دورية أكاديمية
أعرض في EDS

Practice of pathological examinations in stillbirths: A 10-year retrospective study.

التفاصيل البيبلوغرافية
العنوان: Practice of pathological examinations in stillbirths: A 10-year retrospective study.
المؤلفون: Jones F; Perinatal Network, CHU de Caen, 14000 Caen, France; Gynecology-Obstetrics Unit, CHU de Caen, 14000 Caen, France. Electronic address: jones_frederique@hotmail.fr., Thibon P; Perinatal Network, CHU de Caen, 14000 Caen, France., Guyot M; Perinatal Network, CHU de Caen, 14000 Caen, France; Gynecology-Obstetrics Unit, CHU de Caen, 14000 Caen, France; Pathological Anatomy Unit, CHU de Caen, 14000 Caen, France., Molin A; Cytogenetics Unit, CHU de Caen, 14000 Caen, France; Neonatal Unit, CHU de Caen, 14000 Caen, France; Pathological Anatomy Unit, CHU de Caen, 14000 Caen, France., Jeanne-Pasquier C; Perinatal Network, CHU de Caen, 14000 Caen, France; Pathological Anatomy Unit, CHU de Caen, 14000 Caen, France., Guillois B; Perinatal Network, CHU de Caen, 14000 Caen, France; Medical School, University of Caen Lower-Normandy, 14000 Caen, France; Neonatal Unit, CHU de Caen, 14000 Caen, France., Benoist G; Perinatal Network, CHU de Caen, 14000 Caen, France; Gynecology-Obstetrics Unit, CHU de Caen, 14000 Caen, France; Neonatal Unit, CHU de Caen, 14000 Caen, France., Dreyfus M; Perinatal Network, CHU de Caen, 14000 Caen, France; Gynecology-Obstetrics Unit, CHU de Caen, 14000 Caen, France; Neonatal Unit, CHU de Caen, 14000 Caen, France.
المصدر: Journal of gynecology obstetrics and human reproduction [J Gynecol Obstet Hum Reprod] 2017 Jan; Vol. 46 (1), pp. 61-67. Date of Electronic Publication: 2016 Dec 15.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Elsevier Masson SAS Country of Publication: France NLM ID: 101701588 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2468-7847 (Electronic) Linking ISSN: 24687847 NLM ISO Abbreviation: J Gynecol Obstet Hum Reprod Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Paris : Elsevier Masson SAS, [2017]-
مواضيع طبية MeSH: Autopsy/*statistics & numerical data , Fetus/*pathology , Placenta/*pathology , Stillbirth/*epidemiology, Adult ; Female ; France/epidemiology ; Gravidity ; Humans ; Infant, Very Low Birth Weight ; Multivariate Analysis ; Pregnancy ; Retrospective Studies
مستخلص: Objectives: To describe the practice of fetal and placental pathological examinations in a large series of spontaneous stillbirths over 10 years.
Materials and Methods: Inclusion of cases recorded by the Lower Normandy Regional Fetal-Infant Mortality Observatory (observatoire régional de mortalité fœto-infantile) from January 1, 2005 to December 31, 2014. The possible cause of death was coded in accordance with the ReCoDe classification system.
Results: Seven hundred and forty-four cases were recorded. The placental examinations were conducted in 93.7% of cases (CI 95% [91.7-95.3]), increasing over the study period, and an autopsy was proposed in 87.2% of cases (CI 95% [84.8-89.6]). Autopsy was conducted less frequently during the most recent period, with parental refusal increasing over time. In multivariate analysis, no factor was associated with a higher frequency of placental examinations, while autopsy was proposed more often under certain circumstances: less than 4 pregnancies (P<10 -2 ), birth weight from 1000 to 1500 grams (P=0.05), singleton (P<10 -2 ), clinical context not suggesting a cause (P<10 -3 ), type 1 or 2 maternity ward (P<10 -2 ), antepartum death (P<10 -3 ).
Conclusion: Placental analysis was almost systematically realized, as suggested by international guidelines. Fetal autopsy was often performed, however only in some specific circumstances. New practice guidance to realize customized fetal autopsies appear to be necessary.
(Copyright © 2016 Elsevier Masson SAS. All rights reserved.)
فهرسة مساهمة: Keywords: Autopsie fœtale; Examen anatomo-pathologique du placenta; Fetal autopsy; MFIU; Pathological examination of the placenta; Practice; Pratiques; Stillbirth
تواريخ الأحداث: Date Created: 20170414 Date Completed: 20190710 Latest Revision: 20190710
رمز التحديث: 20240628
DOI: 10.1016/j.jgyn.2016.06.004
PMID: 28403958
قاعدة البيانات: MEDLINE
الوصف
تدمد:2468-7847
DOI:10.1016/j.jgyn.2016.06.004