Titre : Version foetale

Version foetale : Questions médicales fréquentes

Termes MeSH sélectionnés :

Apgar Score
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la version fœtale ?\nPeut-on détecter une version fœtale par palpation ?", "url": "https://questionsmedicales.fr/mesh/D014710?mesh_terms=Apgar+Score&page=2#section-diagnostic" }, { "@type": "MedicalWebPage", "name": "Symptômes", "headline": "Symptômes sur Version foetale", "description": "Quels symptômes peuvent indiquer un siège fœtal ?\nY a-t-il des douleurs associées à la version fœtale ?\nComment se manifeste un fœtus en siège ?\nQuels signes de détresse fœtale peuvent apparaître ?\nLes contractions sont-elles différentes en cas de siège ?", "url": "https://questionsmedicales.fr/mesh/D014710?mesh_terms=Apgar+Score&page=2#section-symptômes" }, { "@type": "MedicalWebPage", "name": "Prévention", "headline": "Prévention sur Version foetale", "description": "Peut-on prévenir un siège fœtal ?\nLes exercices peuvent-ils aider à la position fœtale ?\nLe yoga peut-il influencer la position fœtale ?\nLes positions de sommeil affectent-elles la version ?\nLes visites régulières chez le médecin sont-elles importantes ?", "url": "https://questionsmedicales.fr/mesh/D014710?mesh_terms=Apgar+Score&page=2#section-prévention" }, { "@type": "MedicalWebPage", "name": "Traitements", "headline": "Traitements sur Version foetale", "description": "Comment se déroule une version fœtale ?\nQuels sont les risques de la version fœtale ?\nQuand est-il préférable de ne pas faire de version fœtale ?\nQuels médicaments peuvent être utilisés lors de la version ?\nLa version fœtale est-elle toujours efficace ?", "url": "https://questionsmedicales.fr/mesh/D014710?mesh_terms=Apgar+Score&page=2#section-traitements" }, { "@type": "MedicalWebPage", "name": "Complications", "headline": "Complications sur Version foetale", "description": "Quelles complications peuvent survenir après une version ?\nLa version fœtale peut-elle entraîner une césarienne ?\nQuels sont les signes d'une complication post-version ?\nLes complications sont-elles fréquentes après une version ?\nComment gérer les complications après une version ?", "url": "https://questionsmedicales.fr/mesh/D014710?mesh_terms=Apgar+Score&page=2#section-complications" }, { "@type": "MedicalWebPage", "name": "Facteurs de risque", "headline": "Facteurs de risque sur Version foetale", "description": "Quels facteurs augmentent le risque de siège fœtal ?\nL'âge maternel influence-t-il la position fœtale ?\nLes anomalies utérines affectent-elles la version fœtale ?\nLe tabagisme maternel influence-t-il la position fœtale ?\nLes antécédents de césarienne influencent-ils la version ?", "url": "https://questionsmedicales.fr/mesh/D014710?mesh_terms=Apgar+Score&page=2#section-facteurs de risque" } ] }, { "@type": "FAQPage", "mainEntity": [ { "@type": "Question", "name": "Comment diagnostiquer une présentation en siège ?", "position": 1, "acceptedAnswer": { "@type": "Answer", "text": "L'échographie et l'examen pelvien permettent de confirmer la présentation en siège." } }, { "@type": "Question", "name": "Quels signes indiquent une version fœtale ?", "position": 2, "acceptedAnswer": { "@type": "Answer", "text": "Une palpation abdominale révèle la position du fœtus et des mouvements anormaux." } }, { "@type": "Question", "name": "Quand effectuer une échographie pour la version fœtale ?", "position": 3, "acceptedAnswer": { "@type": "Answer", "text": "Une échographie est recommandée vers la 36e semaine de grossesse pour évaluer la position." } }, { "@type": "Question", "name": "Quels examens préalables à la version fœtale ?", "position": 4, "acceptedAnswer": { "@type": "Answer", "text": "Un examen clinique et une échographie sont nécessaires pour évaluer les risques." } }, { "@type": "Question", "name": "Peut-on détecter une version fœtale par palpation ?", "position": 5, "acceptedAnswer": { "@type": "Answer", "text": "Oui, la palpation abdominale permet d'évaluer la position du fœtus." } }, { "@type": "Question", "name": "Quels symptômes peuvent indiquer un siège fœtal ?", "position": 6, "acceptedAnswer": { "@type": "Answer", "text": "Une sensation de pression dans le bas-ventre et des mouvements fœtaux anormaux." } }, { "@type": "Question", "name": "Y a-t-il des douleurs associées à la version fœtale ?", "position": 7, "acceptedAnswer": { "@type": "Answer", "text": "Des douleurs abdominales peuvent survenir lors de la manœuvre de version." } }, { "@type": "Question", "name": "Comment se manifeste un fœtus en siège ?", "position": 8, "acceptedAnswer": { "@type": "Answer", "text": "Le fœtus en siège peut provoquer des douleurs lombaires et une pression pelvienne." } }, { "@type": "Question", "name": "Quels signes de détresse fœtale peuvent apparaître ?", "position": 9, "acceptedAnswer": { "@type": "Answer", "text": "Une diminution des mouvements fœtaux ou des anomalies du rythme cardiaque." } }, { "@type": "Question", "name": "Les contractions sont-elles différentes en cas de siège ?", "position": 