{
"@context": "https://schema.org",
"@graph": [
{
"@type": "MedicalWebPage",
"name": "Complications hématologiques de la grossesse : Questions médicales les plus fréquentes",
"headline": "Complications hématologiques de la grossesse : Comprendre les symptômes, diagnostics et traitements",
"description": "Guide complet et accessible sur les Complications hématologiques de la grossesse : explications, diagnostics, traitements et prévention. Information médicale validée destinée aux patients.",
"datePublished": "2024-01-07",
"dateModified": "2025-04-01",
"inLanguage": "fr",
"medicalAudience": [
{
"@type": "MedicalAudience",
"name": "Grand public",
"audienceType": "Patient",
"healthCondition": {
"@type": "MedicalCondition",
"name": "Complications hématologiques de la grossesse"
},
"suggestedMinAge": 18,
"suggestedGender": "unisex"
},
{
"@type": "MedicalAudience",
"name": "Médecins",
"audienceType": "Physician",
"geographicArea": {
"@type": "AdministrativeArea",
"name": "France"
}
},
{
"@type": "MedicalAudience",
"name": "Chercheurs",
"audienceType": "Researcher",
"geographicArea": {
"@type": "AdministrativeArea",
"name": "International"
}
}
],
"reviewedBy": {
"@type": "Person",
"name": "Dr Olivier Menir",
"jobTitle": "Expert en Médecine",
"description": "Expert en Médecine, Optimisation des Parcours de Soins et Révision Médicale",
"url": "/static/pages/docteur-olivier-menir.html",
"alumniOf": {
"@type": "EducationalOrganization",
"name": "Université Paris Descartes"
}
},
"isPartOf": {
"@type": "MedicalWebPage",
"name": "Hémopathies",
"url": "https://questionsmedicales.fr/mesh/D006402",
"about": {
"@type": "MedicalCondition",
"name": "Hémopathies",
"code": {
"@type": "MedicalCode",
"code": "D006402",
"codingSystem": "MeSH"
},
"identifier": {
"@type": "PropertyValue",
"propertyID": "MeSH Tree",
"value": "C15.378"
}
}
},
"about": {
"@type": "MedicalCondition",
"name": "Complications hématologiques de la grossesse",
"alternateName": "Pregnancy Complications, Hematologic",
"code": {
"@type": "MedicalCode",
"code": "D011250",
"codingSystem": "MeSH"
}
},
"author": [
{
"@type": "Person",
"name": "Wilma Barcellini",
"url": "https://questionsmedicales.fr/author/Wilma%20Barcellini",
"affiliation": {
"@type": "Organization",
"name": "Hematology Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, 20122 Milan, Italy."
}
},
{
"@type": "Person",
"name": "Bruno Fattizzo",
"url": "https://questionsmedicales.fr/author/Bruno%20Fattizzo",
"affiliation": {
"@type": "Organization",
"name": "Hematology Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, 20122 Milan, Italy."
}
},
{
"@type": "Person",
"name": "Nihar R Nayak",
"url": "https://questionsmedicales.fr/author/Nihar%20R%20Nayak",
"affiliation": {
"@type": "Organization",
"name": "Department of Obstetrics and Gynecology, UMKC School of Medicine, Kansas City, MO 64108, USA."
}
},
{
"@type": "Person",
"name": "Katherine E Economy",
"url": "https://questionsmedicales.fr/author/Katherine%20E%20Economy",
"affiliation": {
"@type": "Organization",
"name": "Division of Maternal-Fetal Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA."
}
},
{
"@type": "Person",
"name": "Anne Marie Valente",
"url": "https://questionsmedicales.fr/author/Anne%20Marie%20Valente",
"affiliation": {
"@type": "Organization",
"name": "Department of Cardiology, Boston Children's Hospital, Boston, MA, USA."
