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Survival improvement for very preterm children

For preterm children born at 22 to 34 weeks’ gestation, rates of survival and survival without severe or moderate neuromotor or sensory disabilities have increased during the past two decades, but these children remain at high risk of developmental delay. Abstract Objectives: To describe neurodevelopmental outcomes at 2 years corrected age for

Lateral asymmetric decubitus position does not facilitate rotation of fetal head in occiput posterior position during labor

Various maternal postures can be performed from the beginning of labor in case of fetal occiput posterior position. A randomized controlled trial (EVADELA) showed that lateral asymmetric decubitus posture did not facilitate rotation of fetal head. Abstract: Background: Fetal occiput posterior (OP) positions are associated with poorer maternal

About 40% of very preterm babies in Europe do not receive a package of four simple effective care measures specially designed for them

If all of the four measures were applied (delivery in a maternity unit with appropriate level of neonatal care; administration of antenatal corticosteroids; hypothermia prevention; and surfactant within 2 hours of birth or early CPAP if birth before 28 weeks), there would be a 18% reduction in mortality before discharge, without any increase of

Perineum: a better reporting of severe tears and assessment of very restrictive policy of episiotomies

The rates of severe perineal tears and episiotomies have been proposed as indicators of obstetrical quality of care and as indicators of implementation of evidence-based medicine. However there are wide variations in the rates of both indicators in European countries and a negative correlation is observed between these rates. Our results suggest

Une nouvelle Enquête Nationale Périnatale en mars 2016

Sorry, this entry is only available in French. For the sake of viewer convenience, the content is shown below in the alternative language. You may click the link to switch the active language.La prochaine Enquête Nationale Périnatale se tiendra du 14 au 20 mars 2016. Elle apportera des informations utiles pour connaître la situation périnatale

Does screening echography before day 3 for patent ductus arteriosus decrease the hospital mortality in extremely preterm infants ?

There is currently no consensus for the screening and treatment of patent ductus arteriosus (PDA) in extremely preterm infants. Less pharmacological closure and more supportive management has been observed without evidence to support these changes. In a population-based cohort of extremely preterm infants (EPIPAGE 2), screening echocardiography

Which is the target population for stabilising the caesarean rate?

Proposing and evaluating interventions for improving the management of labour in nulliparas could help to maintain caesarean rates and mitigate increases among multiparas in the future Abstract Objective The caesarean rate increased in France between 1995 and 2003, but remained stable between 2003 and 2010. Our objective was to analyze these

About 10% of women report poor mental health during their pregnancy in France

Poor mental health is more frequent in women with disadvantaged social characteristics Abstract Introduction Self-rated mental health is a useful indicator to examine the positive dimension of mental health and psychological well-being. The primary objective of this study was to estimate the prevalence of poor self-rated mental health during

Moins d’un quart des enfants porteurs d’un retard de croissance intra-utérin sont suspectés en anténatal

Le dépistage anténatal du retard de croissance intra-utérin (RCIU) demeure faible en France, alors qu’une échographie est systématiquement proposée à toutes les femmes au troisième trimestre de grossesse. Moins d’un quart des enfants porteurs d’un RCIU sont suspectés en anténatal et, parmi les enfants présentant une suspicion de

La survie des enfants grands prématurés s’améliore en France

Les risques de mortalité et morbidité sont très élevés chez les grands prématurés, mais peu d’études permettent de décrire la santé chez l’ensemble des enfants nés avant 32 semaines. Les données de deux cohortes d’enfants nés en France en 1997 et 2011 permettent de montrer que la survie sans morbidité sévère à la sortie de