Maturation du col utérin : Questions médicales fréquentes
Nom anglais: Cervical Ripening
Descriptor UI:D020070
Tree Number:G08.686.784.769.326.100
Questions fréquentes et termes MeSH associés
Diagnostic
5
#1
Comment évaluer la maturation du col utérin ?
L'évaluation se fait par un examen pelvien et l'utilisation de scores de Bishop.
Col utérinExamen pelvien
#2
Quels tests sont utilisés pour diagnostiquer la maturation ?
Des échographies et des examens cliniques sont utilisés pour évaluer la maturation.
ÉchographieMaturation du col utérin
#3
Quels signes indiquent une maturation avancée ?
Un raccourcissement du col et une dilatation sont des signes de maturation avancée.
Dilatation du colMaturation du col utérin
#4
Quand doit-on commencer l'évaluation du col ?
L'évaluation commence généralement à partir de la 36e semaine de grossesse.
GrossesseCol utérin
#5
Quel rôle joue le score de Bishop ?
Le score de Bishop évalue la maturité du col pour prédire le succès de l'accouchement.
Score de BishopMaturation du col utérin
Symptômes
5
#1
Quels symptômes indiquent une maturation du col ?
Des contractions, des pertes vaginales et des changements dans la position du col peuvent survenir.
ContractionsPertes vaginales
#2
La douleur est-elle un symptôme de maturation ?
Oui, des douleurs pelviennes peuvent être ressenties lors de la maturation du col.
Douleur pelvienneMaturation du col utérin
#3
Comment reconnaître une rupture des membranes ?
Une rupture des membranes se manifeste par un écoulement de liquide amniotique.
Rupture des membranesLiquide amniotique
#4
Les saignements sont-ils normaux ?
De légers saignements peuvent survenir, mais des saignements importants nécessitent une évaluation.
SaignementsMaturation du col utérin
#5
Y a-t-il des signes d'infection à surveiller ?
Oui, des signes comme de la fièvre ou des pertes malodorantes doivent être surveillés.
InfectionFièvre
Prévention
5
#1
Peut-on prévenir une maturation prématurée ?
Il n'existe pas de méthode garantie, mais un suivi prénatal régulier aide à la détection.
Suivi prénatalMaturation prématurée
#2
Quels conseils pour une grossesse saine ?
Une alimentation équilibrée, l'exercice modéré et l'évitement du stress sont conseillés.
AlimentationStress
#3
Les infections peuvent-elles affecter la maturation ?
Oui, certaines infections peuvent précipiter la maturation et doivent être traitées.
InfectionsMaturation du col utérin
#4
Le tabagisme influence-t-il la maturation ?
Oui, le tabagisme peut augmenter le risque de complications pendant la grossesse.
TabagismeComplications
#5
Comment gérer le stress pendant la grossesse ?
Des techniques de relaxation, comme la méditation, peuvent aider à gérer le stress.
StressMéditation
Traitements
5
#1
Quels traitements favorisent la maturation du col ?
Des prostaglandines et l'ocytocine sont souvent utilisés pour induire la maturation.
ProstaglandinesOcytocine
#2
Quand initier un traitement pour la maturation ?
Le traitement peut être initié lorsque le col est jugé immature et que l'accouchement est imminent.
Induction du travailMaturation du col utérin
#3
Les méthodes naturelles de maturation existent-elles ?
Oui, des méthodes comme l'acupuncture et les rapports sexuels peuvent aider à la maturation.
AcupunctureRapports sexuels
#4
Quels sont les risques des traitements médicamenteux ?
Les risques incluent des contractions excessives et des complications pour le fœtus.
ComplicationsContractions
#5
La surveillance est-elle nécessaire après traitement ?
Oui, une surveillance est essentielle pour évaluer la réponse au traitement et la sécurité.
SurveillanceMaturation du col utérin
Complications
5
#1
Quelles complications peuvent survenir lors de la maturation ?
Des complications comme l'hyperstimulation utérine et des infections peuvent survenir.
HyperstimulationInfections
#2
Comment reconnaître une hyperstimulation ?
Des contractions fréquentes et intenses, accompagnées de douleur, signalent une hyperstimulation.
HyperstimulationContractions
#3
Les complications affectent-elles le fœtus ?
Oui, certaines complications peuvent nuire au bien-être fœtal et nécessiter une intervention.
Bien-être fœtalComplications
#4
Quels signes d'alerte doivent être surveillés ?
Des saignements, des douleurs intenses ou des signes d'infection doivent être surveillés.
SaignementsInfection
#5
Les complications sont-elles fréquentes ?
Les complications sont rares mais peuvent survenir, surtout en cas de facteurs de risque.
Facteurs de risqueComplications
Facteurs de risque
5
#1
Quels sont les facteurs de risque de maturation prématurée ?
