Titre : Complications du travail obstétrical

Complications du travail obstétrical : Questions médicales fréquentes

Questions fréquentes et termes MeSH associés

Diagnostic 5

#1

Comment diagnostiquer une dystocie?

La dystocie est diagnostiquée par l'évaluation du travail et des signes de souffrance fœtale.
Dystocie Accouchement
#2

Quels tests pour détecter une hémorragie post-partum?

L'évaluation clinique et les tests sanguins pour mesurer l'hémoglobine sont utilisés.
Hémorragie post-partum Tests sanguins
#3

Comment identifier une infection pendant le travail?

Les signes cliniques comme la fièvre et les analyses de sang aident à diagnostiquer une infection.
Infection Fièvre
#4

Quels signes indiquent une souffrance fœtale?

Une fréquence cardiaque fœtale anormale et des changements dans le comportement fœtal peuvent indiquer une souffrance.
Souffrance fœtale Fréquence cardiaque fœtale
#5

Comment évaluer le travail prolongé?

Le travail est considéré prolongé si la dilatation du col est lente ou si le temps de travail dépasse 20 heures.
Travail prolongé Dilatation du col

Symptômes 5

#1

Quels sont les symptômes d'une hémorragie post-partum?

Les symptômes incluent des saignements excessifs, des vertiges et une pâleur.
Hémorragie post-partum Saignement
#2

Comment reconnaître une infection après l'accouchement?

Les symptômes incluent fièvre, douleur abdominale et écoulement vaginal anormal.
Infection Fièvre
#3

Quels signes indiquent une dystocie?

Des contractions inefficaces et un manque de progression du travail sont des signes de dystocie.
Dystocie Contractions
#4

Quels symptômes d'une rupture utérine?

Les symptômes incluent douleur abdominale intense, saignement vaginal et détresse fœtale.
Rupture utérine Douleur abdominale
#5

Comment se manifeste une souffrance fœtale?

Elle se manifeste par des variations anormales de la fréquence cardiaque fœtale et des mouvements réduits.
Souffrance fœtale Fréquence cardiaque fœtale

Prévention 5

#1

Comment prévenir l'hémorragie post-partum?

La prévention inclut une surveillance attentive pendant et après l'accouchement et l'administration de médicaments appropriés.
Hémorragie post-partum Surveillance
#2

Quelles mesures pour éviter la dystocie?

Une bonne préparation à l'accouchement et une gestion adéquate des contractions peuvent aider.
Dystocie Accouchement
#3

Comment réduire le risque d'infection post-partum?

Maintenir une bonne hygiène et surveiller les signes d'infection sont essentiels.
Infection Hygiène
#4

Quelles stratégies pour prévenir la rupture utérine?

Une surveillance attentive des grossesses à risque et une gestion appropriée du travail sont cruciales.
Rupture utérine Grossesse à risque
#5

Comment éviter la souffrance fœtale?

Une surveillance continue de la fréquence cardiaque fœtale et une intervention rapide sont essentielles.
Souffrance fœtale Surveillance

Traitements 5

#1

Quel traitement pour une hémorragie post-partum?

Le traitement inclut des médicaments pour contracter l'utérus et, si nécessaire, une transfusion sanguine.
Hémorragie post-partum Transfusion sanguine
#2

Comment traiter une dystocie?

Le traitement peut inclure des manœuvres obstétricales, des médicaments ou une césarienne.
Dystocie Césarienne
#3

Quel est le traitement d'une infection post-partum?

Le traitement consiste en des antibiotiques et une surveillance étroite de la mère.
Infection Antibiotiques
#4

Comment gérer une rupture utérine?

La rupture utérine nécessite une intervention chirurgicale d'urgence pour réparer ou retirer l'utérus.
Rupture utérine Chirurgie
#5

Quel traitement pour la souffrance fœtale?

Le traitement peut inclure une surveillance accrue et, si nécessaire, une césarienne d'urgence.
Souffrance fœtale Césarienne

Complications 5

#1

Quelles sont les complications de l'hémorragie post-partum?