10, "acceptedAnswer": { "@type": "Answer", "text": "Les contractions peuvent être plus intenses et moins régulières avec un fœtus en siège." } }, { "@type": "Question", "name": "Peut-on prévenir un siège fœtal ?", "position": 11, "acceptedAnswer": { "@type": "Answer", "text": "Il n'existe pas de méthode garantie pour prévenir un siège fœtal, mais un suivi régulier aide." } }, { "@type": "Question", "name": "Les exercices peuvent-ils aider à la position fœtale ?", "position": 12, "acceptedAnswer": { "@type": "Answer", "text": "Certains exercices de positionnement peuvent encourager le fœtus à se retourner." } }, { "@type": "Question", "name": "Le yoga peut-il influencer la position fœtale ?", "position": 13, "acceptedAnswer": { "@type": "Answer", "text": "Le yoga prénatal peut aider à améliorer la flexibilité et favoriser une meilleure position." } }, { "@type": "Question", "name": "Les positions de sommeil affectent-elles la version ?", "position": 14, "acceptedAnswer": { "@type": "Answer", "text": "Dormir sur le côté gauche peut favoriser une meilleure circulation et position fœtale." } }, { "@type": "Question", "name": "Les visites régulières chez le médecin sont-elles importantes ?", "position": 15, "acceptedAnswer": { "@type": "Answer", "text": "Oui, elles permettent de surveiller la position fœtale et d'anticiper les complications." } }, { "@type": "Question", "name": "Comment se déroule une version fœtale ?", "position": 16, "acceptedAnswer": { "@type": "Answer", "text": "La version fœtale est réalisée par un obstétricien, souvent sous échographie et anesthésie." } }, { "@type": "Question", "name": "Quels sont les risques de la version fœtale ?", "position": 17, "acceptedAnswer": { "@type": "Answer", "text": "Les risques incluent la rupture des membranes, la détresse fœtale et des saignements." } }, { "@type": "Question", "name": "Quand est-il préférable de ne pas faire de version fœtale ?", "position": 18, "acceptedAnswer": { "@type": "Answer", "text": "En cas de placenta praevia, de malformations fœtales ou de complications maternelles." } }, { "@type": "Question", "name": "Quels médicaments peuvent être utilisés lors de la version ?", "position": 19, "acceptedAnswer": { "@type": "Answer", "text": "Des tocolytiques peuvent être administrés pour détendre l'utérus pendant la manœuvre." } }, { "@type": "Question", "name": "La version fœtale est-elle toujours efficace ?", "position": 20, "acceptedAnswer": { "@type": "Answer", "text": "La version fœtale réussit dans environ 50-70% des cas, selon la situation clinique." } }, { "@type": "Question", "name": "Quelles complications peuvent survenir après une version ?", "position": 21, "acceptedAnswer": { "@type": "Answer", "text": "Des saignements, des contractions prématurées ou une détresse fœtale peuvent survenir." } }, { "@type": "Question", "name": "La version fœtale peut-elle entraîner une césarienne ?", "position": 22, "acceptedAnswer": { "@type": "Answer", "text": "Oui, si la version échoue ou si des complications surviennent, une césarienne peut être nécessaire." } }, { "@type": "Question", "name": "Quels sont les signes d'une complication post-version ?", "position": 23, "acceptedAnswer": { "@type": "Answer", "text": "Des douleurs abdominales intenses, des saignements ou une diminution des mouvements fœtaux." } }, { "@type": "Question", "name": "Les complications sont-elles fréquentes après une version ?", "position": 24, "acceptedAnswer": { "@type": "Answer", "text": "Les complications sont rares, mais un suivi médical est essentiel après la procédure." } }, { "@type": "Question", "name": "Comment gérer les complications après une version ?", "position": 25, "acceptedAnswer": { "@type": "Answer", "text": "Un suivi médical étroit et des interventions appropriées sont nécessaires pour gérer les complications." } }, { "@type": "Question", "name": "Quels facteurs augmentent le risque de siège fœtal ?", "position": 26, "acceptedAnswer": { "@type": "Answer", "text": "Les grossesses multiples, l'anatomie pelvienne et les antécédents de siège augmentent le risque." } }, { "@type": "Question", "name": "L'âge maternel influence-t-il la position fœtale ?", "position": 27, "acceptedAnswer": { "@type": "Answer", "text": "Oui, les femmes plus âgées peuvent avoir un risque accru de présentation en siège." } }, { "@type": "Question", "name": "Les anomalies utérines affectent-elles la version fœtale ?", "position": 28, "acceptedAnswer": { "@type": "Answer", "text": "Oui, les anomalies utérines peuvent limiter la capacité du fœtus à se positionner correctement." } }, { "@type": "Question", "name": "Le tabagisme maternel influence-t-il la position fœtale ?", "position": 29, "acceptedAnswer": { "@type": "Answer", "text": "Oui, le tabagisme peut affecter le développement fœtal et augmenter le risque de siège." } }, { "@type": "Question", "name": "Les antécédents de césarienne influencent-ils la version ?", "position": 30, "acceptedAnswer": { "@type": "Answer", "text": "Oui, les antécédents de césarienne peuvent compliquer la version fœtale et augmenter les risques." } } ] } ] }

