auvergne, CNRS, CHU Clermont-Ferrand, SIGMA, INSTITUT PASCAL, F-63000 Clermont-Ferrand, France; Réseau de Santé en Périnatalité d'Auvergne, F-63000 Clermont-Ferrand, France; AUDIPOG (Association des Utilisateurs de Dossiers Informatisés en Pédiatrie, Obstétrique et Gynécologie), RTH Laennec Medical University, 7 rue Guillaume Paradin, 69372 Lyon Cedex 08, France.

Objective: the objective of our study was to describe the practices reported by French midwives during labor (first stage and passive phase of the second stage).

Design: this cross-sectional internet questionnaire surveyed French midwives who attended at least one delivery in 2013.

Setting: this open survey was posted on a website from June 15 through December 1, 2014.

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Exposure of hospitalised pregnant women to plasticizers contained in medical devices.

BMC Womens Health

June 2017

Axe TGI-PEPRADE, Institut Pascal, Sigma Clermont, CNRS, Université Clermont Auvergne, 63001, Clermont-Ferrand, France.

Background: Medical devices (MDs) in polyvinyl chloride (PVC) are not a well-known source of exposure to plasticizers, in particular during pregnancy. Because of its toxicity, the di-(2-ethylhexyl) phthalate (DEHP) has been replaced by other plasticizers such as di (isononyl)-cyclohexane-1,2-dicarboxilic acid (DINCH), tri-octyltrimellitate (TOTM) and di-(isononyl) phthalate (DiNP). Our study aimed to quantify the plasticizers (DEHP and alternative plasticizers) contained in PVC medical devices used for hospitalised pregnant women and to describe which these MDs had been used (type, number, duration of exposure).

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Oxytocin administration during spontaneous labor: Guidelines for clinical practice. Chapter 3: Interventions associated with oxytocin administration during spontaneous labor.

J Gynecol Obstet Hum Reprod

June 2017

Université Clermont-Auvergne, CHU Clermont-Ferrand, CNRS, SIGMA Clermont, Institut Pascal, 63000 Clermont-Ferrand, France; AUDIPOG Sentinel Network (Association des Utilisateurs de Dossiers informatisés en Pédiatrie, Obstétrique et Gynécologie), RTH Laennec Medical University, 7, rue Guillaume-Paradin, 69372 Lyon cedex 08, France.

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Intended and actual use of self-medication and alternative products during pregnancy by French women.

J Gynecol Obstet Hum Reprod

February 2017

Université Clermont Auvergne, faculté de pharmacie, département santé publique et environnement, 28, place Henri-Dunant, BP 38, 63001 Clermont-Ferrand, France; Université Clermont Auvergne, CNRS, Institut Pascal, TGI-PEPRADE, 28, place Henri-Dunant, BP 38, 63001 Clermont-Ferrand, France.

Objectives: (i) To identify the proportion of non-pregnant women intending to use self-medication and self-administered alternative products (dietary supplements, essential oils and herbal teas) in the event of pregnancy, and the proportion of pregnant women using these products. (ii) To describe women's risk perception related to these products and the advice given by health professionals.

Methods: A cross-sectional study was conducted.

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Perception of Environmental Risks and Health Promotion Attitudes of French Perinatal Health Professionals.

Int J Environ Res Public Health

December 2016

EA 4681, PEPRADE, Clermont Université, Université d'Auvergne, 28 Place Henri-Dunant BP 38, 63001 Clermont-Ferrand, France.

The exposure of pregnant women to environmental contaminants is a subject of international concern. However, the risk perception of these contaminants by health professionals (HP) has not been extensively investigated. The main objective of the PERI-HELPE study (Perception of Risk-HEaLth Professionals & Environment Study) was to assess the risk perception of environmental exposure of pregnant women by perinatal HPs.

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Introduction: The scientific data currently available do not allow any definitive conclusion to be reached about what type of pushing should be recommended to women during the second stage of labour. The objective of this trial is to assess and compare the effectiveness of directed open-glottis pushing versus directed closed-glottis pushing. Secondary objectives are to assess, according to the type of pushing: immediate maternal and neonatal morbidity, intermediate-term maternal pelvic floor morbidity, uncomplicated birth, and women's satisfaction at 4 weeks post partum.