Les complications incluent le choc hypovolémique, l'anémie et des troubles de la coagulation.
Hémorragie post-partum Choc hypovolémique
#2

Quelles complications peuvent survenir avec la dystocie?

Les complications incluent des lésions périnéales, des infections et des césariennes d'urgence.
Dystocie Césarienne
#3

Quelles complications d'une infection post-partum?

Les complications peuvent inclure des abcès, des septicémies et des problèmes de fertilité.
Infection Septicémie
#4

Quelles complications d'une rupture utérine?

Les complications incluent des saignements graves, des lésions organiques et des risques pour la vie.
Rupture utérine Saignement
#5

Quelles complications de la souffrance fœtale?

Les complications peuvent inclure des lésions cérébrales, des troubles du développement et la mort fœtale.
Souffrance fœtale Lésions cérébrales

Facteurs de risque 5

#1

Quels sont les facteurs de risque d'hémorragie post-partum?

Les facteurs incluent des antécédents d'hémorragie, une grossesse multiple et des complications de la grossesse.
Hémorragie post-partum Grossesse multiple
#2

Quels facteurs augmentent le risque de dystocie?

Les facteurs incluent un bassin étroit, une grande taille fœtale et des contractions inefficaces.
Dystocie Contractions inefficaces
#3

Quels sont les facteurs de risque d'infection post-partum?

Les facteurs incluent une rupture prolongée des membranes et des interventions invasives.
Infection Rupture des membranes
#4

Quels facteurs augmentent le risque de rupture utérine?

Les antécédents de chirurgie utérine et les grossesses multiples sont des facteurs de risque.
Rupture utérine Chirurgie utérine
#5

Quels facteurs de risque pour la souffrance fœtale?

Les facteurs incluent des grossesses à risque, des anomalies congénitales et des complications maternelles.
Souffrance fœtale Grossesses à risque
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traitement pour la souffrance fœtale?", "position": 20, "acceptedAnswer": { "@type": "Answer", "text": "Le traitement peut inclure une surveillance accrue et, si nécessaire, une césarienne d'urgence." } }, { "@type": "Question", "name": "Quelles sont les complications de l'hémorragie post-partum?", "position": 21, "acceptedAnswer": { "@type": "Answer", "text": "Les complications incluent le choc hypovolémique, l'anémie et des troubles de la coagulation." } }, { "@type": "Question", "name": "Quelles complications peuvent survenir avec la dystocie?", "position": 22, "acceptedAnswer": { "@type": "Answer", "text": "Les complications incluent des lésions périnéales, des infections et des césariennes d'urgence." } }, { "@type": "Question", "name": "Quelles complications d'une infection post-partum?", "position": 23, "acceptedAnswer": { "@type": "Answer", "text": "Les complications peuvent inclure des abcès, des septicémies et des problèmes de fertilité." } }, { "@type": "Question", "name": "Quelles complications d'une rupture utérine?", "position": 24, "acceptedAnswer": { "@type": "Answer", "text": "Les complications incluent des saignements graves, des lésions organiques et des risques pour la vie." } }, { "@type": "Question", "name": "Quelles complications de la souffrance fœtale?", "position": 25, "acceptedAnswer": { "@type": "Answer", "text": "Les complications peuvent inclure des lésions cérébrales, des troubles du développement et la mort fœtale." } }, { "@type": "Question", "name": "Quels sont les facteurs de risque d'hémorragie post-partum?", "position": 26, "acceptedAnswer": { "@type": "Answer", "text": "Les facteurs incluent des antécédents d'hémorragie, une grossesse multiple et des complications de la grossesse." } }, { "@type": "Question", "name": "Quels facteurs augmentent le risque de dystocie?", "position": 27, "acceptedAnswer": { "@type": "Answer", "text": "Les facteurs incluent un bassin étroit, une grande taille fœtale et des contractions inefficaces." } }, { "@type": "Question", "name": "Quels sont les facteurs de risque d'infection post-partum?", "position": 28, "acceptedAnswer": { "@type": "Answer", "text": "Les facteurs incluent une rupture prolongée des membranes et des interventions invasives." } }, { "@type": "Question", "name": "Quels facteurs augmentent le risque de rupture utérine?", "position": 29, "acceptedAnswer": { "@type": "Answer", "text": "Les antécédents de chirurgie utérine et les grossesses multiples sont des facteurs de risque." } }, { "@type": "Question", "name": "Quels facteurs de risque pour la souffrance fœtale?", "position": 30, "acceptedAnswer": { "@type": "Answer", "text": "Les facteurs incluent des grossesses à risque, des anomalies congénitales et des complications maternelles." } } ] } ] }
Dr Olivier Menir

