{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,14]],"date-time":"2026-09-14T12:19:37Z","timestamp":1789388377984,"version":"build-2803163510"},"reference-count":20,"publisher":"MathDoc\/Centre Mersenne","issue":"5-6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:p id=\"spar0005\">Le score de risque dystocique (SRD) comprend trois parties\u00a0: une verticale o\u00f9 le bilan de la femme individualise huit \u00e9ventualit\u00e9s\u00a0; une horizontale, o\u00f9 le bilan de la grossesse identifie sept \u00e9ventualit\u00e9s, et une centrale de pronostic, subdivis\u00e9e en trois zones (\u00ab\u00a0dangereuse\u00a0\u00bb, \u00ab\u00a0douteuse\u00a0\u00bb et \u00ab\u00a0d\u2019espoir\u00a0\u00bb). Le SRD est positif s\u2019il existe au moins une croix dans la zone dangereuse et\/ou deux croix dans la zone douteuse\u00a0; autrement, il est n\u00e9gatif. Le test de validation donne de bons r\u00e9sultats (sensibilit\u00e9\u2005=\u200583,61\u00a0%\u00a0; sp\u00e9cificit\u00e9\u2005=\u200590,05\u00a0%\u00a0; valeur pr\u00e9dictive positive\u2005=\u200572,34\u00a0%\u00a0; valeur pr\u00e9dictive n\u00e9gative\u2005=\u200594,04\u00a0%). L\u2019utilisation du SRD \u00e0 large \u00e9chelle permet une identification plus rapide des femmes enceintes \u00e0 haut risque de dystocie obst\u00e9tricale. Une orientation \u00e0 temps de ces derni\u00e8res vers un centre sp\u00e9cialis\u00e9 en soins obst\u00e9tricaux et n\u00e9onataux contribue \u00e0 la r\u00e9duction de la mortalit\u00e9 maternelle et de la mortinatalit\u00e9.<\/jats:p>","DOI":"10.1016\/j.crvi.2013.04.012","type":"journal-article","created":{"date-parts":[[2013,6,20]],"date-time":"2013-06-20T22:44:02Z","timestamp":1371768242000},"page":"301-304","source":"Crossref","is-referenced-by-count":1,"title":["Le score de risque dystocique (SRD)\u00a0: un outil d\u2019aide \u00e0 la d\u00e9cision m\u00e9dicale pour combattre la mortalit\u00e9 maternelle"],"prefix":"10.5802","volume":"336","author":[{"given":"Papa","family":"Ndiaye","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Khadim","family":"Niang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Issakha","family":"Diallo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"3842","published-online":{"date-parts":[[2013,5,1]]},"reference":[{"key":"key2025102316365160422_1","unstructured":"[1] ONU. 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M\u00e9moire CES Sant\u00e9 publique, no\u00a08\u2013102, ISED, Dakar, 1999","journal-title":"Programme de lutte contre la mortalit\u00e9 maternelle \u00e0 la maternit\u00e9 de l\u2019h\u00f4pital r\u00e9gional de Ziguinchor. M\u00e9moire CES Sant\u00e9 publique, n<sup>o<\/sup>\u00a08\u2013102"},{"key":"key2025102316365160422_4","first-page":"605","article-title":"Le gravidogramme (contribution \u00e0 l\u2019am\u00e9lioration de la surveillance pr\u00e9natale)\u00a0: \u00e0 propos de 1565\u00a0observations","volume":"21","author":"Alihonou, E.","year":"1982","unstructured":"[4] Alihonou, E. et al. Le gravidogramme (contribution \u00e0 l\u2019am\u00e9lioration de la surveillance pr\u00e9natale)\u00a0: \u00e0 propos de 1565\u00a0observations, Afrique Med., Volume 21 (1982), pp. 605-615","journal-title":"Afrique Med."},{"key":"key2025102316365160422_5","first-page":"14","article-title":"Surveillance \u00e9pid\u00e9miologique et couverture chirurgicale des dystocies obst\u00e9tricales au S\u00e9n\u00e9gal","volume":"4","author":"Bouillin, D.","year":"1994","unstructured":"[5] Bouillin, D. et al. Surveillance \u00e9pid\u00e9miologique et couverture chirurgicale des dystocies obst\u00e9tricales au S\u00e9n\u00e9gal, Sante, Volume 4 (1994), pp. 14-15","journal-title":"Sante"},{"key":"key2025102316365160422_6","unstructured":"[6] M.H.