}
}
],
"citation": [
{
"@type": "ScholarlyArticle",
"name": "Topical diquafosol versus hyaluronic acid for the treatment of dry eye disease: a meta-analysis of randomized controlled trials.",
"datePublished": "2023-05-10",
"url": "https://questionsmedicales.fr/article/37162564",
"identifier": {
"@type": "PropertyValue",
"propertyID": "DOI",
"value": "10.1007/s00417-023-06083-4"
}
},
{
"@type": "ScholarlyArticle",
"name": "The UPDATE trial (UVB Phototherapy in Dermatology for ATopic Eczema): study protocol for a randomized controlled trial of narrowband UVB with optimal topical therapy versus optimal topical therapy in patients with atopic eczema.",
"datePublished": "2024-07-16",
"url": "https://questionsmedicales.fr/article/39014498",
"identifier": {
"@type": "PropertyValue",
"propertyID": "DOI",
"value": "10.1186/s13063-024-08334-z"
}
},
{
"@type": "ScholarlyArticle",
"name": "Design and Methodological Issues of Within-Person (Split-Body) Randomized Controlled Trials Evaluating a Topical Treatment: A Systematic Review.",
"datePublished": "2023-03-29",
"url": "https://questionsmedicales.fr/article/36990057",
"identifier": {
"@type": "PropertyValue",
"propertyID": "DOI",
"value": "10.1159/000530149"
}
},
{
"@type": "ScholarlyArticle",
"name": "Laser and light therapy combined with topical minoxidil for alopecia areata: a systematic review and meta-analysis of randomized controlled trials.",
"datePublished": "2023-02-17",
"url": "https://questionsmedicales.fr/article/36800063",
"identifier": {
"@type": "PropertyValue",
"propertyID": "DOI",
"value": "10.1007/s10103-023-03734-0"
}
},
{
"@type": "ScholarlyArticle",
"name": "Nd:YAG/Er:YAG dual laser vs. topical steroid to treat vulvar lichen sclerosus: study protocol of a randomized controlled trial.",
"datePublished": "2023-05-05",
"url": "https://questionsmedicales.fr/article/37145134",
"identifier": {
"@type": "PropertyValue",
"propertyID": "DOI",
"value": "10.1007/s00404-023-07055-z"
}
}
],
"breadcrumb": {
"@type": "BreadcrumbList",
"itemListElement": [
{
"@type": "ListItem",
"position": 1,
"name": "questionsmedicales.fr",
"item": "https://questionsmedicales.fr"
},
{
"@type": "ListItem",
"position": 2,
"name": "Hémopathies et maladies lymphatiques",
"item": "https://questionsmedicales.fr/mesh/D006425"
},
{
"@type": "ListItem",
"position": 3,
"name": "Hémopathies",
"item": "https://questionsmedicales.fr/mesh/D006402"
},
{
"@type": "ListItem",
"position": 4,
"name": "Complications hématologiques de la grossesse",
"item": "https://questionsmedicales.fr/mesh/D011250"
}
]
}
},
{
"@type": "MedicalWebPage",
"name": "Article complet : Complications hématologiques de la grossesse - Questions et réponses",
"headline": "Questions et réponses médicales fréquentes sur Complications hématologiques de la grossesse",
"description": "Une compilation de questions et réponses structurées, validées par des experts médicaux.",
"datePublished": "2025-05-03",
"inLanguage": "fr",
"hasPart": [
{
"@type": "MedicalWebPage",
"name": "Diagnostic",
"headline": "Diagnostic sur Complications hématologiques de la grossesse",
"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 ?",
"url": "https://questionsmedicales.fr/mesh/D011250?mesh_terms=Randomized+Controlled+Trials+as+Topic#section-diagnostic"
},
{
"@type": "MedicalWebPage",
"name": "Symptômes",
"headline": "Symptômes sur Complications hématologiques de la grossesse",
"description": "Quels sont les symptômes de l'anémie chez la femme enceinte ?\nComment reconnaître une thrombocytopénie ?\nQuels signes d'alerte pour les troubles de la coagulation ?\nQuels symptômes d'une carence en fer ?\nComment se manifeste une hypercoagulabilité ?",
"url": "https://questionsmedicales.fr/mesh/D011250?mesh_terms=Randomized+Controlled+Trials+as+Topic#section-symptômes"
},
{
"@type": "MedicalWebPage",
"name": "Prévention",
