{"record":{"leader":"nx  r22     2  45","datafield":[{"ind2":" ","ind1":" ","subfield":{"code":"a","content":"20240920afrey50      ba0"},"tag":100},{"ind2":" ","ind1":" ","subfield":[{"code":"a","content":"fre"},{"code":2,"content":"639-2"}],"tag":101},{"ind2":" ","ind1":" ","subfield":{"code":"a","content":2018},"tag":103},{"ind2":" ","ind1":" ","subfield":[{"code":"a","content":"k"},{"code":"f","content":"fre"}],"tag":104},{"ind2":" ","ind1":" ","subfield":[{"code":"a","content":0},{"code":"b","content":"#"},{"code":"c","content":"#"}],"tag":106},{"ind2":" ","ind1":" ","subfield":{"code":"a","content":"AFNOR"},"tag":152},{"ind2":" ","ind1":" ","subfield":{"code":"a","content":"Oeuvre Textuelle"},"tag":189},{"ind2":" ","ind1":" ","subfield":[{"code":7,"content":"ba0yba0"},{"code":"t","content":"Les  grossesses rapprochées. Conséquences obstétricales, materno-foetales et néonatales, étude cas-témoins rétrospective sur 450 patientes du CHU d\u2019Amiens Picardie"}],"tag":241},{"ind2":" ","ind1":" ","subfield":[{"code":7,"content":"ba0yba0y"},{"code":"a","content":"Objectif : évaluer les conséquences et les risques materno-fœtaux possibles afin d\u2019optimiser la conduite à tenir au cours de ces grossesses. Méthode : étude rétrospective cas-témoins de 5 ans, réalisée à la maternité du CHU d\u2019Amiens-Picardie de niveau III, entre janvier 2013 et septembre 2017. Comparaison de deux groupes de patientes : un groupe Cas (dont l\u2019intervalle est strictement inférieur à 9 mois entre le début de grossesse et l\u2019accouchement précédent, n=150), et un groupe Témoin (dont l\u2019intervalle supérieur à 9 mois entre le début de grossesse et l\u2019accouchement précédent, n=300). L\u2019étude a pris en compte les conséquences obstétricales, materno-fœtales et néonatales. Résultats : Il a été significativement retrouvé que l\u2019intervalle court entre deux grossesses a un impact sur l\u2019anémie maternelle, les menaces d\u2019accouchements prématurés, la prématurité, le petit poids de naissance, l\u2019adaptation à la vie extra-utérine ainsi que le développement d\u2019anomalies morphologiques fœtales. Conclusion : les risques encourus des grossesses rapprochées doivent inciter les équipes obstétricales à tendre vers une prise en charge spécifique, tant au cours de la grossesse que du post-partum."}],"tag":300},{"ind2":" ","ind1":" ","subfield":[{"code":"b","content":"Mémoire de sage-femme"},{"code":"c","content":"Médecine"},{"code":"e","content":"Amiens"},{"code":"d","content":2018}],"tag":328},{"ind2":1,"ind1":" ","subfield":[{"code":3,"content":280372833},{"code":7,"content":"ba0yba08"},{"code":"a","content":"Reformat"},{"code":"b","content":"Noëllyne"},{"code":"f","content":"1994-...."},{"code":4,"content":"070"}],"tag":501},{"ind2":2,"ind1":0,"subfield":[{"code":3,"content":"026403714"},{"code":7,"content":"ba0yba08"},{"code":"a","content":"Université de Picardie Jules Verne"},{"code":"c","content":"1968-...."},{"code":4,"content":295}],"tag":511},{"ind2":2,"ind1":0,"subfield":[{"code":3,"content":199671508},{"code":7,"content":"ba0yba08"},{"code":"a","content":"École de sages-femmes"},{"code":"c","content":"Amiens"},{"code":4,"content":295}],"tag":511},{"ind2":2,"ind1":0,"subfield":[{"code":7,"content":"ba0yba0"},{"code":3,"content":"031128351"},{"code":"a","content":"Centre hospitalier universitaire Amiens Picardie"},{"code":2,"content":"rameau"}],"tag":601},{"ind2":" ","ind1":" ","subfield":[{"code":3,"content":"02735346X"},{"code":"a","content":"Grossesse"},{"code":2,"content":"rameau"}],"tag":606},{"ind2":" ","ind1":" ","subfield":[{"code":3,"content":130773948},{"code":"a","content":"Femmes multipares"},{"code":2,"content":"rameau"}],"tag":606},{"ind2":" ","ind1":" ","subfield":[{"code":3,"content":"027845699"},{"code":"a","content":"Intervalles génésiques"},{"code":2,"content":"rameau"}],"tag":606},{"ind2":" ","ind1":" ","subfield":[{"code":3,"content":"027227723"},{"code":"a","content":"Complications de la grossesse"},{"code":2,"content":"rameau"}],"tag":606},{"ind2":" ","ind1":" ","subfield":[{"code":3,"content":"028022882"},{"code":"a","content":"Complications de l'accouchement"},{"code":2,"content":"rameau"}],"tag":606},{"ind2":" ","ind1":" ","subfield":[{"code":3,"content":"029107776"},{"code":"a","content":"Anémie"},{"code":3,"content":167194003},{"code":"x","content":"Chez la femme enceinte"},{"code":2,"content":"rameau"}],"tag":606},{"ind2":" ","ind1":" ","subfield":[{"code":3,"content":"031491278"},{"code":"a","content":"Hypotrophie foetale"},{"code":2,"content":"rameau"}],"tag":606},{"ind2":" ","ind1":" ","subfield":[{"code":3,"content":"027585301"},{"code":"a","content":"Prématurés"},{"code":2,"content":"rameau"}],"tag":606},{"ind2":" ","ind1":" ","subfield":[{"code":7,"content":"ba0yba0"},{"code":3,"content":"027253139"},{"code":"a","content":"Thèses et écrits académiques"},{"code":2,"content":"rameau"}],"tag":608},{"ind2":3,"ind1":" ","subfield":[{"code":"a","content":"FR"},{"code":"b","content":"Abes"},{"code":"c","content":20240920},{"code":"g","content":"AFNOR"}],"tag":801}],"controlfield":[{"tag":"001","content":280412959},{"tag":"003","content":"http://www.idref.fr/280412959"},{"tag":"004","content":20240920},{"tag":"005","content":20240920013100},{"tag":"006","content":"0499"},{"tag":"007","content":"0499"},{"tag":"008","content":"Tr2"}]}}