{"id":10944,"date":"2021-09-13T10:17:43","date_gmt":"2021-09-13T10:17:43","guid":{"rendered":"https:\/\/www.ginefiv.com\/sin-categorizar\/fausses-couches-repetition\/"},"modified":"2025-01-25T14:35:08","modified_gmt":"2025-01-25T14:35:08","slug":"fausses-couches-repetition","status":"publish","type":"post","link":"https:\/\/www.ginefiv.com\/fr\/blog\/fausses-couches-repetition\/","title":{"rendered":"Fausses couches \u00e0 r\u00e9p\u00e9tition"},"content":{"rendered":"<p>M\u00eame dans les couples en pleine sant\u00e9, des fausses couches peuvent se produire. Le risque de fausse couche d\u00e9pendra beaucoup de l\u2019\u00e2ge de la femme. On constate en effet que le pourcentage de fausse couche chez une femme de 20 ans s\u2019\u00e9l\u00e8ve \u00e0 environ 13% tandis que chez la femme de 45 ans ce risque est sup\u00e9rieur \u00e0 50%.<\/p> <p><!--more--><\/p> <p>La fausse couche, attest\u00e9e cliniquement apr\u00e8s analyse hormonale ou par \u00e9chographie constitue la complication la plus courante de la grossesse et repr\u00e9sente 15% des gestations.<\/p> <h2 class=\"font-bold font-sans text-black text-2xl lg:text-3xl leading-tight\">Comment d\u00e9finit-on des fausses couches \u00e0 r\u00e9p\u00e9tition?<\/h2> <p>\u00a0<br \/><img decoding=\"async\" src=\"https:\/\/www.ginefiv.com\/wp-content\/uploads\/2021\/09\/aborto.jpg\" alt=\"fausses couches \u00e0 r\u00e9p\u00e9tition\"><\/p> <p>La fausse couche \u00e0 r\u00e9p\u00e9tition, fausse couche r\u00e9currente ou l\u2019arr\u00eat de la gestation \u00e0 r\u00e9p\u00e9tition correspond \u00e0 la perte spontan\u00e9e d\u2019au moins deux gestations.<\/p> <p>On estime \u00e0 pr\u00e8s de 1 \u00e0 2% les couples victimes de fausses couches r\u00e9currentes.<\/p> <p>Le sympt\u00f4me le plus courant caract\u00e9risant une menace de fausse couche \u00e9tant le saignement vaginal, accompagn\u00e9 ou non de fortes douleurs abdominales ; on notera toutefois qu\u2019un quart des femmes enceintes pr\u00e9sentent de faibles saignements durant la premi\u00e8re partie de leur grossesse et que, malgr\u00e9 tout, 50% d\u2019entre elles m\u00e8neront leur grossesse \u00e0 terme.<br \/>\u00a0<\/p> <h2 class=\"font-bold font-sans text-black text-2xl lg:text-3xl leading-tight\">Quels sont les facteurs de risque associ\u00e9s aux fausses couches \u00e0 r\u00e9p\u00e9tition?<\/h2> <p>\u00a0<br \/>Il existe un certain nombre de facteurs qu\u2019il convient d\u2019\u00e9tudier et qui ont \u00e9t\u00e9 associ\u00e9s aux fausses couches r\u00e9currentes. Ceux-ci peuvent nous orienter \u00e0 l\u2019heure de chercher une solution pour rem\u00e9dier \u00e0 ce probl\u00e8me. Facteurs \u00e0 prendre en compte :<\/p> <p>Le traitement sera sp\u00e9cifique \u00e0 chaque cas et cherchera \u00e0 corriger les taux hormonaux \u00e0 travers un traitement pharmaceutique qui modulera ou supplantera le d\u00e9ficit absolu ou relatif des hormones en question.<\/p> <ul> <li><strong>Anomalies chromosomiques :<\/strong> Plus la fausse couche est pr\u00e9coce plus il y a de chances qu\u2019elle soit due \u00e0 un probl\u00e8me chromosomique. Il convient de signaler que pr\u00e8s de 60% des fausses couches \u00e0 r\u00e9p\u00e9tition ont des origines g\u00e9n\u00e9tiques.Il se peut qu\u2019un des deux membres du couple (ou les deux) soit porteur d\u2019une anomalie dans son mat\u00e9riel chromosomique ou encore que les ovules ou les spermatozo\u00efdes soient porteurs eux-m\u00eames d\u2019une anomalie au niveau de leurs chromosomes.Si l\u2019un des conjoints est porteur d\u2019une anomalie chromosomique, on propose souvent un cycle de F\u00e9condation in Vitro avec diagnostic g\u00e9n\u00e9tique pr\u00e9-implantatoire (FIV-DGP). Ce traitement permet de s\u00e9lectionner les embryons qui ne seront pas affect\u00e9s pour les transf\u00e9rer dans l\u2019ut\u00e9rus. Il est cependant \u00e9galement possible, en fonction du type d\u2019anomalie constat\u00e9e, de proposer au couple une FIV avec sperme de donneur ou une FIV avec ovules de donneuse (ou les deux).