Download or read book Satisfaction des femmes concernant la prise en charge de leur d clenchement artificiel du travail par prostaglandines E2 written by Alicia Chavarot and published by . This book was released on 2019 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Introduction : En France, lors d'une indication de déclenchement artificiel, les prostaglandines E2 sont recommandées en première intention, pourtant elles semblent influencer négativement le vécu de la naissance. Objectifs : Evaluer la satisfaction des femmes concernant la prise en charge de leur déclenchement par prostaglandines E2 et décrire les paramètres influençant positivement leur satisfaction afin de l'optimiser. Population et méthode : Etude épidémiologique descriptive transversale auprès de 105 femmes déclenchées par prostaglandines E2 dans une maternité de type III, à l'aide de questionnaires. Résultats : Le score de satisfaction général était de 4,0 [4,0 - 5,0]. L'information et l'accompagnement avaient un impact significativement modéré sur la satisfaction générale, alors que celui de la prise en charge de la douleur était significativement faible. L'adaptation de l'information à la réalité et l'implication des femmes, ainsi que la disponibilité des sages-femmes semblaient être les points clefs de cette satisfaction. Discussion : Pour optimiser cette satisfaction, il parait nécessaire d'évaluer l'information donnée aux femmes selon le personnel médical et de l'adapter si besoin aux données scientifiques mais aussi d'étudier l'efficacité d'alternatives afin d'accroitre le sentiment d'implication des femmes. Connaitre la vision des sages-femmes sur cette prise en charge pourrait aussi permettre de dégager des axes d'amélioration. Conclusion : Les femmes étaient satisfaites de la prise en charge de leur déclenchement, mais des études supplémentaires pourraient permettre d'améliorer le vécu de la naissance de leur enfant dans le contexte d'un déclenchement, où la prise en charge psychologique par la sage-femme semble primer sur la prise en charge physique.
Download or read book Le d clenchement du travail sur col perm able written by Charlotte Pomat and published by . This book was released on 2013 with total page 42 pages. Available in PDF, EPUB and Kindle. Book excerpt: Constat : Le déclenchement artificiel du travail est une pratique obstétricale courante dont les méthodes d'applications ont évolué au fils des avancées pharmaceutiques et médicales. Aujourd'hui, cette technique protocolisée fait l'objet de recommandations nationales émises par l'HAS. Les méthodes pharmacologiques (ocytociques, prostaglandines) sont de loin les plus utilisées devant les méthodes mécaniques (décollement du pôle inférieur de l'oeuf, double-ballonnet, dilapans). Ces dernières présentent a priori moins d'effets secondaires et un coût réduit pour une efficacité comparable (sources Cochrane et HAS). Leur réalisation en pratique courante est cependant entravée par le manque d'études à leur sujet. Objectif : Evaluer et comparer l'efficacité et les répercussions de deux méthodes de déclenchement du travail à terme sur col perméable : prostaglandines E2 versus double-ballonnet. Méthode : Etude comparative rétrospective effectuée à l'hôpital Croix-Rousse et l'hôpital Femme Mère Enfant des Hospices Civils de Lyon, de Janvier à Septembre 2012 et incluant au total 151 parturientes (80 femmes déclenchées par PGE2 et 71 femmes déclenchées par double-ballonnet).Principaux résultats : Notre étude ne montre pas de différence significative entre la méthode déclenchement par prostaglandines E2 et celle par double-ballonnet concernant l'échec de maturation (p=0,14), le gain sur le score de Bishop (p=0,58), le mode d'accouchement (p=0,95), le risque de décollement placentaire (p=1), l'hémorragie du post-partum (p=1), l'adaptation à la vie extra-utérine et l'état hypoxique foetal. La méthode par double-ballonnet est plus à risque de remontée de la présentation foetale (p=0,008) et de recours aux ocytociques (p
Download or read book Le d clenchement du travail sur col perm able written by Charlotte Pomat and published by . This book was released on 2015 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Constat : Le déclenchement artificiel du travail est une pratique obstétricale courante dont les méthodes d'applications ont évolué au fils des avancées pharmaceutiques et médicales. Aujourd'hui, cette technique protocolisée fait l'objet de recommandations nationales émises par l'HAS. Les méthodes pharmacologiques (ocytociques, prostaglandines) sont de loin les plus utilisées devant les méthodes mécaniques (décollement du pôle inférieur de l'oeuf, double-ballonnet, dilapans). Ces dernières présentent a priori moins d'effets secondaires et un coût réduit pour une efficacité comparable (sources Cochrane et HAS). Leur réalisation en pratique courante est cependant entravée par le manque d'études à leur sujet. Objectif : Evaluer et comparer l'efficacité et les répercussions de deux méthodes de déclenchement du travail à terme sur col perméable : prostaglandines E2 versus double-ballonnet. Méthode : Etude comparative rétrospective effectuée à l'hôpital Croix-Rousse et l'hôpital Femme Mère Enfant des Hospices Civils de Lyon, de Janvier à Septembre 2012 et incluant au total 151 parturientes (80 femmes déclenchées par PGE2 et 71 femmes déclenchées par double-ballonnet).Principaux résultats : Notre étude ne montre pas de différence significative entre la méthode déclenchement par prostaglandines E2 et celle par double-ballonnet concernant l'échec de maturation (p=0,14), le gain sur le score de Bishop (p=0,58), le mode d'accouchement (p=0,95), le risque de décollement placentaire (p=1), l'hémorragie du post-partum (p=1), l'adaptation à la vie extra-utérine et l'état hypoxique foetal. La méthode par double-ballonnet est plus à risque de remontée de la présentation foetale (p=0,008) et de recours aux ocytociques (p