Contenu validé par Dr Olivier Menir

Expert en Médecine, Optimisation des Parcours de Soins et Révision Médicale


Validation scientifique effectuée le 19/02/2025

Contenu vérifié selon les dernières recommandations médicales

Auteurs principaux

Clemente Garcia-Rizo

4 publications dans cette catégorie

Affiliations :
  • Barcelona Clinic Schizophrenia Unit, Neuroscience Institute, Hospital Clinic, Barcelona, Spain; Agusti Pi i Sunyer Biomedical Research Institute, Barcelona, Spain; Psychiatry Unit, Department of Medicine, University of Barcelona, Barcelona, Spain; Centro de Investigación Biomédica en Red de Salud Mental, Madrid, Spain.
Publications dans "Complications du travail obstétrical" :

Byron Bitanihirwe

4 publications dans cette catégorie

Affiliations :
  • Centre for Global Health, Trinity College, Dublin, Ireland; Department of Psychology, Trinity College, Dublin, Ireland; School of Medicine, Trinity College, Dublin, Ireland.
Publications dans "Complications du travail obstétrical" :

Adi Y Weintraub

3 publications dans cette catégorie

Affiliations :
  • Department of Obstetrics and Gynecology, Soroka University Medical Center, Beer Sheva, Israel.
Publications dans "Complications du travail obstétrical" :

Torcata Amorim

3 publications dans cette catégorie

Affiliations :
  • Universidade Federal de Minas Gerais. Belo Horizonte, Minas Gerais, Brazil.
Publications dans "Complications du travail obstétrical" :

Rafael Penadés

3 publications dans cette catégorie

Affiliations :
  • Barcelona Clinic Schizophrenia Unit, Neuroscience Institute, Hospital Clinic, Barcelona, Spain; Agusti Pi i Sunyer Biomedical Research Institute, Barcelona, Spain; Psychiatry Unit, Department of Medicine, University of Barcelona, Barcelona, Spain; Centro de Investigación Biomédica en Red de Salud Mental, Madrid, Spain.
Publications dans "Complications du travail obstétrical" :

Eduard Vieta

3 publications dans cette catégorie

Affiliations :
  • Bipolar and Depressive Disorders Unit, Hospital Clinic de Barcelona, Institute of Neuroscience, University of Barcelona, IDIBAPS, CIBERSAM, Barcelona, Spain.

Marina Garriga

3 publications dans cette catégorie

Affiliations :
  • Bipolar and Depressive Disorders Unit, Hospital Clinic de Barcelona, Institute of Neuroscience, University of Barcelona, IDIBAPS, CIBERSAM, Barcelona, Spain.

Yasmin Aparecida Pires Silva

2 publications dans cette catégorie

Affiliations :
  • Universidade Federal de Minas Gerais. Belo Horizonte, Minas Gerais, Brazil.
Publications dans "Complications du travail obstétrical" :

Fernanda Gontijo Araújo

2 publications dans cette catégorie

Affiliations :
  • Universidade Federal de Minas Gerais. Belo Horizonte, Minas Gerais, Brazil.
Publications dans "Complications du travail obstétrical" :

Mariana Santos Felisbino-Mendes

2 publications dans cette catégorie

Affiliations :
  • Universidade Federal de Minas Gerais. Belo Horizonte, Minas Gerais, Brazil.
Publications dans "Complications du travail obstétrical" :