<\/li> <li><strong>Facteurs de coagulation :<\/strong> Il s\u2019agit des pertes de f\u0153tus qui ont pour origine des anomalies des facteurs de coagulation dus en particulier \u00e0 une insuffisance en substances antithrombotiques dans le sang qui provoque une coagulation vasculaire, celle-ci emp\u00eachant le d\u00e9veloppement correct du placenta. Dans ce type de situation, on prescrit g\u00e9n\u00e9ralement \u00e0 la patiente de l\u2019h\u00e9parine ou certains m\u00e9dicaments comme l\u2019aspirine, traitement qui sera suivi durant toute la grossesse sous contr\u00f4le m\u00e9dical tr\u00e8s stricte.<\/li> <li><strong>Anomalies anatomiques de l\u2019ut\u00e9rus :<\/strong> Il s\u2019agit de malformations du corps ut\u00e9rin. Elles peuvent concerner aussi bien le col de l\u2019ut\u00e9rus que son corps lui-m\u00eame, soit parce que cet organe est incomplet soit parce qu\u2019il contient \u00e0 l\u2019int\u00e9rieur une quelconque structure qui pourrait emp\u00eacher l\u2019implantation normale d\u2019un embryon, comme par exemple un septum ut\u00e9rin (pr\u00e9sence d\u2019une membrane qui divise l\u2019ut\u00e9rus en deux compartiments). Pour pouvoir diagnostiquer ces anomalies, il est n\u00e9cessaire de passer un certain nombre de tests comme une hyst\u00e9roscopie ou une r\u00e9sonance magn\u00e9tique nucl\u00e9aire ou encore une \u00e9chographie haute r\u00e9solution ou en 3 dimensions qui nous aideront \u00e0 \u00e9tablir le meilleur traitement \u00e0 suivre.<\/li> <li><strong>Facteurs endocriniens :<\/strong> Les pathologies endocriniennes les plus fr\u00e9quentes sont g\u00e9n\u00e9ralement l\u2019insuffisance de la phase lut\u00e9ale, le syndrome des ovaires polykystiques, un taux \u00e9lev\u00e9 d\u2019hormone prolactine, le diab\u00e8te et les d\u00e9r\u00e8glements thyro\u00efdiens s\u00e9v\u00e8res.<\/li> <li><strong>Facteurs infectieux :<\/strong> Ils se situent g\u00e9n\u00e9ralement au niveau de l\u2019embryon ou du f\u0153tus, au niveau du tissu placentaire ou de l\u2019endom\u00e8tre (endom\u00e9trite). L\u2019analyse du s\u00e9rum sanguin et la mise en culture des organes affect\u00e9s permettent de d\u00e9couvrir l\u2019agent infectieux responsable et de d\u00e9terminer l\u2019antibiotique le mieux adapt\u00e9 \u00e0 la situation.<\/li> <li><strong>Facteurs immunes :<\/strong> Pour des raisons qui nous sont encore inconnues, des anticorps se forment parfois dans le sang maternel et entra\u00eenent la mort de l\u2019embryon. Ces derniers peuvent avoir des origines auto-immunes (composants de la biologie corporelle) ou des origines alloimmunes (rejet de la composante antig\u00e9nique du f\u0153tus provenant du conjoint).<\/li> <li><strong>Facteurs environnementaux :<\/strong> la consommation excessive de caf\u00e9, d\u2019alcool, de tabac, l\u2019ob\u00e9sit\u00e9, l\u2019exposition \u00e0 des gaz anesth\u00e9siant et au T\u00e9trachloro\u00e9thyl\u00e8ne (liquide incolore, lourd et non inflammable, g\u00e9n\u00e9ralement utilis\u00e9 comme dissolvant dans le nettoyage des tissus et des m\u00e9taux), constitue \u00e9galement un facteur de risque accru en mati\u00e8re d\u2019interruption de la grossesse.<\/li> <\/ul> <p>Malgr\u00e9 tous les moyens dont nous disposons actuellement, toutes les \u00e9tudes r\u00e9alis\u00e9es sur le sujet nous montrent que pr\u00e8s de 50% des cas de fausses couches \u00e0 r\u00e9p\u00e9tition demeurent sans diagnostic \u00e9tiologique, mais malgr\u00e9 tout, le pronostic reproductif g\u00e9n\u00e9ral reste bon puisque 50 \u00e0 70% des patientes parviendront \u00e0 donner le jour \u00e0 un enfant vivant.<\/p>","protected":false},"excerpt":{"rendered":"<p>M\u00eame dans les couples en pleine sant\u00e9, des fausses couches peuvent se produire. Le risque de fausse couche d\u00e9pendra beaucoup&#8230;<\/p>\n","protected":false},"author":11,"featured_media":10945,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1],"tags":[],"class_list":["post-10944","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-sin-categorizar"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.0 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Fausses couches \u00e0 r\u00e9p\u00e9tition | Ginefiv Espa\u00f1a<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.ginefiv.com\/fr\/blog\/fausses-couches-repetition\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Fausses couches \u00e0 r\u00e9p\u00e9tition | Ginefiv Espa\u00f1a\" \/>\n<meta property=\"og:description\" content=\"M\u00eame dans les couples en pleine sant\u00e9, des fausses couches peuvent se produire. 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