"headline": "Prévention sur Complications hématologiques de la grossesse",
"description": "Comment prévenir l'anémie pendant la grossesse ?\nQuelles mesures pour éviter la thrombocytopénie ?\nComment réduire le risque de troubles de la coagulation ?\nQuels conseils nutritionnels pour prévenir les carences ?\nComment surveiller les facteurs de risque hématologiques ?",
"url": "https://questionsmedicales.fr/mesh/D011250?mesh_terms=Randomized+Controlled+Trials+as+Topic#section-prévention"
},
{
"@type": "MedicalWebPage",
"name": "Traitements",
"headline": "Traitements sur Complications hématologiques de la grossesse",
"description": "Quel traitement pour l'anémie pendant la grossesse ?\nComment traiter la thrombocytopénie ?\nQuels médicaments pour les troubles de la coagulation ?\nComment gérer une carence en vitamine B12 ?\nQuel suivi pour les femmes avec des troubles hématologiques ?",
"url": "https://questionsmedicales.fr/mesh/D011250?mesh_terms=Randomized+Controlled+Trials+as+Topic#section-traitements"
},
{
"@type": "MedicalWebPage",
"name": "Complications",
"headline": "Complications sur Complications hématologiques de la grossesse",
"description": "Quelles complications peuvent survenir avec l'anémie ?\nQuels risques associés à la thrombocytopénie ?\nComment les troubles de la coagulation affectent-ils la grossesse ?\nQuelles sont les conséquences d'une carence en fer ?\nQuels impacts des troubles hématologiques sur le fœtus ?",
"url": "https://questionsmedicales.fr/mesh/D011250?mesh_terms=Randomized+Controlled+Trials+as+Topic#section-complications"
},
{
"@type": "MedicalWebPage",
"name": "Facteurs de risque",
"headline": "Facteurs de risque sur Complications hématologiques de la grossesse",
"description": "Quels facteurs augmentent le risque d'anémie ?\nQuels sont les facteurs de risque pour la thrombocytopénie ?\nComment l'âge influence-t-il les complications hématologiques ?\nQuels antécédents médicaux sont préoccupants ?\nQuel rôle joue la génétique dans les complications hématologiques ?",
"url": "https://questionsmedicales.fr/mesh/D011250?mesh_terms=Randomized+Controlled+Trials+as+Topic#section-facteurs de risque"
}
]
},
{
"@type": "FAQPage",
"mainEntity": [
{
"@type": "Question",
"name": "Comment diagnostiquer une anémie pendant la grossesse ?",
"position": 1,
"acceptedAnswer": {
"@type": "Answer",
"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."
}
}
]
}
]
}
Diquafosol enhances fluid transfer and mucin secretion on ocular surface, which has been suggested as an effective treatment for dry eye disease (DED). The aim of the systematic review and meta-analys...
Relevant randomized controlled trials were obtained via search of electronic including PubMed, Embase, Cochrane Library, and Web of Science. A random-effects model was used to pool the results after i...
A total of nine RCTs involving 1295 patients with DED were included in the meta-analysis. Compared to treatment with 0.1% HA, topical treatment with 3% diquafosol significantly improved the Ocular Sur...
Topical treatment with 3% diquafosol may be more effective than 0.1% HA for patients with DED. However, the long-term efficacy and tolerability of diquafosol still need to be determined....
Narrowband ultraviolet B (NB-UVB) phototherapy is commonly prescribed for patients with moderate-to-severe atopic eczema (AE). The efficacy of NB-UVB, however, has not yet properly been established, a...
A pragmatic, multicenter, PROBE trial will be performed with 1:1 randomization of 316 adult patients with moderate-to-severe AE who have inadequate disease control with topical therapy and who are eli...
The UPDATE trial aims to provide high-quality evidence regarding the (cost-)effectiveness and safety of NB-UVB phototherapy in moderate-to-severe AE patients. Challenges that are addressed in the prot...
