Titre : Version foetale

Version foetale : Questions médicales fréquentes

Termes MeSH sélectionnés :

Protamines
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"https://questionsmedicales.fr/mesh/D014710?mesh_terms=Protamines&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=Protamines&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=Protamines&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=Protamines&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 (126 au total)

Transit-time flow measurement parameters after protamine infusion in CABG surgeries.

The objective of this study is to evaluate protamine sulfate effects on graft's blood flow by comparing transit-time flow measurement (TTFM) values before and after protamine administration.... This is an observational study with data collected between years 2018 and 2020. Immediate graft patency was evaluated using TTFM. Only patients with TTFM parameters registered before and after protami... Our study included 575 patients, resulting in a total of 1686 grafts, mean 2.93 grafts/patient. Off-pump surgery was performed in 158 patients. Before protamine infusion, inadequate TTFM parameters we... Significant variations were observed in TTFM values before and after protamine administration. Although different, those values remained within the normal reference ranges. We recommend that flow meas...

Heparin reversal with protamine sulfate after Percutaneous Hepatic Perfusion (PHP): is less more?

Percutaneous hepatic perfusion (PHP) is a palliative intraarterial therapy for unresectable hepatic malignancies. During PHP, high-dose melphalan is infused via the hepatic artery to saturate tumor in... All patients receiving PHP treatment between 10/2014 and 04/2021 were classified according to their intraprocedural coagulation management: 92 patients/192 PHP received full UFH reversal with protamin... Thromboembolic events were recorded after 10 PHP procedures (5%) in group... Our retrospective study implies that there might be a link between the practice of protamine sulfate administration to reverse the full hemodilutive effect of UFH after PHP and the post-interventional...

Protamine dosing and its impact in cardiac surgery transfusion practice-A retrospective bi-institutional analysis.

Bleeding after cardiac surgery is common and continues to require 10-20% of the national blood supply. Transfusion of allogeneic blood is associated with increased morbidity and mortality. Excessive p... Retrospective cohort study.... We conducted a retrospective bi-institutional analysis of cardiac surgical patients who underwent cardiopulmonary bypass (CPB)-assisted cardiac surgery to assess the impact of protamine dosing in tran... We observed a higher rate of blood transfusion required in high-ratio group (ratio >0.8) compared with low-ratio group (ratio ≤0.8) (p < .001). The increased requirement was consistently demonstrated ... High protamine to heparin ratio may cause increased bleeding and transfusion in cardiac surgical patients. Protamine to heparin ratio of 0.8 or lower is sufficient to neutralize circulating heparin af...

Safety of routine protamine in the reversal of heparin in percutaneous coronary intervention: A systematic review and meta-analysis.

To determine the safety and efficacy of protamine in the reversal of heparin in percutaneous coronary intervention (PCI).... Heparin is routinely used for anticoagulation in PCI. Protamine is not used routinely to reverse heparin's effects in PCI, partly due to the perceived risk of stent thrombosis.... Relevant studies published in English were searched for in PubMed, Embase, and Cochrane databases from inception to April 26th, 2023. Our primary outcome of interest was stent thrombosis in patients r... 11 studies were included in our analysis. Protamine use was not associated with stent thrombosis: OR 0.58, 95% CI: 0.33, 1.01 (p = 0.05) nor with mortality (p = 0.89). Protamine administration was ass... In patients pre-treated with dual antiplatelet therapy (DAPT), protamine may be a safe and efficacious option to facilitate earlier sheath removal, reduce major bleeding complications, and reduce leng...