Antenatale kortikosteroidtherapie

Certaines grossesses peuvent être compliquées par une affection médicale de la mère (par ex. diabète ou hypertension) ou une maladie susceptible d'affecter la santé ou le développement du bébé. Si l'on pouvait identifier ces bébés susceptibles d'avoir des problèmes et s'il existait des interventions efficaces pour améliorer leurs résultats cliniques, il serait souhaitable de disposer d'un test diagnostique précis qui pourrait être utilisé au cours de la grossesse. La cardiotocographie (CTG) est un enregistrement électronique continu du rythme cardiaque du bébé, obtenu par un capteur à ultrasons placé sur l'abdomen de la mère. C'est ce que l'on appelle parfois la surveillance fœtale électronique (SFE). Cette revue systématique a examiné si l'utilisation de la CTG pendant la grossesse pouvait améliorer les résultats cliniques des bébés, en permettant d'identifier ceux qui présentent des complications. Elle a recherché des études portant sur des femmes qui présentaient un risque élevé ou faible de complications. La revue inclut six études, toutes portant sur des femmes à risque élevé de complications. Quatre de ces études ont été menées dans les années 1980 et deux à la fin des années 1990. Les études incluses ne sont pas de haute qualité. Les résultats cliniques identifiés n'ont pas révélé de différence (preuves de qualité faible/très faible), même si les résultats semblaient prometteurs lorsque la CTG était interprétée par informatique. Toutefois, les écrans de CTG, les technologies associées et la façon dont les sages-femmes et les obstétriciens prennent en charge les femmes présentant différentes complications en cours de grossesse ont évolué au fil des années. Cela signifie qu'il faut mener d'autres études pour savoir si les résultats cliniques des bébés présentant un risque élevé de complications peuvent être améliorés avec la CTG anténatale, en particulier la CTG informatisée.

The limitations of these data must be understood by HCPs and parents. They include: small sample sizes with wide confidence intervals at 22 and 23 weeks GA, an unknown number of children with one versus multiple impairments, variation in the definition and labelling of NDD by HCPs (especially ‘severe’ versus ‘moderate’) that may not reflect parents’ views or reality, no information on mild or other types of impairment (., behavioural) and the lack of correlation between degree of NDD and QOL [5] . One example demonstrates such limitations clearly: A child with severe cognitive impairment and severe cerebral palsy and a child with isolated uncorrectable deafness would both be classified as having severe NDD.

Following Painlevé's resignation, Briand formed a new government with Painlevé as Minister for War. Though Briand was defeated by Raymond Poincaré in 1926, Painlevé continued in office. Poincaré stabilised the franc with a return to the gold standard , but ultimately acceded power to Briand. [3] During his tenure as Minister of War, Painlevé was instrumental in the creation of the Maginot Line . This line of military fortifications along France's Eastern border was largely designed by Painlevé, yet named for André Maginot , owing to Maginot's championing of public support and funding. [ citation needed ] Painlevé remained in office as Minister for War until July 1929. [3]

Objective- To assess current treatment practices and awareness of drug intake, in pregnant women, at a tertiary care hospital.
Methodology- Observational, cross-sectional study, involving interview with 60 pregnant women, in outpatient clinic and ward of Obstetrics-Gynaecology department. Data from prescriptions & case-files also collected. Drugs were classified according to pharmacological class and teratogenic potential using . FDA classification.
Results- Most commonly prescribed drugs were iron, folic acid and calcium supplements. Out of the total 215 drugs prescribed, majority were from Category A(%) followed by Category B(%),Category C(%),Category-X(%) and Category-D(%). % women believed that drugs used during pregnancy can be dangerous to both mother and fetus; 55% believed it is dangerous to fetus alone and % believed it is dangerous to mother alone. But % women believed that drugs are safe to both mother and fetus.
Conclusion- Treatment practices are appropriate but there is a need to educate and counsel pregnant women.

Antenatale kortikosteroidtherapie

antenatale kortikosteroidtherapie

Objective- To assess current treatment practices and awareness of drug intake, in pregnant women, at a tertiary care hospital.
Methodology- Observational, cross-sectional study, involving interview with 60 pregnant women, in outpatient clinic and ward of Obstetrics-Gynaecology department. Data from prescriptions & case-files also collected. Drugs were classified according to pharmacological class and teratogenic potential using . FDA classification.
Results- Most commonly prescribed drugs were iron, folic acid and calcium supplements. Out of the total 215 drugs prescribed, majority were from Category A(%) followed by Category B(%),Category C(%),Category-X(%) and Category-D(%). % women believed that drugs used during pregnancy can be dangerous to both mother and fetus; 55% believed it is dangerous to fetus alone and % believed it is dangerous to mother alone. But % women believed that drugs are safe to both mother and fetus.
Conclusion- Treatment practices are appropriate but there is a need to educate and counsel pregnant women.

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