Les antécédents de naissance prématurée, les infections et le tabagisme sont des facteurs de risque.
Naissance prématuréeInfections
#2
L'âge maternel influence-t-il la maturation ?
Oui, les femmes plus jeunes ou plus âgées peuvent avoir un risque accru de complications.
Âge maternelComplications
#3
Le poids maternel joue-t-il un rôle ?
Oui, l'obésité ou le sous-poids peuvent affecter la maturation et la grossesse en général.
ObésitéPoids maternel
#4
Les maladies chroniques influencent-elles la maturation ?
Oui, des maladies comme le diabète ou l'hypertension peuvent compliquer la maturation.
DiabèteHypertension
#5
Le stress psychologique est-il un facteur ?
Oui, le stress psychologique peut affecter la grossesse et la maturation du col.
Stress psychologiqueMaturation du col utérin
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},
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},
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},
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"name": "Les maladies chroniques influencent-elles la maturation ?",
"position": 29,
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"text": "Oui, des maladies comme le diabète ou l'hypertension peuvent compliquer la maturation."
}
},
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}
Department of Perinatology, Gynecology and Gynecologic Oncology, Faculty of Health Sciences, Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University, Łukasiewicza 1, 85-821 Bydgoszcz, Poland.
Department of Obstetrics and Gynecology, St. Adalbert's Hospital in Gdańsk, Copernicus Healthcare Entity, Jana Pawła II 50, 80-462 Gdańsk, Poland.
Department of Pathophysiology, Faculty of Pharmacy, Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University, M. Curie- Skłodowskiej 9, 85-094 Bydgoszcz, Poland.
Department of Perinatology, Gynecology and Gynecologic Oncology, Faculty of Health Sciences, Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University, Łukasiewicza 1, 85-821 Bydgoszcz, Poland.
The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians
2020-08-26
The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians
2021-07-18
To explore the complications and pregnancy outcomes of vaginal dinoprostone vs. Cook's double balloon for the induction of labor among pregnancies complicated by small-for-gestational-age (SGA) at ter...
This retrospective study included consecutive singleton pregnancies complicated by SGA treated at Fujian Maternity and Child Health Hospital between January 2017 and December 2021. The patients were d...
This study included 318 women [165 (aged 30.25 ± 4.72 years) and 153 (aged 28.80 ± 3.91 years) in the dinoprostone and Cook's balloon groups]. The dinoprostone group had a higher vaginal delivery rate...
In pregnant woman with pregnancies complicated by SGA, cervical ripening using dinoprostone were more likely to achieve vaginal delivery than those with Cook's balloon, and with a favorable complicati...
To compare cesarean rates and maternal and neonatal morbidity according to the cervical ripening method used among obese pregnant women requiring induction of labor at or after 41 weeks of gestation....
A secondary analysis of two multicenter randomized controlled trials conducted in French maternity units between 2015 and 2018....
336 women with a body mass index ≥30 kg/m...
Cervical ripening with a PGE2 dinoprostone pessary (Propess®), or low-dose vaginal PGE1 (misoprostol) or a double-balloon catheter....
The rates of cesarean delivery did not differ significantly according to the cervical ripening method (PGE2 pessary vs PGE1, RR: 1.18, 95% CI: 0.80-1.75; PGE2 pessary vs double balloon catheter: RR, 0...
No cervical ripening method was associated with a lower cesarean rate in obese women who required cervical ripening from 41 weeks. Further trials are required among obese women to determine the cervic...
Outpatient term pre-induction cervical ripening with mechanical agents has been associated with reduced length of stay, decreased cesarean delivery rates, low maternal and neonatal complications, and ...
This study aims to demonstrate equivalent efficacy between synthetic hygroscopic dilators and the single balloon catheter for outpatient cervical ripening....
This randomized control equivalence trial compares synthetic hygroscopic dilators to the 30cc silicone single balloon catheter in primiparous and multiparous patients undergoing induction. The primary...
Between March 1...
Although the enrollment goal was unmet, this study suggests outpatient cervical ripening with synthetic hygroscopic dilators and the single balloon catheter are both efficacious with similar time from...
To evaluate vaginal delivery in obese women who underwent cervical ripening at term using a dinoprostone vaginal insert or a cervical ripening balloon (CRB), and to assess maternal and neonatal morbid...
A prospective cohort study including obese women with a live singleton fetus in cephalic presentation who required cervical ripening at term (≥37 weeks) for maternal and/or fetal disease using a dinop...
In total, 135 consecutive women were analyzed (107 CRB, 79.3%; 28 dinoprostone vaginal insert, 20.7%). Vaginal delivery (86 [80.4%] after CRB vs 19 [67.9%] after dinoprostone vaginal insert; P = 0.248...