Hiroshi Kobayashi

2 publications dans cette catégorie

Affiliations :
  • Department of Obstetrics and Gynecology, Nara Medical University, 840 Shijo-cho, Kashihara, Nara, 634-8522, Japan. hirokoba@naramed-u.ac.jp.
Publications dans "Complications du travail obstétrical" :

Naoki Kawahara

2 publications dans cette catégorie

Affiliations :
  • Department of Obstetrics and Gynecology, Nara Medical University, 840 Shijo-cho, Kashihara, Nara, 634-8522, Japan.
Publications dans "Complications du travail obstétrical" :

Kenji Ogawa

2 publications dans cette catégorie

Affiliations :
  • Department of Obstetrics and Gynecology, Nara Medical University, 840 Shijo-cho, Kashihara, Nara, 634-8522, Japan.
Publications dans "Complications du travail obstétrical" :

Chiharu Yoshimoto

2 publications dans cette catégorie

Affiliations :
  • Department of Obstetrics and Gynecology, Nara Medical University, 840 Shijo-cho, Kashihara, Nara, 634-8522, Japan.
Publications dans "Complications du travail obstétrical" :

Rebecca F Hamm

2 publications dans cette catégorie

Affiliations :
  • Maternal and Child Health Research Center, Department of Obstetrics and Gynecology Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA. Electronic address: Rebecca.feldmanhamm@uphs.upenn.edu.
Publications dans "Complications du travail obstétrical" :

Sindhu K Srinivas

2 publications dans cette catégorie

Affiliations :
  • Maternal and Child Health Research Center, Department of Obstetrics and Gynecology Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.
Publications dans "Complications du travail obstétrical" :

Anat Shmueli

2 publications dans cette catégorie

Affiliations :
  • a Helen Schneider Hospital for Women, Rabin Medical Center , Petach Tikva , Israel.
  • b Sackler Faculty of Medicine , Tel Aviv University , Ramat Aviv , Israel.
Publications dans "Complications du travail obstétrical" :

Eran Ashwal

2 publications dans cette catégorie

Affiliations :
  • b Sackler Faculty of Medicine , Tel Aviv University , Ramat Aviv , Israel.
  • c Lis Maternity and Women's Hospital , Tel Aviv Sourasky Medical Center , Tel Aviv , Israel.
Publications dans "Complications du travail obstétrical" :

Eran Hadar

2 publications dans cette catégorie

Affiliations :
  • a Helen Schneider Hospital for Women, Rabin Medical Center , Petach Tikva , Israel.
  • b Sackler Faculty of Medicine , Tel Aviv University , Ramat Aviv , Israel.
Publications dans "Complications du travail obstétrical" :

Arnon Wiznitzer

2 publications dans cette catégorie

Affiliations :
  • a Helen Schneider Hospital for Women, Rabin Medical Center , Petach Tikva , Israel.
  • b Sackler Faculty of Medicine , Tel Aviv University , Ramat Aviv , Israel.
Publications dans "Complications du travail obstétrical" :

Sources (10000 au total)

Obstetric complications and clinical presentation in first episode of psychosis.

Psychotic disorders exhibit a complex aetiology that combines genetic and environmental factors. Among the latter, obstetric complications (OCs) have been widely studied as risk factors, but it is not... Two-hundred seventy-seven patients with an FEP were assessed for OCs using the Lewis-Murray scale, with data stratified into three subscales depending on the timing and the characteristics of the obst... Total OCs and difficulties in delivery were related to more severe psychopathology, and this remained significant after co-varying for age, sex, traumatic experiences, antipsychotic dosage and cannabi... Our results highlight the relevance of OCs for the clinical presentation of psychosis. Describing the timing of the OCs is essential in understanding the heterogeneity of the clinical presentation....

Systematic Review of Obstetric and Neonatal Complications Associated With Female Genital Mutilation.