Download or read book DECLENCHEMENT ARTIFICIEL DU TRAVAIL A TERME written by BLANDINE.. VIDAL and published by . This book was released on 2000 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Frequently Asked Clinical Questions about Medical Abortion written by World Health Organization and published by World Health Organization. This book was released on 2006 with total page 42 pages. Available in PDF, EPUB and Kindle. Book excerpt: This publication contains answers to a range of frequently asked questions on medical abortion services, based on the discussions at an international conference held in Bellagio, Italy in November 2004. By focusing on practical issues, the answers should be particularly helpful to health-care personnel who are considering establishing, or already providing, a service for medical abortion in the early first trimester.
Download or read book Molecular Mechanisms of Hormone Action written by Gesellschaft für Biologische Chemie. Colloquium and published by . This book was released on 1989 with total page 224 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Primary Pediatric Care written by Robert A. Hoekelman and published by Mosby Incorporated. This book was released on 2000-10-01 with total page 1936 pages. Available in PDF, EPUB and Kindle. Book excerpt: -- An outstanding offer, both the New Hoekelman book & CD! -- Important new information at your fingertips, whether at the office or home.
Download or read book Introduction to Clinical Examination written by Michael J. Ford and published by Elsevier Health Sciences. This book was released on 2005-01-01 with total page 190 pages. Available in PDF, EPUB and Kindle. Book excerpt: The most important core skills for medical students to master are history taking and clinical examination. This extensively revised, eighth edition has been written with the philosophy that the acquisition of clinical skills is most effectively undertaken at the bedside. This pocketbook should be used as a companion, to be taken onto the wards and into consulting rooms where the information is most needed. The book begins with a system of history taking followed by a new chapter on the analysis of key symptoms. The remaining chapters cover physical examination of each of the major systems. Each stage of the examination starts with a detailed, step-by-step description of the examination method complemented by relevant illustrations, diagrams and tables on the facing page. This book is intended primarily for use at the outset of clinical training; once students have achieved proficiency in the basic skills of interviewing and examining, the book should also prove useful for revision. An invaluable starter book concentrating purely on the fundamentals of performing a patient examination. Covers each body system and outlines the principles of: - taking a history - how to conduct a physical examination - specific examination points as appropriate Concentrates only on the main symptoms of disease and then the normal and abnormal physical findings. Mention of specific diseases is confined to those most commonly encountered. Compact and pocket-sized to be carried around easily. · Now in full colour double-page format · Clear simple colour line drawings covering the essentials of a clinical examination. · Published simultaneously with the Eleventh Edition of Macleod's Clinical Examination
Download or read book Second Trimester Pregnancy Termination written by M.J.N.C. Keirse and published by Springer. This book was released on 1982-02-28 with total page 228 pages. Available in PDF, EPUB and Kindle. Book excerpt: Views and attitudes. towards termination of pregnancy have shown con siderable evolution over the past few decades. Along with these changes has come a growing concern to adopt means and methods which could make termination easier, safer and more effective. In this evolution, termination in the second trimester in par~icular is notable as being responsible for a dis proportionate share ofthe complications and adverse experiences associated with pregnancy termination. Although the almost universal shift towards earlier abortion has reduced the number of second trimester procedures as a percentage of the whole, the problems of interrupting pregnancy in the second trimester remain conspicuous. Delay in either seeking or obtaining abortion is still, in many parts of the world, all too frequent. AdditiDnally, recent developments in the prenatal diagnosis of fetal malformations, alphafeto protein screening programmes and changes in the pattern of and approaches to intrauterine fetal death now also place greater emphasis on the need for adequate methods of interrupting pregnancy in the second trimester. Unlike the first trimester in which vacuum aspiration is universally con sidered to be the method of choice, in the second trimester of pregnancy the clinician is faced with alternatives; one method may be more appropriate than another in a particular circumstance and no single method is unequivocall~ accepted as best. Neither do second trimester terminations form a neatly defined single category.
