questionsmedicales.fr
Procédures de chirurgie opératoire
Procédures de chirurgie obstétrique
Procédures de chirurgie obstétrique : Questions médicales fréquentes
Termes MeSH sélectionnés :
Noninvasive Prenatal Testing
Diagnostic
5
Césarienne
Détresse fœtale
Échographie
Analyses sanguines
Rupture utérine
Saignement
Complications chirurgicales
Antécédents médicaux
Hystérectomie
Fibromes utérins
Symptômes
5
Douleurs abdominales
Saignements vaginaux
Rupture utérine
Détresse fœtale
Prévention
5
Infections
Antibiotiques prophylactiques
Césarienne
Évaluation préopératoire
Cicatrisation
Soins de plaie
Hystérectomie
Planification chirurgicale
Traitements
5
Césarienne
Intervention chirurgicale
Hystérectomie
Chirurgie vaginale
Soins post-opératoires
Gestion de la douleur
Analgésiques
Antibiotiques
Complications
Surveillance médicale
Complications
5
Hystérectomie
Saignements
Hémorragie post-partum
Intervention chirurgicale
Infection
Site opératoire
Anesthésie
Réactions allergiques
Facteurs de risque
5
Âge maternel
Complications obstétriques
Tabagisme
Poids à la naissance
Grossesse tardive
Complications
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"headline": "Facteurs de risque sur Procédures de chirurgie obstétrique",
"description": "Quels facteurs augmentent le risque de césarienne ?\nComment l'âge influence-t-il les risques obstétriques ?\nQuels antécédents médicaux sont préoccupants ?\nComment le tabagisme affecte-t-il la grossesse ?\nQuels sont les risques liés à une grossesse tardive ?",
"url": "https://questionsmedicales.fr/mesh/D013513?mesh_terms=Noninvasive+Prenatal+Testing#section-facteurs de risque"
}
]
},
{
"@type": "FAQPage",
"mainEntity": [
{
"@type": "Question",
"name": "Comment diagnostiquer une nécessité de césarienne ?",
"position": 1,
"acceptedAnswer": {
"@type": "Answer",
"text": "Une césarienne est indiquée en cas de détresse fœtale ou de complications maternelles."
}
},
{
"@type": "Question",
"name": "Quels examens précèdent une chirurgie obstétrique ?",
"position": 2,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des échographies, des analyses sanguines et des examens cliniques sont réalisés."
}
},
{
"@type": "Question",
"name": "Quels signes indiquent une chirurgie d'urgence ?",
"position": 3,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des saignements importants ou une rupture utérine nécessitent une intervention rapide."
}
},
{
"@type": "Question",
"name": "Comment évaluer le risque de complications chirurgicales ?",
"position": 4,
"acceptedAnswer": {
"@type": "Answer",
"text": "L'évaluation inclut l'historique médical, l'âge et les conditions préexistantes."
}
},
{
"@type": "Question",
"name": "Quels sont les critères pour une hystérectomie ?",
"position": 5,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des fibromes, des saignements anormaux ou des cancers peuvent justifier une hystérectomie."
}
},
{
"@type": "Question",
"name": "Quels symptômes nécessitent une intervention chirurgicale ?",
"position": 6,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des douleurs abdominales sévères ou des saignements vaginaux anormaux peuvent l'exiger."
}
},
{
"@type": "Question",
"name": "Comment reconnaître une infection post-chirurgicale ?",
"position": 7,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des rougeurs, un gonflement et de la fièvre peuvent indiquer une infection."
}
},
{
"@type": "Question",
"name": "Quels signes d'alerte après une césarienne ?",
"position": 8,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des douleurs persistantes, des saignements excessifs ou des signes d'infection sont alarmants."
}
},
{
"@type": "Question",
"name": "Quels symptômes d'une rupture utérine ?",
"position": 9,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des douleurs aiguës, des saignements et une détresse fœtale sont des signes critiques."
}
},
{
"@type": "Question",
"name": "Comment identifier une thrombose après chirurgie ?",
"position": 10,
"acceptedAnswer": {
"@type": "Answer",
"text": "Un gonflement et une douleur dans une jambe peuvent signaler une thrombose veineuse."
