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Your search keyword '"Maticot-Baptista D"' showing total 3 results
Start Over Author "Maticot-Baptista D" Topic [sdv.can]life sciences [q-bio]/cancer
3 results on '"Maticot-Baptista D"'

1. [Ultrasound in the diagnosis of fetal head engagement. A preliminary French prospective study]

Author

Maticot-Baptista , D., Ramanah , R., Collin , A., Martin , A., Maillet , R., Riethmuller , D., Immunologie et Chimie Thérapeutiques (ICT), Carcinogénèse épithéliale : facteurs prédictifs et pronostiques - UFC (EA 3181) (CEF2P / CARCINO), Université de Franche-Comté (UFC), Université Bourgogne Franche-Comté [COMUE] (UBFC)-Université Bourgogne Franche-Comté [COMUE] (UBFC)-Centre Hospitalier Régional Universitaire de Besançon (CHRU Besançon), Laboratoire d'Electrochimie et de Physico-chimie des Matériaux et des Interfaces ( LEPMI ), Université Joseph Fourier - Grenoble 1 ( UJF ) -Institut National Polytechnique de Grenoble ( INPG ) -Université Savoie Mont Blanc ( USMB [Université de Savoie] [Université de Chambéry] ) -Centre National de la Recherche Scientifique ( CNRS ), Carcinogénèse épithéliale : facteurs prédictifs et pronostiques - UFC ( CEF2P / CARCINO ), and Centre Hospitalier Régional Universitaire [Besançon] ( CHRU Besançon ) -Université Bourgogne Franche-Comté ( UBFC ) -Université de Franche-Comté ( UFC )

Subjects
Adult, Adolescent, MESH : Labor Presentation, MESH : Prospective Studies, [SDV.CAN]Life Sciences [q-bio]/Cancer, Sensitivity and Specificity, Ultrasonography, Prenatal, [ SDV.CAN ] Life Sciences [q-bio]/Cancer, Labor Presentation, MESH: Pregnancy, Predictive Value of Tests, Pregnancy, MESH : Adolescent, Humans, MESH : Female, MESH : Predictive Value of Tests, Prospective Studies, MESH : France, MESH: Adolescent, MESH: Humans, MESH : Humans, MESH: Ultrasonography, Prenatal, MESH: Adult, MESH : Adult, MESH: Sensitivity and Specificity, MESH: Predictive Value of Tests, MESH: Prospective Studies, MESH: France, MESH : Pregnancy, MESH: Labor Presentation, Female, France, MESH : Sensitivity and Specificity, MESH : Ultrasonography, Prenatal, MESH: Female
Abstract

International audience; OBJECTIVE: The subjectivity and inter- and intra-observer variability of transvaginal (TV) digital examination in the diagnosis of fetal head engagement set a real problem in the strategic choice of the mode of delivery. We conducted a preliminary study on the feasibility of using ultrasound in the diagnosis of fetal head engagement during labour. MATERIAL AND METHOD: From 3rd January to 20th February 2007, a prospective monocentered study was set up by comparing the fetal head position in the pelvic cavity obtained by TV digital examination with the ultrasound measurement of the perineum-fetal head distance. Sixty-five measurements were obtained from 45 patients (single pregnancies, cephalic presentations), during labour and/or at complete cervical dilatation, by a single operator. RESULTS: Whenever the perineum-fetal head distance was greater than 60 mm, the fetal head was not engaged in the pelvic cavity, with a specificity of 89% and a negative predictive value of 94.1%. However, if the distance is less or equal to 60 mm, the fetal head was engaged with a sensitivity of 97.8% and a positive predictive value of 95.6%. It was even possible to define the fetal head station in the cavity as the distances are now known: high cavity : 50 mm, mid cavity : 38 mm, low cavity : 20 mm. CONCLUSION: This technique based on a single distance measurement is not difficult and the reference point is easily localized. An abdominal probe is sufficient, making the diffusion of this method quite easy. With its excellent negative predictive value, transperineal ultrasound would allow obstetricians avoid difficult vaginal extractions, localize correctly the fetal position in the cavity and obtain the exact fetal head orientation, even in case of scalp blood humps. The feasibility and relevance of this technique must be confirmed by larger studies.

Published
2008
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2. [Instrumental extractions using Thierry's spatulas: evaluation of the risk of perineal laceration according to occiput position in operative deliveries]

