کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
8610477 1567123 2018 13 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Morts maternelles de causes indirectes (hors AVC, maladies cardiovasculaires et infections) : résultats de l'ENCMM, France 2010-2012
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی بیهوشی و پزشکی درد
پیش نمایش صفحه اول مقاله
Morts maternelles de causes indirectes (hors AVC, maladies cardiovasculaires et infections) : résultats de l'ENCMM, France 2010-2012
چکیده انگلیسی
Maternal deaths of indirect causes result of a preexisting disease or an affection appeared during the pregnancy without any relationship with obstetrical causes, but worsened by the physiological effects of pregnancy. Among the 23 deaths of indirect cause related to a preexisiting pathology, 22 (96 %) have been analyzed by the expert comity. A known or preexisting chronic disease was documented in 16 patients (sick-cell disorder, n = 3, treated epilepsy, n = 3, intracerebral carvenomas, n = 1, multifocal glial tumor, n = 1, breast cancer, n = 1, systemic lupus, n = 1, diabetes mellitus, n = 3, antiphospholipid syndrome, n = 1). For 6 women, the pathology was unknown before the pregnancy (glioblastoma, n = 2, epilepsy, n = 1, Ehlers-Danlos syndrome, n = 1, sick-cell disorder, n = 1, breast cancer, n = 1). While 6 of these deaths has been evaluated as not avoidable, 13 deaths has been considered as possibly (n = 12) or certainly (n = 1) preventable. The main factor of avoidability was the patient's interaction with the health system (medically non advised pregnancy, lack of adherence to treatment, for example). A pre-pregnancy medical consultation with a specialist should be recommended to all patients with preexisting chronic disease, to allow a complete information about the risks of a pregnancy, treatment adaptation if needed, better adherence and multidisciplinary follow up.
ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Anesthésie & Réanimation - Volume 4, Issue 1, January 2018, Pages 99-111
نویسندگان
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