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"description": "Comment diagnostiquer une anémie pendant la grossesse ?\nQuels tests pour la thrombocytopénie chez la femme enceinte ?\nComment détecter un trouble de la coagulation ?\nQuels signes indiquent une complication hématologique ?\nQuand faire un dépistage de la thalassémie ?",
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"@type": "Question",
"name": "Comment diagnostiquer une anémie pendant la grossesse ?",
"position": 1,
"acceptedAnswer": {
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"text": "Un diagnostic d'anémie se fait par une prise de sang mesurant l'hémoglobine et l'hématocrite."
}
},
{
"@type": "Question",
"name": "Quels tests pour la thrombocytopénie chez la femme enceinte ?",
"position": 2,
"acceptedAnswer": {
"@type": "Answer",
"text": "Un hémogramme complet est nécessaire pour évaluer le nombre de plaquettes sanguines."
}
},
{
"@type": "Question",
"name": "Comment détecter un trouble de la coagulation ?",
"position": 3,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des tests de coagulation comme le temps de prothrombine et le temps de thromboplastine partielle sont utilisés."
}
},
{
"@type": "Question",
"name": "Quels signes indiquent une complication hématologique ?",
"position": 4,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des signes comme des saignements, des ecchymoses ou une fatigue excessive peuvent indiquer une complication."
}
},
{
"@type": "Question",
"name": "Quand faire un dépistage de la thalassémie ?",
"position": 5,
"acceptedAnswer": {
"@type": "Answer",
"text": "Le dépistage de la thalassémie est recommandé lors des consultations prénatales, surtout en cas d'antécédents familiaux."
}
},
{
"@type": "Question",
"name": "Quels sont les symptômes de l'anémie chez la femme enceinte ?",
"position": 6,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les symptômes incluent fatigue, pâleur, essoufflement et palpitations."
}
},
{
"@type": "Question",
"name": "Comment reconnaître une thrombocytopénie ?",
"position": 7,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des saignements inhabituels, des ecchymoses et des saignements de nez fréquents peuvent indiquer une thrombocytopénie."
}
},
{
"@type": "Question",
"name": "Quels signes d'alerte pour les troubles de la coagulation ?",
"position": 8,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des saignements prolongés après une coupure ou des hématomes fréquents peuvent être des signes d'alerte."
}
},
{
"@type": "Question",
"name": "Quels symptômes d'une carence en fer ?",
"position": 9,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les symptômes incluent fatigue, faiblesse, et parfois des envies de manger des substances non alimentaires."
}
},
{
"@type": "Question",
"name": "Comment se manifeste une hypercoagulabilité ?",
"position": 10,
"acceptedAnswer": {
"@type": "Answer",
"text": "Elle peut se manifester par des douleurs dans les jambes, un gonflement ou des rougeurs."
}
},
{
"@type": "Question",
"name": "Comment prévenir l'anémie pendant la grossesse ?",
"position": 11,
"acceptedAnswer": {
"@type": "Answer",
"text": "Une alimentation équilibrée riche en fer et des suppléments peuvent aider à prévenir l'anémie."
}
},
{
"@type": "Question",
"name": "Quelles mesures pour éviter la thrombocytopénie ?",
"position": 12,
"acceptedAnswer": {
"@type": "Answer",
"text": "Éviter les médicaments qui affectent les plaquettes et surveiller les infections peut aider."
}
},
{
"@type": "Question",
"name": "Comment réduire le risque de troubles de la coagulation ?",
"position": 13,
"acceptedAnswer": {
"@type": "Answer",
"text": "Maintenir une activité physique régulière et éviter le tabagisme peut réduire le risque."
}
},
{
"@type": "Question",
"name": "Quels conseils nutritionnels pour prévenir les carences ?",
"position": 14,
"acceptedAnswer": {
"@type": "Answer",
"text": "Consommer des aliments riches en fer, folates et vitamines est crucial pour prévenir les carences."
}
},
{
"@type": "Question",
"name": "Comment surveiller les facteurs de risque hématologiques ?",
"position": 15,
"acceptedAnswer": {
"@type": "Answer",
"text": "Un suivi médical régulier et des tests sanguins peuvent aider à surveiller les facteurs de risque."