\u00a0Bouvier-Colle, N.\u00a0Varnoux, A.\u00a0Br\u00e9art. Facteurs \u00e9vitables de la mortalit\u00e9 maternelle. R\u00e9sultats de l\u2019enqu\u00eate Inserm. www.med.univ-rennes1.fr\/cngof\/publications\/maj_final_15.html."},{"key":"key2025102316365160422_7","first-page":"31","article-title":"Les indications de la c\u00e9sarienne","volume":"37","author":"Chabert, P.","year":"1986","unstructured":"[7] Chabert, P.; Callec, M.; Mattei, B. Les indications de la c\u00e9sarienne, Prat. Med. Gynecol. Obstet., Volume 37 (1986), pp. 31-38","journal-title":"Prat. Med. Gynecol. Obstet."},{"key":"key2025102316365160422_8","unstructured":"[8] C.\u00a0Gay, J.P.\u00a0Schaal, R.\u00a0Maillet, C.\u00a0Colette, La rupture ut\u00e9rine. www.syngof.fr\/fmc\/rupture.html."},{"key":"key2025102316365160422_9","first-page":"14","article-title":"Une grossesse d\u2019adolescente comporte de graves risques pour la m\u00e8re et son enfant","volume":"13","author":"Mari\u00e8me Ba, G.","year":"1990","unstructured":"[9] Mari\u00e8me Ba, G. Une grossesse d\u2019adolescente comporte de graves risques pour la m\u00e8re et son enfant, Pop Sahel, Volume 13 (1990), pp. 14-15","journal-title":"Pop Sahel"},{"key":"key2025102316365160422_10","first-page":"12","article-title":"L\u2019adolescente g\u00e8re mal sa f\u00e9condit\u00e9","volume":"13","author":"Diadhiou, F.","year":"1990","unstructured":"[10] Diadhiou, F. L\u2019adolescente g\u00e8re mal sa f\u00e9condit\u00e9, Pop Sahel, Volume 13 (1990), pp. 12-13","journal-title":"Pop Sahel"},{"key":"key2025102316365160422_11","first-page":"10","article-title":"Drame d\u2019une maternit\u00e9 pr\u00e9coce","volume":"13","author":"Diongue, A.","year":"1990","unstructured":"[11] Diongue, A. Drame d\u2019une maternit\u00e9 pr\u00e9coce, Pop Sahel, Volume 13 (1990), pp. 10-11","journal-title":"Pop Sahel"},{"key":"key2025102316365160422_12","unstructured":"[12] C.\u00a0Gay, J.P.\u00a0Schaal, R.\u00a0Maillet, C.\u00a0Colette, \u00c9paule n\u00e9glig\u00e9e, procidence d\u2019un membre. www.syngof.fr\/fmc\/epaule.html."},{"key":"key2025102316365160422_13","unstructured":"[13] C.\u00a0Gay, J.P.\u00a0Schaal, R.\u00a0Maillet, C.\u00a0Colette, La procidence du cordon. www.syngof.fr\/fmc\/procidence.html."},{"key":"key2025102316365160422_14","unstructured":"[14] R.\u00a0Maillet, J.P.\u00a0Schaal, C.\u00a0Collette, La dystocie des \u00e9paules. www.synof.fr\/fmc\/dystocie.html."},{"key":"key2025102316365160422_15","author":"Merger, R.","year":"1979","unstructured":"[15] Merger, R.; Levy, J.; Melchior, J. Pathologie propre au travail. Pr\u00e9cis d\u2019obst\u00e9trique, Masson, Paris, 1979 (pp.\u00a0285\u2013339)","journal-title":"Pathologie propre au travail. Pr\u00e9cis d\u2019obst\u00e9trique"},{"key":"key2025102316365160422_16","unstructured":"[16] OMS \u2013 Bureau r\u00e9gional de l\u2019Afrique. Sant\u00e9 de la reproduction. Dossier d\u2019information sanitaire de la r\u00e9gion africaine de l\u2019OMS, AFR\/INF\/99.1."},{"key":"key2025102316365160422_17","unstructured":"[17] J.\u00a0Pelle, M.\u00a0Favier, Le si\u00e8ge\u00a0: une pr\u00e9sentation potentiellement dystocique. Prat. Med. Africaine, Medicafrique 26, pp.\u00a056\u201375."},{"key":"key2025102316365160422_18","unstructured":"[18] J.P.\u00a0Schaal, D.\u00a0Riethmuller, Accouchement des grossesses multiples. www.gyneweb. fr\/Sources\/obstetrique\/colmar\/98\/acct.html."},{"key":"key2025102316365160422_19","author":"Thoulon, J.M.","year":"1995","unstructured":"[19] Thoulon, J.M.; Puech, F.; Boog, G. 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