}
},
{
"@type": "Question",
"name": "Comment prévenir les infections post-chirurgicales ?",
"position": 11,
"acceptedAnswer": {
"@type": "Answer",
"text": "Une bonne hygiène, des antibiotiques prophylactiques et des soins appropriés sont essentiels."
}
},
{
"@type": "Question",
"name": "Quelles mesures pour éviter les thromboses ?",
"position": 12,
"acceptedAnswer": {
"@type": "Answer",
"text": "L'encouragement à la mobilité et l'utilisation de bas de compression peuvent aider."
}
},
{
"@type": "Question",
"name": "Comment réduire les risques lors d'une césarienne ?",
"position": 13,
"acceptedAnswer": {
"@type": "Answer",
"text": "Une évaluation préopératoire complète et une préparation adéquate sont nécessaires."
}
},
{
"@type": "Question",
"name": "Quelles sont les recommandations pour la cicatrisation ?",
"position": 14,
"acceptedAnswer": {
"@type": "Answer",
"text": "Maintenir la zone propre et sèche, et suivre les instructions médicales favorise la cicatrisation."
}
},
{
"@type": "Question",
"name": "Comment éviter les complications lors d'une hystérectomie ?",
"position": 15,
"acceptedAnswer": {
"@type": "Answer",
"text": "Une planification minutieuse et une technique chirurgicale appropriée sont essentielles."
}
},
{
"@type": "Question",
"name": "Quelles sont les options pour une césarienne ?",
"position": 16,
"acceptedAnswer": {
"@type": "Answer",
"text": "La césarienne peut être programmée ou d'urgence selon les circonstances cliniques."
}
},
{
"@type": "Question",
"name": "Comment se déroule une hystérectomie ?",
"position": 17,
"acceptedAnswer": {
"@type": "Answer",
"text": "L'hystérectomie peut être réalisée par voie abdominale ou vaginale, selon le cas."
}
},
{
"@type": "Question",
"name": "Quels soins post-opératoires après une chirurgie obstétrique ?",
"position": 18,
"acceptedAnswer": {
"@type": "Answer",
"text": "Surveillance des signes vitaux, gestion de la douleur et prévention des infections sont essentiels."
}
},
{
"@type": "Question",
"name": "Quels médicaments sont utilisés après une césarienne ?",
"position": 19,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des analgésiques et des antibiotiques sont souvent prescrits pour la récupération."
}
},
{
"@type": "Question",
"name": "Comment gérer les complications après une chirurgie ?",
"position": 20,
"acceptedAnswer": {
"@type": "Answer",
"text": "Une surveillance étroite et un traitement rapide des complications sont cruciaux."
}
},
{
"@type": "Question",
"name": "Quelles sont les complications possibles d'une césarienne ?",
"position": 21,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les complications incluent les infections, les hémorragies et les lésions d'organes."
}
},
{
"@type": "Question",
"name": "Quels risques après une hystérectomie ?",
"position": 22,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des complications comme des infections, des saignements et des problèmes urinaires peuvent survenir."
}
},
{
"@type": "Question",
"name": "Comment gérer une hémorragie post-partum ?",
"position": 23,
"acceptedAnswer": {
"@type": "Answer",
"text": "Une intervention rapide, souvent chirurgicale, est nécessaire pour contrôler l'hémorragie."
}
},
{
"@type": "Question",
"name": "Quels sont les signes d'une infection après chirurgie ?",
"position": 24,
"acceptedAnswer": {
"@type": "Answer",
"text": "Rougeur, chaleur, douleur et écoulement purulent au site opératoire sont des signes d'infection."
}
},
{
"@type": "Question",
"name": "Quelles complications peuvent survenir après une anesthésie ?",
"position": 25,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des réactions allergiques, des nausées ou des problèmes respiratoires peuvent se produire."
}
},
{
"@type": "Question",
"name": "Quels facteurs augmentent le risque de césarienne ?",
"position": 26,
"acceptedAnswer": {
"@type": "Answer",
"text": "L'obésité, les grossesses multiples et les antécédents de césarienne augmentent le risque."
}
},
{
"@type": "Question",
"name": "Comment l'âge influence-t-il les risques obstétriques ?",
"position": 27,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les femmes de plus de 35 ans ont un risque accru de complications pendant la grossesse."
