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<publisher>HAL CCSD</publisher>
<title lang=en>Evaluation of adherence to French clinical practice guidelines in the management of pregnancy loss issued by the French College of Obstetricians and Gynecologists, one year after publication: A vignette-based study</title>
<creator>Le Gouic, S.</creator>
<creator>Lavoue, V.</creator>
<creator>Mimouni, M.</creator>
<creator>Levêque, J.</creator>
<creator>Huchon, C.</creator>
<contributor>CHU Pontchaillou [Rennes]</contributor>
<contributor>Institut de recherche, santé, environnement et travail [Rennes] (Irset) ; Université d'Angers (UA) - Université des Antilles et de la Guyane (UAG) - Université de Rennes 1 (UR1) - École des Hautes Études en Santé Publique [EHESP] (EHESP) - Institut National de la Santé et de la Recherche Médicale (INSERM) - Structure Fédérative de Recherche en Biologie et Santé de Rennes ( Biosit : Biologie - Santé - Innovation Technologique )</contributor>
<contributor>CHI Poissy-Saint-Germain</contributor>
<contributor>Risques cliniques et sécurité en santé des femmes et en santé périnatale (RISCQ) ; Université de Versailles Saint-Quentin-en-Yvelines (UVSQ)</contributor>
<description>International audience</description>
<source>ISSN: 24687847</source>
<source>Journal of Gynecology Obstetrics and Human Reproduction</source>
<identifier>hal-01558814</identifier>
<identifier>https://hal-univ-rennes1.archives-ouvertes.fr/hal-01558814</identifier>
<identifier>https://hal-univ-rennes1.archives-ouvertes.fr/hal-01558814/document</identifier>
<identifier>https://hal-univ-rennes1.archives-ouvertes.fr/hal-01558814/file/Le%20Gouic%20et%20al.%20-%20Evaluation%20of%20adherence%20to%20French%20clinical%20practic.pdf</identifier>
<source>https://hal-univ-rennes1.archives-ouvertes.fr/hal-01558814</source>
<source>Journal of Gynecology Obstetrics and Human Reproduction, 2017, 46 (5), pp.393-398. 〈10.1016/j.jogoh.2017.03.005〉</source>
<identifier>DOI : 10.1016/j.jogoh.2017.03.005</identifier>
<relation>info:eu-repo/semantics/altIdentifier/doi/10.1016/j.jogoh.2017.03.005</relation>
<identifier>PUBMED : 28934082</identifier>
<relation>info:eu-repo/semantics/altIdentifier/pmid/28934082</relation>
<language>en</language>
<subject lang=en> Pregnancy loss</subject>
<subject lang=en> incomplete early miscarriage</subject>
<subject lang=en>clinical practice guideline</subject>
<subject lang=en> vignette-based study</subject>
<subject lang=en> missed early miscarriage</subject>
<subject>[SDV.MHEP.GEO] Life Sciences [q-bio]/Human health and pathology/Gynecology and obstetrics</subject>
<subject>[SDV.SPEE] Life Sciences [q-bio]/Santé publique et épidémiologie</subject>
<type>info:eu-repo/semantics/article</type>
<type>Journal articles</type>
<description lang=en>Objectives: 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.Methods: 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.Results: 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.Conclusion: 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.</description>
<date>2017</date>
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