}
},
{
"@type": "Question",
"name": "Quel traitement pour l'anémie pendant la grossesse ?",
"position": 16,
"acceptedAnswer": {
"@type": "Answer",
"text": "Le traitement inclut des suppléments de fer et une alimentation riche en fer."
}
},
{
"@type": "Question",
"name": "Comment traiter la thrombocytopénie ?",
"position": 17,
"acceptedAnswer": {
"@type": "Answer",
"text": "Le traitement dépend de la cause, mais peut inclure des transfusions de plaquettes si nécessaire."
}
},
{
"@type": "Question",
"name": "Quels médicaments pour les troubles de la coagulation ?",
"position": 18,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des anticoagulants peuvent être prescrits pour prévenir les complications thromboemboliques."
}
},
{
"@type": "Question",
"name": "Comment gérer une carence en vitamine B12 ?",
"position": 19,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des injections de vitamine B12 ou des suppléments oraux peuvent être nécessaires."
}
},
{
"@type": "Question",
"name": "Quel suivi pour les femmes avec des troubles hématologiques ?",
"position": 20,
"acceptedAnswer": {
"@type": "Answer",
"text": "Un suivi régulier avec des tests sanguins est essentiel pour surveiller l'évolution."
}
},
{
"@type": "Question",
"name": "Quelles complications peuvent survenir avec l'anémie ?",
"position": 21,
"acceptedAnswer": {
"@type": "Answer",
"text": "L'anémie peut entraîner des complications comme un faible poids à la naissance et une fatigue accrue."
}
},
{
"@type": "Question",
"name": "Quels risques associés à la thrombocytopénie ?",
"position": 22,
"acceptedAnswer": {
"@type": "Answer",
"text": "La thrombocytopénie peut augmenter le risque de saignements graves pendant l'accouchement."
}
},
{
"@type": "Question",
"name": "Comment les troubles de la coagulation affectent-ils la grossesse ?",
"position": 23,
"acceptedAnswer": {
"@type": "Answer",
"text": "Ils peuvent entraîner des complications comme des thromboses veineuses profondes et des hémorragies."
}
},
{
"@type": "Question",
"name": "Quelles sont les conséquences d'une carence en fer ?",
"position": 24,
"acceptedAnswer": {
"@type": "Answer",
"text": "Une carence en fer peut causer des complications comme une fatigue extrême et des problèmes de développement fœtal."
}
},
{
"@type": "Question",
"name": "Quels impacts des troubles hématologiques sur le fœtus ?",
"position": 25,
"acceptedAnswer": {
"@type": "Answer",
"text": "Ils peuvent affecter la croissance fœtale et augmenter le risque de prématurité."
}
},
{
"@type": "Question",
"name": "Quels facteurs augmentent le risque d'anémie ?",
"position": 26,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les facteurs incluent une alimentation pauvre en fer, des grossesses multiples et des antécédents d'anémie."
}
},
{
"@type": "Question",
"name": "Quels sont les facteurs de risque pour la thrombocytopénie ?",
"position": 27,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les antécédents médicaux, certaines infections et des médicaments peuvent augmenter le risque."
}
},
{
"@type": "Question",
"name": "Comment l'âge influence-t-il les complications hématologiques ?",
"position": 28,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les femmes plus âgées peuvent avoir un risque accru de complications hématologiques pendant la grossesse."
}
},
{
"@type": "Question",
"name": "Quels antécédents médicaux sont préoccupants ?",
"position": 29,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des antécédents de troubles sanguins, comme la drépanocytose, augmentent le risque de complications."
}
},
{
"@type": "Question",
"name": "Quel rôle joue la génétique dans les complications hématologiques ?",
"position": 30,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des antécédents familiaux de troubles sanguins peuvent prédisposer à des complications hématologiques."
}
}
]
}
]
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To evaluate the effect of placental location on the severity of placenta accreta spectrum (PAS)....
We analyzed 390 patients with placenta previa combined with placenta accreta spectrum who underwent cesarean section between January 1, 2014 and December 30, 2020 in the electronic case database of th...
The history of cesarean delivery rates in the anterior group (91.67%) and the non-central group (85.71%) were statistically different from the posterior group (63.74%)(P < 0.001). Univariate logistic ...