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Do maternal pushing techniques during labour affect obstetric or neonatal outcomes?

Gynecol Obstet Fertil

October 2016

Department of obstetrics and gynecology, Clermont-Ferrand university hospital center, site Estaing, 1, place Lucie-et-Raymond-Aubrac, 63003 Clermont-Ferrand cedex 1, France; Clermont université, université d'Auvergne, EA 4681, Perinatalogy, pregnancy, Environment, medical care PRActices and DEvelopment (PEPRADE), 28, place Henri-Dunant, BP 38, 63001 Clermont-Ferrand, France; Association des Utilisateurs de Dossiers informatisés en Pédiatrie, Obstétrique et Gynécologie (AUDIPOG) Sentinel Network, RTH Laennec medical university, 7, rue Guillaume-Paradin, 69372 Lyon cedex 08, France.

Objectives: To assess, through a literature review, the maternal and neonatal morbidity associated with the type of pushing used during the second stage of labour.

Methods: We searched the Cochrane Library and the Medline database for randomised controlled trials from 1980 to 2015, using the following keywords: "delivery", "birth", "birthing", "bearing down, coached, uncoached, pushing", "second and stage and labour", "randomised controlled trials" and "meta-analysis".

Results: Seven randomised controlled trials were found.

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Changes in Cosmetics Use during Pregnancy and Risk Perception by Women.

Int J Environ Res Public Health

March 2016

EA 4681, PEPRADE (Périnatalité, Grossesse, Environnement, PRAtiques médicales et Developement), University of Auvergne, 28 Place Henri-Dunant BP 38, Clermont-Ferrand 63001, France.

Cosmetic products contain various chemical substances that may be potential carcinogen and endocrine disruptors. Women's changes in cosmetics use during pregnancy and their risk perception of these products have not been extensively investigated. The main objective of this study was to describe the proportion of pregnant women changing cosmetics use and the proportion of non-pregnant women intending to do so if they became pregnant.

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Does maternal race influence the short-term variation of the fetal heart rate? An historical cohort study.

Eur J Obstet Gynecol Reprod Biol

October 2015

Centre Hospitalier Universitaire de Clermont-Ferrand, 58 Rue Montalembert 63000, Clermont-Ferrand Cedex 1 63003, France; Clermont Université, Université d'Auvergne, EA 4681, PEPRADE (Périnatalité, grossesse, Environnement, PRAtiques médicales et DEveloppement), 28 place Henri-Dunant BP 38, 63001 Clermont-Ferrand, France; AUDIPOG (Association des Utilisateurs de Dossiers informatisés en Pédiatrie, Obstétrique et Gynécologie), RTH Laennec Medical University, 7 rue Guillaume Paradin, 69372 Lyon Cedex 08, France.

Objectives: The main aim of this article was to analyze short-term variation (STV) of the fetal heart rate according to maternal race. The secondary aim was to study the baseline fetal heart rate according to this factor.

Study Design: This single-center historical cohort study covered the period from November 2008 through December 2011 (n=182).

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Obstetrical outcomes and biomarkers to assess exposure to phthalates: A review.

Environ Int

October 2015

Clermont Université, Université d'Auvergne, EA 4681, PEPRADE (Périnatalité, grossesse, Environnement, PRAtiques médicales et DEveloppement), 28 place Henri-Dunant BP 38, 63001 Clermont-Ferrand, France; Clermont Université, Université d'Auvergne, Faculté de Pharmacie, Département Santé Publique et Environnement, 28 place Henri-Dunant BP 38, 63001 Clermont-Ferrand, France.

Studies of the effects on pregnancy outcomes of in utero exposure to phthalates, contaminants that are widely present in the environment, have yielded conflicting results. In addition, the mode of assessment of exposure varies between studies. The aim of this review was therefore to establish a current state of knowledge of the phthalates and metabolites involved in unfavorable pregnancy outcomes.

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