ClinicalTrials.gov NCT05704205. Registered on December 8, 2022....
Topical drugs are often used as first-line treatment for dermatological conditions. A within-person design may then be well adapted: it consists of randomizing lesions/body sites rather than patients,...
The aim of this review was to provide a methodological overview of within-person randomized trials (WP-RCTs) in dermatology....
We searched for eligible trials published between 2017 and 2021 in MEDLINE, Embase, and Central in dermatology journals and the 6 highest-impact-factor general medical journals. Two authors selected p...
From 1,034 articles identified, we included 54 WP-RCTs, mainly for acne vulgaris, psoriasis, actinic keratosis, and atopic dermatitis. In most of the trials, patients had only 2 lesions/body sites. In...
Our systematic review highlights that despite the publication of the CONSORT checklist extension for WP-RCTs in 2017, this design is rarely used, and when it is, there are methodological and reporting...
We aim to evaluate the clinical efficacy and safety of using laser and light combined with topical minoxidil for alopecia areata. We searched PubMed, Embase, Web of Science, the Cochrane Library, Chin...
Vulvar lichen sclerosus (LS) is a chronic debilitating inflammatory skin disease. Today, the gold standard is a life-long topical steroid treatment. Alternative options are highly desired. We present ...
We recruited 66 patients, 44 in the laser arm and 22 in the steroid arm. Patients with a physician-administered clinical LS score ≥ 4 were included. Participants received either four laser treatments ...
The findings of this trial have the potential to offer a novel treatment option for LS. The standardized Nd:YAG/Er:YAG laser settings and the treatment regime are presented in this paper....
NCT03926299....
Alopecia areata (AA) is a common autoimmune skin disease. Our study aimed to systematically evaluate the efficacy and safety of compound glycyrrhizin (CG) combined with topical minoxidil therapy in tr...
We searched the PubMed, EMBASE, Cochrane Library, Web of Science, CNKI, Wanfang, and VIP databases. Randomized controlled trials (RCTs) on CG combined with topical minoxidil therapy compared with topi...
11 RCTs and 1189 patients were included. Compared with topical minoxidil therapy alone, CG combined with topical minoxidil therapy was more effective at improving the clinical efficacy (RR = 1.36, 95%...
The current evidence indicates that CG combined with topical minoxidil therapy is effective and safe for AA. However, owing to the suboptimal quality of the included studies, more high-quality and lar...
The purpose was to identify and summarize the existing evidence on the efficacy and safety of the topical application of olive oil for preventing pressure ulcers (PUs). We included only randomized con...
To investigate the clinical efficacy and safety of topical difamilast in mild-to-moderate atopic dermatitis (AD)....
Only randomized controlled trials (RCTs) that compared topical difamilast with vehicle treatment for patients with AD were included. PubMed, Web of Science, Ovid Medline, Cochrane Library, ClinicalTri...
Five studies enrolling a total of 1009 patients with mild-to-moderate AD were identified. Compared with the topical vehicle, topical difamilast was associated with a significantly higher success rate ...
This meta-analysis suggests that topical difamilast is an effective and safe treatment for mild-to-moderate AD....
Melasma is a chronic relapsing skin condition. Laser therapy is a new advancement in treatment. Whether the topical application of tranexamic acid (TXA) increases the efficacy of laser therapy in mela...
Randomized controlled trials are used to estimate the causal effect of a treatment on a health outcome of interest in a patient population. Often the specified treatment in a randomized controlled tri...
We use causal reasoning to explain why randomized controlled trials of biomarker targets can arrive at conflicting or misleading conclusions. We describe four key threats to the validity of trials of ...
We illustrate these findings using evidence from 15 randomized controlled trials of blood pressure targets for management of hypertension. Randomized trials of blood pressure targets exhibit substanti...
Researchers should critically assess meta-analyses of trials of targets for variation in the types, distributions, and off-target effects of therapies studied. Trial investigators should release detai...