Author

Courtois, L., Becher, P., Maticot-Baptista, D., Cour, A., Zurlinden, B., Millet, P., Maisonnette-Escot, Y., Riethmuller, D., Maillet, R., Centre d'études scientifiques et techniques d'Aquitaine ( CESTA ), Commissariat à l'énergie atomique et aux énergies alternatives ( CEA ), National Institute for Mareials Science, Tsukuba ( NIMS ), NIMS, Tsukuba, Centre d'élaboration de matériaux et d'études structurales ( CEMES ), Institut National des Sciences Appliquées - Toulouse ( INSA Toulouse ), Institut National des Sciences Appliquées ( INSA ) -Institut National des Sciences Appliquées ( INSA ) -Université Paul Sabatier - Toulouse 3 ( UPS ) -Centre National de la Recherche Scientifique ( CNRS ), Carcinogénèse épithéliale : facteurs prédictifs et pronostiques - UFC ( CEF2P / CARCINO ), Centre Hospitalier Régional Universitaire [Besançon] ( CHRU Besançon ) -Université Bourgogne Franche-Comté ( UBFC ) -Université de Franche-Comté ( UFC ), Immunologie et Chimie Thérapeutiques (ICT), Centre d'études scientifiques et techniques d'Aquitaine (CESTA), Direction des Applications Militaires (DAM), Commissariat à l'énergie atomique et aux énergies alternatives (CEA)-Commissariat à l'énergie atomique et aux énergies alternatives (CEA), National Institute for Materials Science (NIMS), Centre d'élaboration de matériaux et d'études structurales (CEMES), Université Toulouse III - Paul Sabatier (UT3), Université Fédérale Toulouse Midi-Pyrénées-Université Fédérale Toulouse Midi-Pyrénées-Centre National de la Recherche Scientifique (CNRS)-Institut de Chimie de Toulouse (ICT-FR 2599), Institut National Polytechnique (Toulouse) (Toulouse INP), Université Fédérale Toulouse Midi-Pyrénées-Université Fédérale Toulouse Midi-Pyrénées-Centre National de la Recherche Scientifique (CNRS)-Institut de Recherche pour le Développement (IRD)-Université Toulouse III - Paul Sabatier (UT3), Université Fédérale Toulouse Midi-Pyrénées-Institut de Chimie du CNRS (INC)-Institut National Polytechnique (Toulouse) (Toulouse INP), Université Fédérale Toulouse Midi-Pyrénées-Centre National de la Recherche Scientifique (CNRS)-Institut de Recherche pour le Développement (IRD)-Institut de Chimie du CNRS (INC)-Institut National des Sciences Appliquées - Toulouse (INSA Toulouse), Institut National des Sciences Appliquées (INSA)-Institut National des Sciences Appliquées (INSA), Carcinogénèse épithéliale : facteurs prédictifs et pronostiques - UFC (EA 3181) (CEF2P / CARCINO), Centre Hospitalier Régional Universitaire de Besançon (CHRU Besançon)-Université de Franche-Comté (UFC), Université Bourgogne Franche-Comté [COMUE] (UBFC)-Université Bourgogne Franche-Comté [COMUE] (UBFC), Institut National des Sciences Appliquées - Toulouse (INSA Toulouse), Institut National des Sciences Appliquées (INSA)-Université de Toulouse (UT)-Institut National des Sciences Appliquées (INSA)-Université de Toulouse (UT)-Institut de Chimie de Toulouse (ICT), Institut de Recherche pour le Développement (IRD)-Université Toulouse III - Paul Sabatier (UT3), Université de Toulouse (UT)-Université de Toulouse (UT)-Institut de Chimie du CNRS (INC)-Centre National de la Recherche Scientifique (CNRS)-Institut National Polytechnique (Toulouse) (Toulouse INP), Université de Toulouse (UT)-Institut de Recherche pour le Développement (IRD)-Université Toulouse III - Paul Sabatier (UT3), Université de Toulouse (UT)-Institut de Chimie du CNRS (INC)-Centre National de la Recherche Scientifique (CNRS)-Institut National Polytechnique (Toulouse) (Toulouse INP), Université de Toulouse (UT)-Centre National de la Recherche Scientifique (CNRS), and Carcinogénèse épithéliale : facteurs prédictifs et pronostiques - UFC (UR 3181) (CEF2P / CARCINO)

Subjects
Adult, MESH : Lacerations, Adolescent, MESH : Retrospective Studies, MESH : Labor Presentation, [SDV.CAN]Life Sciences [q-bio]/Cancer, Perineum, MESH : Perineum, Lacerations, Labor Presentation, Obstetrical Forceps, [ SDV.CAN ] Life Sciences [q-bio]/Cancer, MESH: Pregnancy, Pregnancy, Risk Factors, MESH: Risk Factors, MESH : Adolescent, Humans, MESH: Obstetrical Forceps, MESH : Obstetrical Forceps, MESH : Female, MESH: Perineum, Retrospective Studies, MESH: Adolescent, MESH: Humans, MESH : Humans, MESH : Extraction, Obstetrical, Extraction, Obstetrical, MESH: Adult, MESH: Retrospective Studies, MESH : Adult, MESH : Risk Factors, MESH : Pregnancy, MESH: Labor Presentation, Female, MESH: Lacerations, MESH: Female, MESH: Extraction, Obstetrical
Abstract