Compared with posterior placenta, anterior and non-central placenta are independent risk factors for invasive PAS in patients with placenta previa, during which we should be more cautious in treatment...
Placenta accreta spectrum (PAS) is one of the most dangerous conditions in pregnancy and is increasing in frequency. The risk of life-threatening bleeding is present throughout pregnancy but is partic...
Preeclampsia (PE) is a hypertensive pregnancy disorder linked to placental dysfunction, often involving pathological lesions like acute atherosis, decidual vasculopathy, accelerated villous maturation...
A total of 168 placental whole-slide images (WSIs) of patients from Seoul National University Hospital (comprising 84 PE cases and 84 normal controls) were used for model development and internal vali...
Using ensemble modeling, we developed a model to identify PE placentas. The model showed good performance (area under the precision-recall curve [AUPRC], 0.771; 95% confidence interval [CI], 0.752-0.7...
The proposed computational pathology model demonstrated a strong ability to identify preeclamptic placentas. Computational pathology has the potential to improve the identification of PE placentas....
This study aimed to identify if placental thickness measured from MRI images correlated with placenta percreta in patients with placenta previa....
Placental thickness was retrospectively measured in 161 patients from July 2018 to August 2020. The measurements were performed at the thickest part of the placenta in the lower uterine segment on the...
Placental thickness in patients with placenta percreta was significantly higher than in patients with placenta increta, placenta accreta, and normal placentas (p < 0.05). Multivariate analysis reveale...
Patients with placenta percreta had the highest placental thickness. Placental thickness was correlated with placenta percreta....
The objective of this study was to assess the performance of ultrasound and magnetic resonance imaging (MRI) features in helping to classify the type of placenta accreta spectrum (PAS; accreta/increta...
We conducted a retrospective study in 82 pregnant women with PAS who underwent ultrasound and MRI examination of the pelvis before delivery (from an initial cohort of 185 women with PAS). We estimated...
Among the 82 patients, 29 (35%) had placenta accreta/increta and 53 (65%) had placenta percreta. The best features to discriminate between placenta accreta/increta and placenta percreta with ultrasoun...
The nomogram we developed to predict the risk of placenta percreta among patients with PAS had good discriminative capabilities. This performance and its impact on maternal morbidity should be confirm...
Prolactin, a pituitary hormone that was discovered about 80 years ago and is primarily known for its functions in mammary gland development and lactation, is now known to participate in numerous funct...
Although historically pre-eclampsia, preterm birth, abruption, fetal growth restriction and stillbirth have been viewed as clinically distinct entities, a growing body of literature has demonstrated t...
Placental accreta spectrum (PAS) disorder with bladder involvement can be associated with maternal and neonatal morbidity. Magnetic resonance imaging (MRI) may provide accurate preoperative diagnoses....
This study had 2 aims: to retrospectively review the MRI findings for bladder involvement in PAS with placental previa and to correlate bladder involvement with maternal and neonatal outcomes....
MRI images of 48 patients with severe PAS (increta and percreta) with placenta previa/low-lying placenta were evaluated by 2 experienced radiologists blinded to the final diagnoses. Nine MRI findings ...
Of the 48 patients, 27 did not have bladder involvement, while 21 did. Logistic regression analysis identified 2 predictive MRI features for bladder involvement. They were abnormal vascularization (OR...
PAS with bladder involvement was significantly correlated with massive surgical blood loss. Prenatally, the disorder was predicted with high specificity by the combination of loss of chemical shift ar...
To determine the rate of resolution of placenta previa and low-lying placenta (LLP) and the effect of pelvic rest recommendations on the timing of follow-up imaging....
Retrospective review of pregnancies with previa/LLP detected on mid-trimester exam at our ultrasound unit from 2019 to 2021. LLP was defined as the lower edge of placenta located within 2 cm of the in...
Exactly 144 patients had previa and 266 had LLP on the mid-trimester exam with complete records. Previa resolution happened in 51.4% (74/144) of cases. Exactly 62% (46/74) of previa resolutions occurr...
Most societies recommend follow-up imaging at 32 weeks; however, our results suggest this may be done sooner and closer to 28 weeks. Pelvic rest did not affect timing of repeat imaging or delivery....