To assess the prevalence of obstetric and neonatal complications in women with female genital mutilation (FGM) compared to women without FGM.... Literature searches carried out on three scientific databases (CINAHL, ScienceDirect, and PubMed).... Selected observational studies published from 2010 to 2021 that assessed prolonged second phase of labor, vaginal outlet obstruction, emergency cesarean birth, perineal tear, instrumental births, epis... Nine studies were selected, including case-control, cohort, and cross-sectional studies. There were associations between FGM and vaginal outlet obstruction, emergency cesarean birth, and perineal tear... For obstetric and neonatal complications other than those listed in the "Results" section, researchers' conclusions remain divided. Still, there is some evidence to support the impact of FGM on obstet...

Impact of peripartum antibiotics on wound complications in women with obstetric anal sphincter injury.

To evaluate the role of antibiotics on preventing wound complications following obstetric anal sphincter injuries (OASI).... This is a cohort study with retrospective and prospective components of women who sustained an OASI at vaginal delivery. The primary objective of this study was to assess the impact of prophylactic an... Four hundred and twenty-five women with OASI were included in this analysis. Most women experienced a third-degree perineal laceration (358, 84.2%). One hundred and sixteen (27.3%) women received NABX... In this cohort study, peripartum antibiotics did not reduce wound complication incidence following OASI. It is likely that a first-generation cephalosporin is not the ideal antibiotic in this clinical...

Midterm complications after primary obstetrical anal sphincter injury repair in France.

Incidence of complications following obstetrical anal sphincter injury (OASI) during vaginal delivery are poorly defined. They are only studied in high level maternities, small cohorts, all stages of ... We conducted a historical cohort study using the French nationwide claim database (PMSI) from January 2013 to December 2021. All women who sustained an OASI repair following a vaginal delivery were in... Among the 61,833 included women, 2015 (2.8%) had an OASI complication and 842 (1.16%) underwent an OASI complication repair. Women were mainly primiparous (71.6%) and 44.3% underwent an instrumental d... Maternal age, stage IV OASIS, obesity, instrumental deliveries and private for-profit hospitals seemed to predict OASIS complications. Understanding factors associated with OASIS complications could b...

Comparison of Maternal Labor-Related Complications and Neonatal Outcomes Following Elective Induction of Labor at 39 Weeks of Gestation vs Expectant Management: A Systematic Review and Meta-analysis.

Elective induction of labor at 39 weeks of gestation is common. Thus, there is a need to assess maternal labor-related complications and neonatal outcomes associated with elective induction of labor.... To examine maternal labor-related complications and neonatal outcomes following elective induction of labor at 39 weeks compared with expectant management.... A systematic review of the literature was conducted using the MEDLINE (Ovid), Embase (Ovid), Cochrane Central Library, World Health Organization, and ClinicalTrials.gov databases and registries to sea... This systematic review and meta-analysis included randomized clinical trials, cohort studies, and cross-sectional studies reporting perinatal outcomes following induction of labor at 39 weeks vs expec... Two reviewers independently assessed study eligibility, extracted data, and assessed studies for bias. Pooled odds ratios (ORs) and 95% CIs were calculated using a random-effects model. This study is ... Maternal outcomes of interest included emergency cesarean section, perineal injury, postpartum hemorrhage, and operative vaginal birth. Neonatal outcomes of interest included admission to the neonatal... Of the 5827 records identified in the search, 14 studies were eligible for inclusion in this review. These studies reported outcomes for 1 625 899 women birthing a singleton pregnancy. Induction of la... In this study, induction of labor at 39 weeks was associated with improved maternal labor-related and neonatal outcomes. However, among nulliparous women, induction of labor was associated with should...

Incidence and factors associated with immediate adverse neonatal outcomes among emergency obstetric referrals in labor at a tertiary hospital in Uganda: a prospective cohort study.

