Résumé
Objectif
Passer en revue les données probantes et fournir une opinion indiquant si l'évaluation
systématique de la longueur cervicale pour la prévention de l'accouchement prématuré
devrait être adoptée au Canada.
Résultats
Les issues évaluées comprennent la prévention de l'accouchement prématuré.
Données probantes
Nous avons interrogé les bases de données Knowledge Finder, Medline et Cochrane pour
en tirer les articles publiés jusqu'en avril 2018 sur la mesure de la longueur cervicale
pour la prévention de l'accouchement prématuré.
Critères
Les données obtenues ont été examinées et évaluées par le Comité d'imagerie diagnostique
de la SOGC sous la direction des auteurs principaux, et les recommandations ont été
formulées selon les lignes directrices rédigées par le Groupe d’étude canadien sur
les soins de santé préventifs.
Avantages, désavantages, et coûts
La prévention de l'accouchement prématuré sans coûts excessifs est très importante
pour la santé des mères et des familles. La présente opinion de comité résume les
données probantes actuelles sur l'évaluation systématique de la longueur cervicale
pour prévenir l'accouchement prématuré au Canada, détermine si elle satisfait les
critères de Jungner et Wilson pour un test de dépistage et formule des recommandations
pour son utilisation au Canada.
Validation
La présente opinion a été révisée et approuvée par le comité d'imagerie diagnostique
de la SOGC et la Société des obstétriciens et gynécologues du Canada (SOGC).
Commanditaire
La Société des obstétriciens et gynécologues du Canada (SOGC).
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Article info
Publication history
No 374, mars 2019
Footnotes
Le présent document correspond aux avancées cliniques et scientifiques qui se dessinaient au moment de sa publication et est susceptible d’être modifié. Les renseignements qu'il contient ne doivent pas être considérés comme les seuls traitements ou les seules interventions à suivre. Les établissements locaux peuvent imposer des modifications aux opinions ci-incluses. Toute modification apportée par un établissement local doit être bien documentée. Le contenu du présent document ne peut être reproduit d'aucune manière, en tout ou en partie, sans l'autorisation écrite préalable de l’éditeur.
Chaque personne a le droit et la responsabilité de prendre des décisions éclairées relativement aux soins qu'elle reçoit en partenariat avec ses fournisseurs de soins de santé. Pour aider les patientes à faire un choix éclairé, il faut leur fournir un soutien et des renseignements qui reposent sur des données probantes, sont adaptés à leur culture et correspondent à leurs besoins.
La présente directive clinique utilise un langage qui place les femmes au centre des soins. Cela dit, la SOGC est déterminée à respecter les droits de chaque personne, y compris les personnes transgenres, non binaires ou intersexuées, à qui la directive clinique pourrait s'appliquer. La SOGC encourage les fournisseurs de soins de santé à s'engager dans une conversation respectueuse avec les patientes relativement à leur identité de genre, car cette approche joue un rôle crucial dans la prestation de soins sécuritaires et appropriés. Les valeurs, croyances et besoins individuels de chaque patiente et de sa famille doivent être pris en compte, et l'ultime décision de la patiente quant à ses options de soins et de traitements doit être respectée.
Identification
Copyright
© 2019 The Society of Obstetricians and Gynaecologists of Canada/La Société des obstétriciens et gynécologues du Canada. Published by Elsevier Inc.
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