Vaginal delivery, a favorable cervix after 24 h, the time from device insertion to delivery, and maternal morbidity did not significantly differ between the CRB and the dinoprostone vaginal insert for...
To evaluate the improvement of evaluation accuracy of cervical maturity for Chinese women with labor induction by adding objective ultrasound data and machine learning models to the existing tradition...
The machine learning model was trained and tested using 101 sets of data from pregnant women who were examined and had their delivery in Peking University Third Hospital in between December 2019 and J...
The mean absolute error of the prediction result of Bishop scoring method was 19.45 h, and the RMSE was 24.56 h. The prediction error of machine learning model was lower than the Bishop score method. ...
In the evaluation of cervical maturity, the results of machine learning method are more objective and significantly accurate compared with the traditional Bishop scoring method. The machine learning m...
To compare dinoprostone vaginal insert (PG) with cervical ripening balloon (CRB) as second line of cervical ripening in women at term with a persistent unfavorable cervix after first PG....
This retrospective cohort study comprised all women with singleton fetus in cephalic presentation who required cervical ripening at term (≥37 weeks) for maternal and/or fetal disease using repeated PG...
180 women were analyzed (127 repeated PG (70.6 %) and 53 CRB after first PG (29.4 %)). After second device, 93.3 % of women had a favorable cervix (Bishop score ≥6) or were in labor within 24 h, and t...
Vaginal delivery rate and neonatal morbidity were similar when using PG or CRB as second line in women at term with a persistent unfavorable cervix after first PG. CRB seemed to be more efficient on t...
Induction of labor in France concerns one birth out of four with 70% of induction starting by cervical ripening, either with a pharmacological (prostaglandins) or a mechanical (balloon) method. This r...
Trials comparing these two methods, published or unpublished up to July 2023, in French or English were searched for in the PubMed, Cochrane Library and ClinicalTrial.govs datasets. Fifty articles inc...
No differences were observed between the two methods for the mode of delivery or neonatal and maternal morbidity. The time from induction-to-birth was longer for mechanical methods. Those were also as...
The efficacy of these two induction methods is similar for vaginal delivery, but it remains to be seen which one best meets women's satisfaction criteria....
Previous studies had found that the mechanical methods were as effective as pharmacological methods in achieving vaginal delivery. However, whether balloon catheter induction is suitable for women wit...
To evaluate the efficacy and safety of Foley catheter balloon for labor induction at term in primiparas with different cervical scores....
A total of 688 primiparas who received cervical ripening with a Foley catheter balloon were recruited in this study. They were divided into 2 groups: Group 1 (Bishop score ≤ 3) and Group 2 (3 < Bishop...
The cervical Bishop scores of the two groups after catheter placement were all significantly higher than those before (Group 1: 5.49 ± 1.31 VS 2.83 ± 0.39, P<0.05; Group 2: 6.09 ± 1.00 VS 4.45 ± 0.59,...
The success rates of induction of labor by Foley catheter balloon were different in primiparas with different cervical conditions, the failure rate of induction of labor and the incidence of intrauter...
Compared with a planned 12-hour placement of a double-balloon catheter, a planned 6-hour placement of a double-balloon catheter shortens the labor induction to delivery interval. The Foley catheter is...
This study aimed to evaluate 6- vs 12-hour Foley balloon placement for cervical ripening in the labor induction of nulliparas....
A randomized controlled trial was conducted at the Universiti Malaya Medical Centre from January 2022 to August 2022. Nulliparas aged ≥18 years, with a term, singleton pregnancy in cephalic presentati...
Overall, 240 women were randomized, 120 to each arm. The median labor induction to delivery intervals were 21.3 hours (interquartile range, 16.2-27.9) for the 6-hour balloon catheter placement and 26....
Compared with a planned 12-hour Foley balloon catheter placement, a planned 6-hour Foley balloon placement shortens the time to birth, despite less cervical ripening at Foley balloon catheter removal ...
Induction of labor in women with 1 previous cesarean delivery and unripe cervices is a high-risk process, carrying an increased risk of uterine rupture and the need for cesarean delivery. Balloon ripe...
This study aimed to compare Foley balloon catheter placement for 6 vs 12 hours in induction of labor after 1 previous cesarean delivery....
A randomized controlled trial was conducted in a university hospital in Malaysia from January 2022 to February 2023. Eligible women with 1 previous cesarean delivery admitted for induction of labor we...
Overall, 126 women were randomized, 63 to each intervention. The mean induction of labor to delivery intervals were 23.0 (standard deviation, ±8.9) in the 6-hour arm and 26.6 (standard deviation, ±7.1...
Foley balloon catheter placement for 6 hours hastened birth and reduced epidural analgesia use in labor without a change in maternal satisfaction....