}
},
{
"@type": "Question",
"name": "Quels antécédents médicaux sont préoccupants ?",
"position": 28,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des maladies chroniques comme le diabète ou l'hypertension peuvent compliquer la grossesse."
}
},
{
"@type": "Question",
"name": "Comment le tabagisme affecte-t-il la grossesse ?",
"position": 29,
"acceptedAnswer": {
"@type": "Answer",
"text": "Le tabagisme augmente le risque de complications comme le faible poids à la naissance."
}
},
{
"@type": "Question",
"name": "Quels sont les risques liés à une grossesse tardive ?",
"position": 30,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les grossesses tardives sont associées à des risques accrus de complications et d'anomalies."
}
}
]
}
]
}
Expert en Médecine, Optimisation des Parcours de Soins et Révision Médicale
└─
Avortement provoqué
Abortion, Induced
D000028 -
E04.520.050
└─
Cerclage cervical
Cerclage, Cervical
D023802 -
E04.520.100
└─
Accouchement (procédure)
Delivery, Obstetric
D036861 -
E04.520.252
└─
Foetoscopie
Fetoscopy
D005332 -
E04.520.280
└─
Hystérotomie
Hysterotomy
D020883 -
E04.520.365
└─└─
Avortement eugénique
Abortion, Eugenic
D000025 -
E04.520.050.050
└─└─
Interruption légale de grossesse
Abortion, Legal
D000029 -
E04.520.050.055
└─└─
Avortement thérapeutique
Abortion, Therapeutic
D000032 -
E04.520.050.060
└─└─
Réduction embryonnaire de grossesse multifoetale
Pregnancy Reduction, Multifetal
D018607 -
E04.520.050.600
└─└─
Césarienne
Cesarean Section
D002585 -
E04.520.252.500
└─└─
Épisiotomie
Episiotomy
D004841 -
E04.520.252.750
└─└─
Extraction obstétricale
Extraction, Obstetrical
D005113 -
E04.520.252.875
└─└─
Accouchement provoqué
Labor, Induced
D007751 -
E04.520.252.968
└─└─
Clampage du cordon ombilical
Umbilical Cord Clamping
D000087526 -
E04.520.252.980
└─└─
Accouchement par voie vaginale après césarienne
Vaginal Birth after Cesarean
D016064 -
E04.520.252.992
└─└─
Version foetale
Version, Fetal
D014710 -
E04.520.252.996
└─└─└─
Césarienne itérative
Cesarean Section, Repeat
D017604 -
E04.520.252.500.150
└─└─└─
Procédures de traitement ex utero intrapartum
Ex utero Intrapartum Treatment Procedures
D000088103 -
E04.520.252.500.575
└─└─└─
Accouchement par ventouse obstétricale
Vacuum Extraction, Obstetrical
D014620 -
E04.520.252.875.970
└─└─└─
Amniotomie
Amniotomy
D000074885 -
E04.520.252.968.500
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To investigate factors involved in the decision to decline prenatal screening with noninvasive prenatal testing (NIPT)....
A questionnaire study was conducted among 219 pregnant women in the Netherlands who had declined prenatal screening with NIPT (TRIDENT-2 study). Respondents were selectively recruited from three hospi...
Most respondents (77.2%) found the decision to decline NIPT easy to make, and 59.8% had already made the decision before information about NIPT was offered. These respondents were more often religious...
The primary factors involved in the decision to decline NIPT were related to personal values and beliefs, consistent with autonomous choice. Out-of-pocket costs of NIPT hinder equal access for some pr...
In the setting of a normal first-trimester ultrasound, an amniocentesis may be a better option than chorionic villous sampling for invasive diagnostic testing after a cell-free DNA high risk for triso...
To report a rare type of Pallister-Killian syndrome (PKS) diagnosed prenatally by the utility of non-invasive prenatal testing (NIPT)....
NIPT was performed in the first trimester. Conventional karyotyping and chromosomal microarray analysis (CMA) were performed on the amniotic samples in the second trimester. Copy number variation sequ...
