Titre : Complications du travail obstétrical

Complications du travail obstétrical : Questions médicales fréquentes

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utérine?\nQuels facteurs de risque pour la souffrance fœtale?", "url": "https://questionsmedicales.fr/mesh/D007744?page=2#section-facteurs de risque" } ] }, { "@type": "FAQPage", "mainEntity": [ { "@type": "Question", "name": "Comment diagnostiquer une dystocie?", "position": 1, "acceptedAnswer": { "@type": "Answer", "text": "La dystocie est diagnostiquée par l'évaluation du travail et des signes de souffrance fœtale." } }, { "@type": "Question", "name": "Quels tests pour détecter une hémorragie post-partum?", "position": 2, "acceptedAnswer": { "@type": "Answer", "text": "L'évaluation clinique et les tests sanguins pour mesurer l'hémoglobine sont utilisés." } }, { "@type": "Question", "name": "Comment identifier une infection pendant le travail?", "position": 3, "acceptedAnswer": { "@type": "Answer", "text": "Les signes cliniques comme la fièvre et les analyses de sang aident à diagnostiquer une infection." } }, { "@type": "Question", "name": "Quels signes indiquent une souffrance fœtale?", "position": 4, "acceptedAnswer": { "@type": "Answer", "text": "Une fréquence cardiaque fœtale anormale et des changements dans le comportement fœtal peuvent indiquer une souffrance." } }, { "@type": "Question", "name": "Comment évaluer le travail prolongé?", "position": 5, "acceptedAnswer": { "@type": "Answer", "text": "Le travail est considéré prolongé si la dilatation du col est lente ou si le temps de travail dépasse 20 heures." } }, { "@type": "Question", "name": "Quels sont les symptômes d'une hémorragie post-partum?", "position": 6, "acceptedAnswer": { "@type": "Answer", "text": "Les symptômes incluent des saignements excessifs, des vertiges et une pâleur." } }, { "@type": "Question", "name": "Comment reconnaître une infection après l'accouchement?", "position": 7, "acceptedAnswer": { "@type": "Answer", "text": "Les symptômes incluent fièvre, douleur abdominale et écoulement vaginal anormal." } }, { "@type": "Question", "name": "Quels signes indiquent une dystocie?", "position": 8, "acceptedAnswer": { "@type": "Answer", "text": "Des contractions inefficaces et un manque de progression du travail sont des signes de dystocie." } }, { "@type": "Question", "name": "Quels symptômes d'une rupture utérine?", "position": 9, "acceptedAnswer": { "@type": "Answer", "text": "Les symptômes incluent douleur abdominale intense, saignement vaginal et détresse fœtale." } }, { "@type": "Question", "name": "Comment se manifeste une souffrance fœtale?", "position": 10, "acceptedAnswer": { "@type": "Answer", "text": "Elle se manifeste par des variations anormales de la fréquence cardiaque fœtale et des mouvements réduits." } }, { "@type": "Question", "name": "Comment prévenir l'hémorragie post-partum?", "position": 11, "acceptedAnswer": { "@type": "Answer", "text": "La prévention inclut une surveillance attentive pendant et après l'accouchement et l'administration de médicaments appropriés." } }, { "@type": "Question", "name": "Quelles mesures pour éviter la dystocie?", "position": 12, "acceptedAnswer": { "@type": "Answer", "text": "Une bonne préparation à l'accouchement et une gestion adéquate des contractions peuvent aider." } }, { "@type": "Question", "name": "Comment réduire le risque d'infection post-partum?", "position": 13, "acceptedAnswer": { "@type": "Answer", "text": "Maintenir une bonne hygiène et surveiller les signes d'infection sont essentiels." } }, { "@type": "Question", "name": "Quelles stratégies pour prévenir la rupture utérine?", "position": 14, "acceptedAnswer": { "@type": "Answer", "text": "Une surveillance attentive des grossesses à risque et une gestion appropriée du travail sont cruciales." } }, { "@type": "Question", "name": "Comment éviter la souffrance fœtale?", "position": 15, "acceptedAnswer": { "@type": "Answer", "text": "Une surveillance continue de la fréquence cardiaque fœtale et une intervention rapide sont essentielles." } }, { "@type": "Question", "name": "Quel traitement pour une hémorragie post-partum?", "position": 16, "acceptedAnswer": { "@type": "Answer", "text": "Le traitement inclut des médicaments pour contracter l'utérus et, si nécessaire, une transfusion sanguine." } }, { "@type": "Question", "name": "Comment traiter une dystocie?", "position": 17, "acceptedAnswer": { "@type": "Answer", "text": "Le traitement peut inclure des manœuvres obstétricales, des médicaments ou une césarienne." } }, { "@type": "Question", "name": "Quel est le traitement d'une infection post-partum?", "position": 18, "acceptedAnswer": { "@type": "Answer", "text": "Le traitement consiste en des antibiotiques et une surveillance étroite de la mère." } }, { "@type": "Question", "name": "Comment gérer une rupture utérine?", "position": 19, "acceptedAnswer": { "@type": "Answer", "text": "La rupture utérine nécessite une intervention chirurgicale d'urgence pour réparer ou retirer l'utérus." } }, { "@type": "Question", "name": "Quel 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." } } ] } ] }

Sources (10000 au total)

Berlin survey on obstetric anal sphincter injury (OASI).