Sources (10000 au total)

Apgar Score and Neurodevelopmental Outcomes at Age 5 Years in Infants Born Extremely Preterm.

The Apgar score is used worldwide as an assessment tool to estimate the vitality of newborns in their first minutes of life. Its applicability to estimate neurodevelopmental outcomes in infants born e... To investigate the association between the Apgar score and neurodevelopmental outcomes in infants born EPT.... This cohort study was conducted using data from the Effective Perinatal Intensive Care in Europe-Screening to Improve Health in Very Preterm Infants in Europe (EPICE-SHIPS) study, a population-based c... Apgar score at 5 minutes of life categorized into 4 groups (0-3, 4-6, 7-8, and 9-10 points).... Cognitive and motor outcomes were assessed using the Wechsler Preschool and Primary Scale of Intelligence test of IQ derived from locally normed versions by country and the Movement Assessment Battery... From the total cohort of 4395 infants born EPT, 2522 infants were live born, 1654 infants survived to age 5 years, and 996 infants (478 females [48.0%]) followed up had at least 1 of 3 outcome measure... This study found that low Apgar scores were not associated with longer-term outcomes in infants born EPT. This finding may be associated with high interobserver variability in Apgar scoring, reduced v...

Surgical Apgar Score can accurately predict the severity of post-operative complications following emergency laparotomy.

The Surgical Apgar Score (SAS) describes a feasible and objective tool for predicting surgical outcomes. However, the accuracy of the score and its correlation with the complication severity has not b... To determine the accuracy of Surgical Apgar Score in predicting the severity of post-operative complications among patients undergoing emergency laparotomy at Muhimbili National Hospital.... A prospective cohort study was conducted for a period of 12 months; patients were followed for 30 days, the risk of complication was classified using the Surgical Apgar Score (SAS), severity of compli... Out of the 111 patients who underwent emergency laparotomy, 71 (64%) were Male and the median age (IQR) was 49 (36, 59).The mean SAS was 4.86 (± 1.29) and the median CCI (IQR) was 36.20 (26.2, 42.40).... This study has demonstrated that SAS can accurately predict the occurrence of complications following emergency laparotomy at Muhimbili National Hospital....

A comparative analysis of APGAR score and the gold standard in the diagnosis of birth asphyxia at a tertiary health facility in Kenya.

Birth asphyxia is a consistent key contributor to neonatal morbidity and mortality, notably in sub-Saharan Africa. The APGAR score, though a globally used diagnostic tool for birth asphyxia, remains l... This study determined how effectively the APGAR score is used to diagnose birth asphyxia in comparison to the gold standard (umbilical cord blood pH <7 with neurologic involvement) at Moi Teaching and... Using a quantitative cross-sectional hospital-based design, term babies born in MTRH who weighed ≥2500g were randomly and systematically sampled; and healthcare providers who assign APGAR scores were ... We enrolled 102 babies, and 50 (49%) were females. Among the 64 healthcare providers recruited, 40 (63%) were female and the median age was 34.5years [IQR: 31.0, 37.0]. Assigned APGAR scores had a sen... Assigned APGAR scores had low sensitivity and positive predictive values. Healthcare provider factors independently associated with ineffective APGAR scoring include; instrumental delivery, lack of ac...

