Le Gouic S, Lavoué V, Mimouni M, Levêque J, Huchon C
Département de gynécologie obstétrique et reproduction humaine, CHU Anne-de-Bretagne, 16, boulevard de Bulgarie, BP 90347, 35203 Rennes cedex 2, France.
Département de gynécologie obstétrique et reproduction humaine, centre hospitalier universitaire de Rennes, 16, boulevard de Bulgarie, BP 90347, 35203 Rennes cedex 2, France; Inserm U1085, service de gynécologie, université de Rennes 1, hôpital Sud, 35200 Rennes, France.
J Gynecol Obstet Hum Reprod. 2017 May;46(5):393-398. doi: 10.1016/j.jogoh.2017.03.005. Epub 2017 Mar 31.
To assess the adhesion of French obstetricians and gynecologists to the French clinical practice guidelines for pregnancy loss, issued by the French College of Obstetricians and Gynecologists, one year after publication.
An online vignette-based study was emailed to a sample of French obstetricians and gynecologists to compare their management of women with missed early miscarriage and incomplete early miscarriage. A descriptive statistical analysis was performed comparing the rates of appropriate management for these two indications before and after the release of the guidelines.
Of the 404 specialists contacted, 143 completed the questionnaire. Forty-three percent stated that they had changed their practices following the release of the guidelines. The rate of adhesion was moderate for the management of missed early miscarriage (53% after publication of the guidelines versus 42% before, P=0.001) with a trend to avoid watching-and-waiting management. The rate of adhesion was poor for the management of incomplete early miscarriage (43% after the publication of the guidelines versus 27% before, P<0.001) with a lower use of misoprostol.
Adhesion to the French guidelines appears to be moderate for the management of missed early miscarriage and low for the management of incomplete early miscarriage.
评估法国妇产科医生对法国妇产科医师学会发布的流产临床实践指南发布一年后的遵循情况。
向法国妇产科医生样本发送基于案例的在线研究，以比较他们对早期稽留流产和早期不全流产女性的处理方式。在指南发布前后，对这两种情况的适当处理率进行描述性统计分析。
在联系的404名专家中，143人完成了问卷。43%的人表示在指南发布后改变了他们的做法。对于早期稽留流产的处理，遵循率中等（指南发布后为53%，之前为42%，P=0.001），有避免观察等待处理的趋势。对于早期不全流产的处理，遵循率较低（指南发布后为43%，之前为27%，P<0.001），米索前列醇的使用较少。
对于早期稽留流产的处理，对法国指南的遵循似乎中等，而对于早期不全流产的处理则较低。