NIPT results showed increased signal from chromosome 12p. Subsequent prenatal diagnostic testing by karyotype revealed 47, XY, +i (12p), and CMA displayed four copies of 12p: 12p13.33-12p11.1(173786_3...
Our findings suggest that a positive signal from chromosome 12p on NIPT should raise suspicion for PKS. With the wide application of NIPT, the true positive of incidental finding is expected to increa...
The purpose of this study was to evaluate the performance of noninvasive prenatal testing (NIPT) for the detection of chromosomal aneuploidies and copy number variations (CNVs) in twin pregnancies....
A cohort of 2010 women with twin pregnancies was recruited. 1331 patients opted for NIPT, and 679 patients opted for expanded NIPT (NIPT-plus). All high-risk patients were advised to undergo invasive ...
Twenty-two cases were predicted to have a high risk of chromosome abnormalities by NIPT, of which 14 pregnant women underwent invasive prenatal diagnosis. The 14 cases included 3 cases of trisomy 21, ...
The NIPT/NIPT-plus has excellent performance in the detection of chromosome aneuploidies in twin pregnancies. But for CNVs, the effectiveness of NIPT is poor, and the NIPT-plus have a certain detectio...
Noninvasive prenatal testing (NIPT) is the testing of blood samples from pregnant women to screen for fetal risk of chromosomal disorders. Even though in vitro hemolysis of blood specimens is common i...
Peripheral blood samples were collected from 205 pregnant women and categorized according to the concentration of free hemoglobin in the plasma. After performing NIPT using massively parallel sequenci...
The specimens were divided into four groups based on the concentration of free hemoglobin: Group I (0-1 g/L, n = 53), Group II (1-2 g/L, n = 97), Group III (2-4 g/L, n = 30), and Group IV (> 4 g/L, n ...
For NIPT using massively parallel sequencing, samples with slight or moderate hemolysis (≤ 4 g/L) are acceptable. However, careful consideration should be taken regarding the use of severely hemolyzed...
To evaluate the value of noninvasive prenatal testing (NIPT) in the screening of rare autosomal abnormalities and provide further support for the clinical application of NIPT....
A total of 81,518 pregnant women who underwent NIPT at the Anhui Maternal and Child Health Hospital between May 2018 and March 2022 were selected. The high-risk samples were analyzed using amniotic fl...
NIPT detected 292 cases (0.36%) with rare autosomal abnormalities among the 81,518 cases sampled. Of these, 140 (0.17%) showed rare autosomal trisomies (RATs), and 102 of these patients agreed to unde...
NIPT is not recommended for screening for RATs. However, considering that positive results are associated with an increased risk of IUGR and PTB, additional fetal ultrasound examination should be perf...
Numerous diseases and disorders are associated with mitochondrial DNA (mtDNA) mutations, among which m.1555A > G and m.1494C > T mutations in the 12 S ribosomal RNA gene contribute to aminoglycoside-i...
A total of 76,842 qualified non-invasive prenatal (NIPT) samples were subjected to mtDNA mutation and haplogroup analysis....
We detected 181 m.1555A > G and m.1494C > T mutations, 151 of which were subsequently sequenced for full-length mitochondrial genome verification. The positive predictive values for the m.1555A > G an...
Our findings indicate that the non-invasive prenatal testing of cell-free DNA obtained from maternal plasma can successfully detect m.1555A > G and m.1494C > T mutations....
Early and intermediate serological screening cannot detect sex chromosome abnormalities. Currently, noninvasive prenatal testing (NIPT) is the only procedure available for screening such disorders; ho...
A total of 47,855 pregnant women underwent NIPT at our referral center from January 2014 to December 2020. Of the 314 patients with a positive NIPT indicating sex chromosome abnormalities, 260 were sc...
Improvements in detection and analytical technologies are needed to increase the accuracy of sex chromosome abnormalities detection. Pregnant women with a positive NIPT for these abnormalities may req...
Complete chromosome 9 trisomy (T9) is a rare and fatal chromosomal disorder. We performed non-invasive prenatal testing (NIPT) in a patient with threatened abortion symptoms and found that the fetal w...
Today the challenge in paternity testing is to provide an accurate noninvasive assay that can be performed early during pregnancy. This requires the use of novel analytical methods capable of detectin...
