Prise en charge des infections du post-abortum

Lamy, Claire; Malartic, C.; Perdriolle, E.; Gauchotte, Émilie; S, Villeroy-de-Galhau; Delaporte, M. O.; Morel, Olivier; Judlin, P

doi:10.1016/j.jgyn.2012.09.025

Cited by 11 publications

(3 citation statements)

References 112 publications

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“…However some studies [2, 4, 8, 20, 22, 30, 37] and guidelines [40, 48, 49] were limited to certain stages (e.g. postpartum) or conditions (abortion) [2, 20, 24, 31]. Furthermore, time limits for the postpartum period varied to up to the end of the 10th day after childbirth or abortion, to the 42nd day postpartum in ICD-10.…”

Section: Resultsmentioning

confidence: 99%

Towards a consensus definition of maternal sepsis: results of a systematic review and expert consultation

et al. 2017

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BackgroundThere is a need for a clear and actionable definition of maternal sepsis, in order to better assess the burden of this condition, trigger timely and effective treatment and allow comparisons across facilities and countries. The objective of this study was to review maternal sepsis definitions and identification criteria and to report on the results of an expert consultation to develop a new international definition of maternal sepsis.MethodsAll original and review articles and WHO documents, as well as clinical guidelines providing definitions and/or identification criteria of maternal sepsis were included. A multidisciplinary international panel of experts was surveyed through an online consultation in March-April 2016 on their opinion on the existing sepsis definitions, including new definition of sepsis proposed for the adult population (2016 Third International Consensus Definitions for Sepsis and Septic Shock) and importance of different criteria for identification of maternal sepsis. The definition was agreed using an iterative process in an expert face-to-face consensus development meeting convened by WHO and Jhpiego.ResultsStandardizing the definition of maternal sepsis and aligning it with the current understanding of sepsis in the adult population was considered a mandatory step to improve the assessment of the burden of maternal sepsis by the expert panel. The literature review and expert consultation resulted in a new WHO consensus definition “Maternal sepsis is a life-threatening condition defined as organ dysfunction resulting from infection during pregnancy, child-birth, post-abortion, or post-partum period”. Plans are in progress to validate the new WHO definition of maternal sepsis in a large international population.ConclusionThe operationalization of the new maternal sepsis definition requires generation of a set of practical criteria to identify women with sepsis. These criteria should enable clinicians to focus on the timely initiation of actionable elements of care (administration of antimicrobials and fluids, support of vital organ functions, and referral) and improve maternal outcomes.Electronic supplementary materialThe online version of this article (doi:10.1186/s12978-017-0321-6) contains supplementary material, which is available to authorized users.

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Section: Resultsmentioning

confidence: 99%

Towards a consensus definition of maternal sepsis: results of a systematic review and expert consultation

et al. 2017

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“…Physiological hypercoagulability is a known condition in pregnancy and the post-partum period aimed to limit the risk of bleeding at the time of delivery [ 3 , 4 ]. Hypercoagulability induced by hormones and mechanical compression by the gravid uterus are the two mechanisms evoked to explain this physiological condition.…”

Section: Discussionmentioning

confidence: 99%

Renal vein thrombosis in the post-partum period: a case report

et al. 2014

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IntroductionPhysiological hypercoagulability is a known condition in pregnancy designed to limit the risk of bleeding; it may exceptionally be complicated by thrombosis of the renal vein. To the best of our knowledge, this is the third case of renal venous infarction reported in the literature.Case presentationWe report the case of a 43-year-old Caucasian woman, a mother of three sons who presented with left flank pain and hematuria. The clinical investigations did not find any other cause for her thrombophilia.ConclusionsClinical onset is not specific, so it is important to evoke the diagnosis in the context of pregnancy; computed tomography angiography is the investigation of choice to set the diagnosis. It is important to know that anticoagulation therapy must be initiated as soon as possible.

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“…Plusieurs chocs septiques mortels à Clostridium sordellii ont été récemment rapportés après interruption médicale au 1 er trimestre de grossesse avec utilisation vaginale de misoprostol [35,36] (NP 4). Néanmoins, le lien de cause à effet n'a pas été établi avec certitude, cette infection génitale très rare pouvant survenir après une expulsion spontanée ou un geste chirurgical (NP 4).…”

Section: Grossesses Non éVolutives Ou Fausses Couches Spontanées Du Punclassified

Misoprostol : utilisation hors AMM au premier trimestre de la grossesse (fausses couches spontanées, interruptions médicales et volontaires de grossesse)

Beucher¹,

Dolley

Carles³

et al. 2014

Journal de Gynécologie Obstétrique et Biologie de la Reproducti

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Prise en charge des infections du post-abortum

Cited by 11 publications

References 112 publications

Towards a consensus definition of maternal sepsis: results of a systematic review and expert consultation

Towards a consensus definition of maternal sepsis: results of a systematic review and expert consultation

Renal vein thrombosis in the post-partum period: a case report

Misoprostol : utilisation hors AMM au premier trimestre de la grossesse (fausses couches spontanées, interruptions médicales et volontaires de grossesse)

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