International audience; OBJECTIVE: Risk factors for severe perineal lacerations are nowadays well-known and they include operative vaginal deliveries and extractions in occiput posterior (OP) positions. The aim of this study was to assess whether OP position increases the risk for anal sphincter injury when compared with occiput anterior (OA) positions in operative deliveries using Thierry's spatulas. METHODS: Retrospective study of 163 extractions with Thierry's spatulas over a five-year period (January 2000 to December 2005) performed in a general hospital. Singleton cephalic pregnancies at term were studied and the incidence of severe perineal lacerations was noted in deliveries in OP and OA positions. RESULTS: In these 163 cases, the varieties of presentation obtained by vaginal examination were 129 in anterior and 34 in posterior positions. Eleven posterior positions rotated anteriorly on delivery and 23 remained in a posterior position. The OA group (n=140) and the OP group (n=23) were constituted. Anal sphincter injury occurred significantly more often in the OP group compared with the OA group (17.4% versus 2.9%, p=0.014) with an odds ratio of 7.1 (95% CI 1.6-31). Only one fourth-degree laceration was noted. Within the OP group, the incidence of vaginal lacerations was increased compared to the OA group, but without any significant difference (43.5% versus 27.9%, p=0.20). In a logistic regression model, the OP position was 6.4 times (95% CI 1.3-31.5) more likely to be associated with anal sphincter injury than OA position. The incidence of OP position was 14.1% within the whole population studied and Thierry's spatulas permit anterior rotations of occipito posterior presentation in only 32.4% of cases. CONCLUSION: The efficiency of Thierry's spatulas is proven. As with forceps and vacuum extractors, extraction with Thierry's spatulas is a risk factor for perineal laceration compared to a spontaneous delivery. In deliveries with spatulas, OP head positions further increase this perineal risk against OA positions. OP positions before fetal extractions do not seem to be an ideal situation for using spatulas, even if an anterior rotation is achieved in one-third of cases.

Published
2008
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3. [Prevention of shoulder dystocia by an ultrasound selection at the beginning of labour of foetuses with large abdominal circumference]

Author

Maticot-Baptista , D., Collin , A., Martin , A., Maillet , R., Riethmuller , D., Immunologie et Chimie Thérapeutiques (ICT), Carcinogénèse épithéliale : facteurs prédictifs et pronostiques - UFC (EA 3181) (CEF2P / CARCINO), Université de Franche-Comté (UFC), Université Bourgogne Franche-Comté [COMUE] (UBFC)-Université Bourgogne Franche-Comté [COMUE] (UBFC)-Centre Hospitalier Régional Universitaire de Besançon (CHRU Besançon), Laboratoire d'Electrochimie et de Physico-chimie des Matériaux et des Interfaces ( LEPMI ), Université Joseph Fourier - Grenoble 1 ( UJF ) -Institut National Polytechnique de Grenoble ( INPG ) -Université Savoie Mont Blanc ( USMB [Université de Savoie] [Université de Chambéry] ) -Centre National de la Recherche Scientifique ( CNRS ), Carcinogénèse épithéliale : facteurs prédictifs et pronostiques - UFC ( CEF2P / CARCINO ), and Centre Hospitalier Régional Universitaire [Besançon] ( CHRU Besançon ) -Université Bourgogne Franche-Comté ( UBFC ) -Université de Franche-Comté ( UFC )

Subjects
Adult, MESH : Anthropometry, MESH : Abdomen, [SDV.CAN]Life Sciences [q-bio]/Cancer, MESH : Infant, Newborn, MESH: Abdomen, Sensitivity and Specificity, Ultrasonography, Prenatal, [ SDV.CAN ] Life Sciences [q-bio]/Cancer, Fetal Macrosomia, MESH: Pregnancy, MESH: Anthropometry, Predictive Value of Tests, Pregnancy, Abdomen, Birth Weight, Humans, MESH : Female, MESH : Predictive Value of Tests, MESH: Birth Weight, reproductive and urinary physiology, Labor, Obstetric, MESH: Humans, Anthropometry, MESH : Humans, MESH: Infant, Newborn, Infant, Newborn, MESH: Ultrasonography, Prenatal, MESH : Birth Weight, MESH: Adult, MESH : Adult, Dystocia, MESH: Labor, Obstetric, female genital diseases and pregnancy complications, MESH: Predictive Value of Tests, MESH: Sensitivity and Specificity, MESH: Fetal Macrosomia, MESH : Pregnancy, MESH : Fetal Macrosomia, MESH: Dystocia, MESH : Labor, Obstetric, MESH : Dystocia, Female, MESH : Sensitivity and Specificity, MESH : Ultrasonography, Prenatal, MESH: Female
Abstract

International audience; OBJECTIVE: Prevent shoulder dystocia occuring with macrosomic foetuses, by an ultrasound screening, at the beginning of labour, made by a member of obstetrics staff. MATERIAL AND METHOD: A prospective study in the maternity hospital, la Mère et l'Enfant of University Teaching Hospital, Besançon, about 170 patients. We have measured only one parameter: the foetal abdominal circumference (AC). RESULTS: An AC>or=350 mm had a sensitivity of 100% to detect newborns of birth weight>or=4250 g. CONCLUSION: An AC>or=350 mm measured during labour by a member of obstetrics staff allow to alert and to make the staff sensitive to a risk of macrosomia and shoulder dystocia.

Published
2007
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