Titre : Version foetale

Version foetale : Questions médicales fréquentes

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University, Seoul, Korea." } }, { "@type": "Person", "name": "Jin Hoon Chung", "url": "https://questionsmedicales.fr/author/Jin%20Hoon%20Chung", "affiliation": { "@type": "Organization", "name": "Department of Obstetrics and Gynecology, CHA Gangnam Medical Center, CHA University, Seoul, Korea." } }, { "@type": "Person", "name": "Moon Young Kim", "url": "https://questionsmedicales.fr/author/Moon%20Young%20Kim", "affiliation": { "@type": "Organization", "name": "Department of Obstetrics and Gynecology, CHA Gangnam Medical Center, CHA University, Seoul, Korea." } }, { "@type": "Person", "name": "Min Hyoung Kim", "url": "https://questionsmedicales.fr/author/Min%20Hyoung%20Kim", "affiliation": { "@type": "Organization", "name": "Department of Obstetrics and Gynecology, Gangseo Mizmedi Hospital, Seoul, Korea." } } ], "citation": [ { "@type": "ScholarlyArticle", "name": "[Tocolysis during External Cephalic Version (ECV): A retrospective before/after study in a type III maternity hospital].", 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fœtale ?\nQuand effectuer une échographie pour la version fœtale ?\nQuels examens préalables à la version fœtale ?\nPeut-on détecter une version fœtale par palpation ?", "url": "https://questionsmedicales.fr/mesh/D014710?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?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?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?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?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?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 (8966 au total)

[Tocolysis during External Cephalic Version (ECV): A retrospective before/after study in a type III maternity hospital].

On January 2020, the French College of Gynecologists and Obstetricians (CNGOF) issued new Clinical Practice Guidelines (CPG) "Breech Presentation". Since then, it is recommended to use a tocolytic age... This is a single-center retrospective study conducted in Nantes University Hospital. We collected patient characteristics, immediate success rate, and maternal and neonatal outcomes at delivery of all... We included 253 patients: 126 in the first period and 127 in the second period. Immediate success rate of ECV was significantly higher since the use of tocolysis: 38.6 % (period 2) vs 23.8 % (period 1... The immediate success rate is significantly improved with the widespread use of tocolysis during ECV, with no change in obstetrical and neonatal outcomes....

Undiagnosed uterine anomalies revealed by breech on ultrasound prior to external cephalic version - A chance to take a closer look.

Uterine anomalies (UA) occur in up to 6.7% of women. Breech is eight times more likely to occur with UA which may not be diagnosed prior to pregnancy and may only be found in the third trimester with ... We recruited 469 women with breech at 36 weeks of gestation over a 2-year period at the Charité University Hospital, Berlin. Ultrasound examination was performed to rule out UA. Patients with known an... The 'de novo' diagnosis of UA at 36-37 weeks of pregnancy with breech was found to be significantly higher compared to the diagnosis prior to pregnancy with 4.5% vs 1.5% (p < 0.001 and odds ratio 4 wi... Breech is a marker for uterine malformation. Diagnosis of UA with breech can be up to four times improved with focused ultrasound screening in pregnancy even from 36 weeks of gestation prior to ECV to...

Effect of anesthesia on the success rate of external cephalic version: GRADE- assessed systematic review and meta-analysis of randomized controlled trials.

External cephalic version (ECV) is a medical procedure in which an extracorporeal manipulation is performed to render the breech presentation (BP) fetus in the cephalic position. The use of anesthesia... A systematic literature search was carried out in 8 electronic databases. In the meta-analysis, a random effects model was used to calculate the pooled relative risk (RR) and its 95% confidence interv... This review included 17 RCTs. Women who received anesthesia had a significantly higher incidence of successful ECV (RR: 1.37, 95% CIs: 1.19-1.58) and vaginal delivery (RR: 1.23, 95% CIs: 1.03-1.47), a... The administration of anesthesia not only significantly reduces maternal pain but also significantly increases the success rate of ECV in women with malpresentation at term, leading to a significant r... The protocol was prospectively registered with PROSPERO, registration CRD42022381552....

External cephalic version success rate and associated factors: Experience from a tertiary center in Sub-Saharan Africa: A cross-sectional study.

To determine the success rate of external cephalic version (ECV) and its associated factors in an Ethiopian setting.... A total of 152 ECVs performed at the St. Paul's Hospital Millennium Medical College, Addis Ababa, Ethiopia from June 1, 2018, up to March 30, 2019, were analyzed, using a prospective cross-sectional s... The success rate of ECV was 71.7%. ECV success rate did not differ between multiparous and nulliparous (AOR = 1.4, 95% CI 0.07-2.35), according to abdominal wall thickness status (AOR = 3.5, 95% Cl 0.... The success rate of ECV in this study is found to be 71.7%, which is higher than reports from previous studies. Absence of pain during the procedure, posterior placenta, and soft uterine tone were ass...

Do specific maternal sensations experienced in late pregnancy correlate to a breech presenting baby? Evaluation of a simple maternal questionnaire.

To investigate the effectiveness of a structured questionnaire completed at 36 weeks gestation in predicting breech presentation.... Questionnaire-based study.... Tertiary NHS Foundation Trust.... Women attending for a universally offered 36-week fetal growth scan.... Completion of a previously designed maternal questionnaire detailing sensation of fetal movements during the past week, immediately before a routine growth scan.... Between September 01, 2018 and September 30, 2019, 2341 questionnaires were handed out and 2053 were returned. Analysis was performed in 1938 (94.4%) completed questionnaires. Recorded presentation wa... The questions posed in this questionnaire could aid the detection of breech presentation, but do not perform better than published data on palpation. Missing a breech presentation near term through pa...

Breech presentation induction compared to cephalic presentation: Effectiveness and characteristics.

The objective of our study was to compare the effectiveness of induction in cephalic presentations to that of breech presentations as well as the characteristics of the latter and the maternal-fetal m... This was a single-center retrospective study carried out at the Lille University Hospital in the Jeanne de Flandre Maternity Hospital including all patients with a breech fetus for whom an induction w... 101 inductions of breech presentations were included and matched to 202 cephalic presentations. After adjustment by BISHOP score, there was no significant difference in the caesarean section rate betw... Induction of breech births beyond 37 weeks of gestation appeared to be as effective as induction of cephalic presentations. There was no difference in the rate of caesarean section and transition to a...

Evaluating the effectiveness of lateral postural management for breech presentation: study protocol for a randomized controlled trial (BRLT study).

Breech presentation is observed in 3-4% at term of pregnancy and is one of the leading causes of cesarean section. There is no established treatment for breech presentation before 36 weeks. A retrospe... The BRLT study is an open-label, randomized controlled trial with two parallel groups allocated in a 1:1 ratio to examine the lateral position management for breech presentation, as compared with expe... This trial will answer whether the lateral positioning technique is effective in treating breech presentation and, depending on the results, may provide a very simple, less painful, and safe option fo... UMIN Clinical Trials Registry UMIN000043613. Registered on 15 March 2021 https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000049800 ....