Download or read book The Ladybird Illustrated written by D H Lawrence and published by . This book was released on 2020-11-09 with total page 100 pages. Available in PDF, EPUB and Kindle. Book excerpt: "The Ladybird is a long tale or novella by D. H. Lawrence. It was first drafted in 1915 as a short story entitled The Thimble. Lawrence rewrote and extended it under a new title in December 1921 and sent the final version to his English agent on 9 January 1922. It was collected with two other tales, The Captain's Doll and The Fox, and the three novellas were then published in London by Martin Secker in March 1923 under the title The Ladybird and in New York by Thomas Seltzer as The Captain's Doll in April 1923."
Download or read book The Bereaved Child Analysis Education and Treatment written by Gillian S. Mace and published by Springer. This book was released on 1981-06-30 with total page 296 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Bereaved Child: Analysis, Education, and Treatment. An ab stracted bibliography is a comprehensive abstracted bibliography focusing on the reactions and coping mechanisms of children and adolescents to the death of parents, siblings, friends, teachers, pets or even presidents. Publication~ dealing with both normative and pathological stages of bereavement are reviewed. Materials covering childhood concepts/attitudes toward death are included. Citations appear which explore child death education/counseling issues for parents and educators when they involve actual or antic ipated death. Articles are reviewed which deal with the importance of the adult role in the mourning process of the child. For example, decisions such as whether a child should attend a funeral or return to school are examined. Publications are included which explore the short and l'ong term developmental consequences of childhood death experience. It is important to note that the topic of the dying child was excluded. The Bereaved Child contains over 550 citations in author alphabetized and abstracted form. Only English-written books and periodicals are represented. A quick glance will reveal that the bulk of the material is post-1960. This reflects the recency of in terest and study in the area of childhood bereavement. Literature across multiple disciplines was scanned and included. Psychology, medicine, social work, and education are heavily represented, while no theological, literary, or popular sources were examined.
Download or read book Notes on the Minor Prophets written by Henry Allan Ironside and published by . This book was released on 1955 with total page 464 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Cambridge Yearbook of European Legal Studies Vol 13 2010 2011 written by Catherine Barnard and published by Bloomsbury Publishing. This book was released on 2011-12-15 with total page 337 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Cambridge Yearbook of European Legal Studies provides a forum for the scrutiny of significant issues in EU Law, the law of the European Convention on Human Rights, and Comparative Law with a 'European' dimension, and particularly those issues which have come to the fore during the year preceding publication. The contributions appearing in the collection are commissioned by the Centre for European Legal Studies (CELS) Cambridge, a research centre in the Law Faculty of the University of Cambridge specialising in European legal issues. The papers presented are at the cutting edge of the fields which they address, and reflect the views of recognised experts drawn from the University world, legal practice, and the institutions of both the EU and its Member States. Inclusion of the comparative dimension brings a fresh perspective to the study of European law, and highlights the effects of globalisation of the law more generally, and the resulting cross fertilisation of norms and ideas that has occurred among previously sovereign and separate legal orders. The Cambridge Yearbook of European Legal Studies is an invaluable resource for those wishing to keep pace with legal developments in the fast moving world of European integration. INDIVIDUAL CHAPTERS Please click on the link below to purchase individual chapters from Volume 13 through Ingenta Connect: www.ingentaconnect.com SUBSCRIPTION TO SERIES To place an annual online subscription or a print standing order through Hart Publishing please click on the link below. Please note that any customers who have a standing order for the printed volumes will now be entitled to free online access. www.hartjournals.co.uk/cyels/subs Editorial Advisory Board: Albertina Albors-Llorens, John Bell, Alan Dashwood, Simon Deakin, David Feldman, Richard Fentiman, Angus Johnston, John Spencer Founding Editors: Alan Dashwood and Angela Ward Ius Commune Prize 2012 Alexandre Saydé wrote Chapter 15 in this volume entitled: 'One Law, Two Competitions: An Enquiry into the Contradictions of Free Movement Law' and we are delighted to announce that he has been awarded the Ius Commune Prize 2012.
Download or read book Socialism Perestroika and the Dilemmas of Soviet Economic Reform written by John E Tedstrom and published by Routledge. This book was released on 2021-12-13 with total page 239 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book highlights that Soviet economic planners and politicians must come to recognize the need to make fundamental changes, not simply incremental refinements, in the failing Soviet system. It examines the dynamics of the process of perestroika and the complexity of individual economic issues.