High rates of adverse neonatal outcomes in resource-limited settings are multifactorial, varying by country, region, and institution. In sub-Saharan Africa, the majority of adverse neonatal outcomes a... This was a prospective cohort study involving 265 women who were referred in labor to Jinja Regional Referral Hospital in Uganda with emergency obstetric complications. The exposure of interest was be... Of the 265 women exposed to emergency obstetrical referrals, 40% experienced adverse neonatal outcomes, a composite measure including neonatal intensive care admission (27.6%), low Apgar score (23.8%)... The study found a high rate of adverse neonatal outcomes among emergency obstetric referrals, with 40% of participants facing issues like ICU admissions, low Apgar scores and fresh stillbirth. Key fac...

Obstetric complications and genetic risk for schizophrenia: Differential role of antenatal and perinatal events in first episode psychosis.

Obstetric complications (OCs) are key contributors to psychosis risk. However, it is unclear whether they increase psychosis vulnerability independently of genetic risk, in interaction with it, or are... 405 participants (219 first episode psychosis patients and 186 healthy volunteers) underwent a comprehensive assessment of OCs, measured using the Lewis-Murray scale and divided into complications of ... Both complications of pregnancy and abnormalities of foetal growth were significantly associated with case-control status (p = 0.02 and 0.03, respectively), whereas complications of delivery were not.... We observed no significant interaction between genetic and obstetric vulnerability, yet distinct types of OCs may have a different impact on psychosis risk, based on their nature and timeframe. Examin...

The incidence of wound complications following primary repair of obstetric anal sphincter injury: a systematic review and meta-analysis.

We aimed to systematically determine the incidences of wound infection and dehiscence after primary obstetric anal sphincter injury repair.... MEDLINE, Embase, CINAHL, EmCare, the Cochrane Library, and Trip Pro databases were searched from inception to February 2021.... We included observational clinical studies reporting the incidences of wound infection and dehiscence after primary obstetric anal sphincter injury repair. Case series and reports were excluded. Confe... Data were analyzed as incidence (percentage) with 95% confidence intervals. Moreover, the prediction intervals were calculated to provide a predicted range for the potential incidence of wound complic... Of 956 studies found, 39 were selected for full-text review. Moreover, 10 studies (n=4767 women) were eligible and included in the meta-analysis. All 10 studies were conducted in high-income countries... This was a systematic review and meta-analysis of wound infection and dehiscence incidences after primary obstetric anal sphincter injury repair. The incidence estimates from this review will be usefu...

Obstetric Characteristics and Functional Outcomes in Women with Obstetric Anal Sphincter Injury.

Obstetric anal sphincter injury is a complication of vaginal delivery, if left untreated, causes significant maternal morbidities; urinary problems and fecal/ flatus incontinence. The aim of this stud... This retrospective descriptive study included women who had vaginal delivery, irrespective of parity, in the labor room or birthing unit of Paropakar Maternity and Women's Hospital from April 2018 to ... The incidence of OASI was 106 (0.33%) among 31, 786 Nepalese women with vaginal birth over a 2-year period. The mean age women with Obstetric anal sphincter injury was 24.6 ± 4.3 years and 45(52.9%) c... The incidence of Obstetric anal sphincter injury among Nepalese women with vaginal birth over a 2-year period was 0.33%, which was lower than other South Asian studies. Grade III Obstetric anal sphinc...

Magnitude and predictors of obstetric complications during delivery among postpartum women in Ethiopia: evidence from PMA Ethiopia longitudinal survey.

The majority of pregnancy-related complications were preventable. However, the magnitude of complications during pregnancy and childbirth was high in sub-Saharan Africa. There was limited evidence on ... The research used secondary data sources based on performance monitoring for action in Ethiopia's second cohort longitudinal survey. It was a national survey that was conducted in three large, predomi... The magnitude of obstetric complications during delivery was found to be 33.86% with 95% CI (31.56, 36.24. Among the obstetric complications that occurred during delivery, about 15.73%with 95% CI(14.0... Delivery-related obstetric complications during delivery in Ethiopia were high. Approximately one-third of postpartum women in Ethiopia experienced obstetric complications during delivery. Based on th...