Effect of anesthesia administration method on apgar scores of infants born to women undergoing elective cesarean section.

Neonatal health at delivery as measured by apgar scores is an important outcome. This study was done to assess the impact of anesthesia on Apgar 1-minute and 5-minute scores of infants delivered throu... We carried out a secondary analysis of data from the Efficacy of Tranexamic Acid in Preventing Postpartum Hemorrhage (ETAPPH) clinical trial in Zimbabwe. Outcomes measured were infant Apgar scores at ... Four hundred and twenty-one (421) women who had an elective caesarean section in the ETAPPH study had their infants assessed for Apgar scores. Comparing general anesthesia to spinal anesthesia, spinal... When providing anesthesia for patients undergoing elective cesarean section, care should be taken on the method of administration of anesthetic agents. General anesthesia tends to depress Apgar scores... The clinical trial from which data of this study was abstracted was registered under clinical trials registration number NCT04733157....

Associations between low Apgar scores and mortality by race in the United States: A cohort study of 6,809,653 infants.

Apgar scores measure newborn health and are strongly associated with infant outcomes, but their performance has largely been determined in primarily white populations. Given the majority of the global... Population-based cohort study using 2016 to 2017 United States National Vital Statistics System data. The study included singleton infants born between 37+0 and 44+6 weeks to mothers over 15 years, wi... The association between Apgar scores and mortality varies across racial groups. Low Apgar scores are associated with mortality across racial groups captured by United States (US) records, but are wors...

Improved Re-estimation of Perioperative Cardiac Risk Using the Surgical Apgar Score: A Retrospective Cohort Study.

To assess whether the Surgical Apgar Score (SAS) improves re-estimation of perioperative cardiac risk.... The SAS is a novel risk index that integrates three relevant and easily measurable intraoperative parameters (blood loss, heart rate, mean arterial pressure) to predict outcomes. The incremental progn... We conducted a retrospective cohort study of adults (18 years and older) who underwent elective noncardiac surgery at a quaternary care hospital in Canada (2009-2014). The primary outcome was postoper... The cohort included 16,835 patients, of whom 607 (3.6%) patients had acute postoperative myocardial injury. Addition of the SAS to the Revised Cardiac Risk Index improved risk estimation based on the ... When combined with a validated preoperative risk index, the SAS improved the accuracy of cardiac risk assessment for noncardiac surgery. Further research is needed to delineate how intraoperative data...

Factors associated with 5-min APGAR score, death and survival in neonatal intensive care: a case-control study.

The 5-minute APGAR score is clinically used as a screening tool to assess how the newborn has reacted to previous care, remaining relevant for predicting neonatal survival. This study aimed to analyze... This was a hospital-based retrospective case-control study with 277 medical records. Newborns who presented with a 1-minute APGAR score < 7 followed by a 5-minute APGAR score < 7 were considered cases... After adjusted analysis, the factor associated with low APGAR scores was vaginal delivery (OR = 3.25, 95%CI = 1.60-6.62, p = 0.001). Birth injury (OR = 0.39, 95%CI = 0.19-0.83, p = 0.014) was associat... In this setting, a 5-minute Apgar score < 7 was associated with the occurrence of vaginal delivery and birth injury with a 5-minute Apgar score ≥ 7. Survival in ICU was lower in newborns that were del...

Low Apgar score and need for resuscitation increased the probability of receiving therapeutic hypothermia more strongly than acidosis at birth.

The aim of this study was to investigate how individual markers for birth asphyxia, so-called A criteria, were associated with the probability of receiving therapeutic hypothermia.... This population-based cohort study included 1336 live-born singleton term infants with any A criterion in the Stockholm-Gotland Region, Sweden during 2008 to 2014. The Swedish Neonatal Quality Registe... There were 89 infants, 44 boys and 45 girls with mean gestational age 40.5 weeks, who received therapeutic hypothermia. Low Apgar score, aOR 12.44 (95% CI 5.99-25.86), and resuscitation, aOR 9.18 (95%... A low Apgar score of and/or a need for resuscitation is more relevant for identifying infants eligible for therapeutic hypothermia, compared to other A criteria. This knowledge could be used clinicall...