Prise de poids et contraceptifs à progestatifs seuls: plus d'inquiétude que de preuves scientifiques. [Weight gain and progestin-only contraceptives: more concern than evidence].

Weight gain is a side effect often associated with progestin-only contraceptives. A recently published Cochrane review focuses on this issue that has been addressed in only few studies of good quality. Here we discuss the results of this review in the context of three clinical cases. With progestin-only contraceptives the weight gain is less than often thought, especially after six or twelve months of treatment. Some results are rather reassuring, especially those in obese women and during the post-partum period. This should help improve the compliance of women who fear gaining weight with this type of hormonal contraception

Consultation en médicine du travail pour les travailleuses enceintes: satisfaction et expériences

Une étude financée par la Direction générale de la santé du canton de Vaud a visé à explorer les apports d’une consultation en médecine du travail pour les travailleuses enceintes. Dans une précédente édition d’Obstetrica, les effets de la consultation sur le retour au travail des employées enceintes ont été présentés. Les auteur·e·s exposent ici les résultats concernant la satisfaction et les expériences des usager·ère·s de ce dispositif, unique en Suisse

A narrative review on factors associated with job interruption during pregnancy

Most women continue to work during pregnancy. However, some of them have to stop working before giving birth. Absence from work poses several challenges for employers and employees, as well as for society. The literature on absence from work during pregnancy and its determinants remains inconsistent and rather scarce. To conduct a narrative literature review on the factors associated with work interruption and on existing interventions aimed at reducing the absence prevalence during pregnancy. The review refers to published peer-reviewed articles dealing with all types of work interruption among pregnant women. Keyword searches were performed in the electronic databases PubMed, EMBASE, and Google Scholar, covering the period 2000–2022. The review, which includes 42 papers, presents a broad and comprehensive picture of factors and interventions associated with absence from work among pregnant workers. The factors appear at different levels and include factors related to the pregnant women, such as individual health and socio-demographic factors; employer and workplace-related factors, such as risk exposures and working conditions; factors related to the role of the healthcare provider; and factors related to the national context (social benefits/insurance). The determinants of absence from work during pregnancy are complex and multifactorial and involve multiple stakeholders. The discussion addresses gaps and needs in the literature on pregnancy at work and in the field of occupational health. Int J Occup Med Environ Health. 2023;36(3):303–2

Consultation en médicine du travail pour les travailleuses enceintes ::satisfaction et expériences

Une étude financée par la Direction générale de la santé du canton de Vaud a visé à explorer les apports d’une consultation en médecine du travail pour les travailleuses enceintes. Dans une précédente édition d’Obstetrica, les effets de la consultation sur le retour au travail des employées enceintes ont été présentés. Les auteur.e.s exposent ici les résultats concernant la satisfaction et les expériences des usager.ère.s de ce dispositif, unique en Suisse

Travail et grossesse ::apports et limites d’une consultation spécialisée en médecine du travail

En Suisse, une règlementation spé­cifique vise à protéger la santé des travailleuses enceintes et de leurs futurs enfants face à des dangers présents dans l’environnement de travail. En pratique, ces dispositions protectrices ne sont pas toujours appliquées. À Lausanne, Unisanté a développé une consultation de médecine du travail pour soutenir les parties impliquées dans la mise en œuvre de ces législations. Une étude en cours examine les apports et limites de ce dispositif unique

Patients avec variation du développement sexuel : un exemple de prise en charge interdisciplinaire

The medical, psychological and social aspects of disorders of sex development (DSD) represent a challenge for the management of these patients. However, advances in our understanding of the etiology and genetics of this condition, novel surgical approaches and the growing influence of patient groups as well as wider recognition of ethical issues have helped improve the care of patients with a DSD. Importantly, a multidisciplinary approach involving specialists is crucial for understanding and treating such rare and complex cases. According to the recommendations of the Swiss National Ethical Commission, we shall use the term « Variation of Sex Development » rather than « Disorder of Sex Development » in this publication. This article addresses the care of DSD patients throughout development from the point of view of specialists in complementary fields