Obstetric anal sphincter injuries (OASIs) complicate about 5% of vaginal births. The risk of anal incontinence is increased. OASI detection rates improve with knowledge and experience. This study desc... In 2018, women experiencing OASIs in Berlin's obstetric departments were informed about the study, including standardized after-care. Descriptive analysis in respect to anal sphincter function and ris... 207 OASIs occurred in Berlin. 189 women participated. In 148 cases guideline according terminology was applied (n = 57 IIIa, n = 58 IIIb, n = 23 IIIc, n = 10 IV). Minor tears predominated. Minor and m... Overall, Berlin's medical care of OASI is based on guideline standards. Anal and urinary incontinence correlate. Parity and higher age are risk factors in developing severe anal symptoms....

Toward a new taxonomy of obstetrical disease: improved performance of maternal blood biomarkers for the great obstetrical syndromes when classified according to placental pathology.

The major challenge for obstetrics is the prediction and prevention of the great obstetrical syndromes. We propose that defining obstetrical diseases by the combination of clinical presentation and di... To describe the longitudinal profile of placental growth factor (PlGF), soluble fms-like tyrosine kinase-1 (sFlt-1), and the PlGF/sFlt-1 ratio throughout gestation, and to determine whether the associ... This retrospective case cohort study was based on a parent cohort of 4006 pregnant women enrolled prospectively. The case cohort of 1499 pregnant women included 1000 randomly selected patients from th... 1) When obstetrical syndromes are classified based on the presence or absence of placental lesions of maternal vascular malperfusion, significant differences in the mean plasma concentrations of PlGF,... Classification of obstetrical syndromes according to the presence or absence of placental lesions of maternal vascular malperfusion allows biomarkers to be informative earlier in gestation and enhance...

Influencing factors of intrapartum fever after epidural labor analgesia.

The objective of this study was to investigate factors influencing intrapartum fever in parturients receiving epidural labor analgesia.... This study included 410 parturients who received epidural labor analgesia at the authors' hospital between February 2022 and February 2024. Participants were divided into a fever group (>37.5℃) and a ... Intrapartum fever occurred in 90 parturients (22.0%). Univariate analysis indicated that maternal age (p=0.046), parity (p=0.042), oxytocin use (p=0.041), and timing of analgesia (p<0.001) were associ... Timing of analgesia and amniotic fluid contamination are significant factors influencing intrapartum fever in parturients receiving epidural labor analgesia....

Obstetric rectal buttonhole tears: A case series and literature review.

Isolated rectal buttonhole tears are a rare obstetric complication and so there is a lack of consensus for their management. The current case series reviews the published literature on obstetric recta... A literature review was performed and all results were reviewed. Rectal buttonhole tears following vaginal delivery between 2012 and 2022 in our institution were identified. Repair technique and posto... There were 14 published case reports. Seven case reports described a two-layer closure, and seven reports described a three-layer closure. Four cases were repaired in collaboration with colorectal sur... Repair techniques of rectal buttonhole tears vary among institutions. Despite this variance, most women experience no short-term morbidity following these injuries. This review adds to the current lit...

Challenges of rural women living with obstetric fistula: A phenomenological study.

Obstetric fistula is a devastating complication caused by a prolonged and obstructed labor. It is estimated that about 2 million girls and women continue to live with obstetric fistula while between 5... To explore the challenges and post-surgery integration needs among rural women living with obstetric fistula.... A critical exploratory research methodology based on phenomenology was used to conduct in-depth one-on-one interviews. A non-probability and purposive sampling were done to identify thirty-six (36) wo... The results from the study showed that those who lived with obstetric fistulae experienced psychosocial, physical and economic challenges. Dominant among the psychological challenges identified were d... Obstetric fistula is a dilapidating condition that needs to be addressed at the micro, mezzo and macro level. Based on the findings of the study, recommendations were made to improve emergency obstetr...

Obstetric risk factors for anal sphincter trauma in a urogynecological population.

Obstetric anal sphincter tears are the single major modifiable risk factor for anal incontinence (AI) in women. We undertook a retrospective observational study in a tertiary urogynecology unit to des... Files of women seen for investigation of pelvic floor disorders between January 2014 and May 2021 were reviewed. Sonographic defects of the external anal sphincter were analyzed using stored 4D ultras... Of 3,037 women seen during the inclusion period, data were missing in 219, leaving 2,818. AI was reported by 508 (18%), with a mean St Marks score of 11 (1-23) and a mean bother score of 5.9 (0-10). E... In this observational study in urogynecological patients, 12% showed a residual EAS defect on imaging. The most obvious risk factors for the diagnosis of a residual defect on exo-anal imaging were the...

Can transperineal ultrasound improve the diagnosis of obstetric anal sphincter injuries?

Women with missed obstetric anal sphincter injuries (OASIs) are at an increased risk of anal incontinence. Our aim was to assess the accuracy of three-dimensional (3D) transperineal ultrasound (TPUS) ... A cross-sectional study of women undergoing their first vaginal delivery. Perineal trauma was initially assessed by the doctor or midwife performing the delivery (accoucheur) and women were then re-ex... Two hundred and sixty-four women participated and 226 (86%) delivered vaginally. Twenty-one (9%) sustained OASIs. Six (29%) of these tears were missed by the accoucheur but were identified by the rese... The detection rate of OASIs with TPUS and with the clinical findings of the accoucheur was similar. Given the training and financial implications needed for TPUS, attention needs to be focused on the ...