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Your search keyword '"Breart, Gerard"' showing total 2 results
Start Over Author "Breart, Gerard" Topic preterm birth
2 results on '"Breart, Gerard"'

1. Predictive factors of preterm delivery in French Guiana for singleton pregnancies: definition and validation of a predictive score.

Author

Leneuve-Dorilas, Malika, Buekens, Pierre, Favre, Anne, Carles, Gabriel, Louis, Alphonse, Breart, Gerard, and Nacher, Mathieu

Subjects
FIRST trimester of pregnancy, PREMATURE labor, CHILDBIRTH, DEFINITIONS, PREGNANCY, PREMATURE infants, RETROSPECTIVE studies, ACQUISITION of data, RECEIVER operating characteristic curves
Abstract

Objective: Given the high rate of premature birth in French Guiana (13.5%), and its stability in time, the aim of the present study was to define a predictive score for preterm birth in women with a unique pregnancy in order to help prioritize health resources in the local context.Methods: A retrospective study was conducted on all deliveries of unique pregnancies in French Guiana collected between 1 January 2013 and 31 December 2014 in the Registre d'Issue de Grossesse Informatisé (RIGI), a registry that collects data on live births over 22 weeks of amenorrhea on the territory. Statistically significant predictors (p < .05) of preterm delivery were included in a logistic regression model. The selected variables were chosen to be available during the first trimester. Coefficients were used to establish a score which was categorized and prospectively validated using data from 2015.Results: Seven explanatory variables, all measurable during the first trimester of pregnancy, were significantly associated with preterm birth. The predictive score divided in deciles allowed to establish sensitivity and specificity thresholds. Overall, depending on the chosen threshold the score sensitivity was low and the specificity was high. Lowering the threshold identified half of women as "at risk" for preterm birth.Conclusion: This first trimester score was insufficiently sensitive to identify individual women at risk for preterm delivery. [ABSTRACT FROM AUTHOR]

Published
2020
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2. Dengue epidemics and adverse obstetrical outcomes in French Guiana: a semi-ecological study

Author

Hanf, Matthieu, Friedman, Eleanor, Basurko, Celia, Roger, Amaury, Bruncher, Pascal, Dussart, Philippe, Flamand, Claude, Carles, Gabriel, Buekens, Pierre, Breart, Gerard, Carme, Bernard, Nacher, Mathieu, Centre d'investigation clinique Antilles-Guyane ( CIC - Antilles Guyane ), Institut National de la Santé et de la Recherche Médicale ( INSERM ) -CHU Pointe-à-Pitre/Abymes [Guadeloupe] -CHU de la Martinique-Centre Hospitalier Andrée Rosemon [Cayenne, Guyane Française], Department of Epidemiology, Tulane University, Protection Maternelle et Infantile, Conseil Général de la Guyane, Centre National de Référence des Arboviroses, Institut Pasteur de la Guyane, Réseau International des Instituts Pasteur ( RIIP ) -Réseau International des Instituts Pasteur ( RIIP ), Cellule de l'InVS en Région Antilles Guyane, Institut de Veille Sanitaire (INVS), Service de Gynécologie Obstétrique, Centre Hospitalier de l'Ouest Guyanais, Recherche Epidémiologique en Santé Périnatale et Santé des Femmes et des Enfants ( UMR_S 953 ), Institut National de la Santé et de la Recherche Médicale ( INSERM ) -Université Paris Descartes - Paris 5 ( UPD5 ) -Université Pierre et Marie Curie - Paris 6 ( UPMC ) -Université Paris-Sud - Paris 11 ( UP11 ), INSERM (Institut National de la Santé et de la Recherche Médicale) and the Cayenne General Hospital., Centre d'investigation clinique Antilles-Guyane (CIC - Antilles Guyane), Institut National de la Santé et de la Recherche Médicale (INSERM)-CHU Pointe-à-Pitre/Abymes [Guadeloupe] -CHU de la Martinique [Fort de France]-Centre Hospitalier Andrée Rosemon [Cayenne, Guyane Française], Centre National de Référence pour les Arbovirus - Laboratoire de Virologie [Cayenne, Guyane française] (CNR - laboratoire associé), Réseau International des Instituts Pasteur (RIIP)-Réseau International des Instituts Pasteur (RIIP), Recherche Epidémiologique en Santé Périnatale et Santé des Femmes et des Enfants (UMR_S 953), Université Paris-Sud - Paris 11 (UP11)-Université Pierre et Marie Curie - Paris 6 (UPMC)-Université Paris Descartes - Paris 5 (UPD5)-Institut National de la Santé et de la Recherche Médicale (INSERM), Institut National de la Santé et de la Recherche Médicale (INSERM)-CHU de la Martinique [Fort de France]-CHU Pointe-à-Pitre/Abymes [Guadeloupe] -Centre Hospitalier Andrée Rosemon [Cayenne, Guyane Française], and Institut National de la Santé et de la Recherche Médicale (INSERM)-Université Paris Descartes - Paris 5 (UPD5)-Université Pierre et Marie Curie - Paris 6 (UPMC)-Université Paris-Sud - Paris 11 (UP11)

Subjects
MESH : French Guiana, MESH: Premature Birth, MESH : Prevalence, MESH : Dengue, MESH : Pregnancy Trimester, First, MESH: Dengue, MESH: Dengue Virus, MESH : Postpartum Hemorrhage, MESH: Pregnancy, MESH: French Guiana, MESH : Dengue Virus, MESH : Female, MESH: Prevalence, MESH: Epidemics, MESH : Pregnancy Outcome, MESH: Humans, MESH : Epidemics, MESH : Humans, preterm birth, [ SDV.SPEE ] Life Sciences [q-bio]/Santé publique et épidémiologie, MESH: Pregnancy Outcome, Dengue fever, MESH: Postpartum Hemorrhage, French Guiana, MESH : Premature Birth, MESH : Pregnancy, postpartum hemorrhage, [SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologie, pregnancy, MESH: Pregnancy Trimester, First, MESH: Female
Abstract

International audience; OBJECTIVE: To determine whether dengue epidemics are associated with an increase in adverse obstetrical outcomes. METHODS: Semi-ecological study combining individual data on obstetrical events from the perinatal registry and aggregated exposure data from the epidemiologic surveillance of dengue in Cayenne, French Guiana between 2004 and 2007. RESULTS: After adjustment for individual risk factors, analysis showed that an epidemic level of dengue transmission during the first trimester was associated with an increased risk of post-partum haemorrhage and preterm birth. The associated risks seemed to depend on the epidemic level. CONCLUSIONS: Despite its limitations, this study suggests that dengue in the first trimester may be related to preterm birth and to post-partum bleeding, thus leading to specific hypotheses that should be tested in prospective studies.

Published
2014
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