{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,12,11]],"date-time":"2024-12-11T00:12:00Z","timestamp":1733875920103,"version":"3.30.1"},"reference-count":18,"publisher":"CAIRN","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2018,12,19]]},"abstract":"<jats:p>Objectif\u00a0: Dans la mouvance de l\u2019 obstetric medecine et pour r\u00e9pondre aux demandes de rendez-vous en m\u00e9decine interne des obst\u00e9triciens et sages-femmes, une consultation de m\u00e9decine interne a \u00e9t\u00e9 cr\u00e9\u00e9e au sein de la maternit\u00e9 d\u2019un \u00e9tablissement de centre hospitalier g\u00e9n\u00e9ral (CHG). Cet article pr\u00e9sente un retour d\u2019exp\u00e9rience apr\u00e8s un an. M\u00e9thodes\u00a0: Cette \u00e9tude descriptive r\u00e9trospective s\u2019est d\u00e9roul\u00e9e au centre hospitalier intercommunal Robert-Ballanger \u00e0 Aulnay-sous-Bois, en Seine-Saint-Denis, entre le 3\u00a0mars 2016 et le 9\u00a0mars 2017, premi\u00e8re ann\u00e9e de mise en place d\u2019une consultation de m\u00e9decine interne, \u00e0 raison d\u2019une apr\u00e8s-midi tous les 15\u00a0jours, dans la maternit\u00e9 de niveau\u00a02b. R\u00e9sultats\u00a0: Sur 121\u00a0rendez-vous pris, 93\u00a0consultations ont \u00e9t\u00e9 donn\u00e9es pour 63\u00a0patientes. Les principaux motifs concernaient\u00a0: la thromboembolie ( n \u00a0=\u00a012), la pathologie vasculaire placentaire (PVP, n \u00a0=\u00a014), l\u2019an\u00e9mie ( n \u00a0=\u00a09), l\u2019infection par le virus de l\u2019immunod\u00e9ficience humaine (VIH, n \u00a0=\u00a08), les morts f\u0153tales in\u00a0utero (MFIU, n \u00a0=\u00a06), la thrombop\u00e9nie ( n \u00a0=\u00a06) et des anomalies biologiques auto-immunes ( n \u00a0=\u00a03). Si aucune \u00e9tiologie n\u2019a \u00e9t\u00e9 mise en \u00e9vidence pour 16\u00a0patientes (dont 11 consultant pour une PVP), un diagnostic a pu \u00eatre apport\u00e9 dans 75\u00a0% des cas, avec une attitude th\u00e9rapeutique adapt\u00e9e. Les diagnostics retenus \u00e9taient divers\u00a0: syndrome des anti-phospholides (SAPL), hypertension art\u00e9rielle (HTA), mais aussi d\u00e9couverte d\u2019une cirrhose biliaire primitive, d\u2019un v\u00e9ritable purpura thrombop\u00e9nique immunologique (PTI) induit par la grossesse et d\u2019un lymphome sur une an\u00e9mie. Conclusions\u00a0: Cette consultation apporte une satisfaction en termes d\u2019organisation et de collaboration interdisciplinaire, avec une bonne adh\u00e9sion des patientes. Elle appara\u00eet utile, d\u00e9bouchant sur des conseils de pr\u00e9vention, des diagnostics vari\u00e9s, et parfois un suivi au long cours.<\/jats:p>","DOI":"10.3917\/spub.186.0671","type":"journal-article","created":{"date-parts":[[2019,1,9]],"date-time":"2019-01-09T01:26:20Z","timestamp":1546997180000},"page":"671-677","source":"Crossref","is-referenced-by-count":0,"title":["Implantation et \u00e9valuation \u00e0 un an d\u2019une consultation de\u00a0m\u00e9decine interne dans une maternit\u00e9"],"prefix":"10.3917","volume":"Vol. 30","author":[{"given":"Marie-Anne","family":"Bouldouyre","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"H\u00e9l\u00e8ne","family":"Dauphin","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nathalie","family":"Cherradou","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"H\u00e9l\u00e8ne","family":"Gros","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2273","reference":[{"doi-asserted-by":"crossref","unstructured":"1Wechsler\u00a0B. 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