[Cervical pregnancy. Contribution of ultrasonography to diagnosis and therapeutic management]. / La grossesse cervicale. Apport de l'échographie au diagnostic et à la prise en charge thérapeutique.

Three recent cases of cervical pregnancy form the basis of a review of its principal clinical and ultrasonographic characteristics and their resultant management consequences. Ultrasonography enables better diagnosis and management, leading to the preservation of subsequent fertility.

[Psychogenic sterility]. / Stérilités psychogènes.

Even the definition of psychogenic sterility is ambiguous, the number of psychogenic sterilities is uncertain and the limits of psychogenic sterility vary considerably from one author to another. The author of this paper attempts to circumscribe a shifting pathology and warns against using psychosomatic conditions as the "hold-all for our ignorance".

[An overview of psychogenic sterility]. / Panorama des stérilités psychogènes.

The authors remind of the difficulty in defining psychogenic sterilities and evaluating their exact frequency. Then, they attempt to offer a classification based on clinical examples. Secondary sterilities of psychogenic origin are only seen in women who have lost a child in the pre, per or post-partum period. This is even a characteristic example of non organic sterility. Primary sterilities may be psychological in origin, especially by absence of maturation of the child planning project (case of sterilities cured after adoption). They are seen more infrequently: in adult anorexia nervosa, psychological sexual differentiation disorders, masculine women. These difficulties are not easy to approach as much as psychological and organic factors may be entangled. In addition, one question is raised: who should take care of it? The psychiatrist or the gynecologist? Overall, the latter is preferable under the condition that he/she is properly trained. Anyway, it is ultimately the woman's choice.

[Prenatal diagnosis of genetic diseases. Results of 57 early amniocenteses]. / Diagnostic prénatal des affections génétiques Bilan de 57 amniocentèses précoces

The authors report the results of anmiocenteses carried out early in 57 cases, in order to detect hereditary disorders in high risk pregnancies. They emphasize the necessity of prior genetic consultation and obstetric examination. Among the 57 cases, 53 had the examination carried out in order to seek a chromosome anomaly. The techniques of removal and culture are described. One pregnancy was interrupted, the foetus had a chromosome abnormality. The psychological aspect and the necessity of close cooperation between gynecologists and geneticians are discussed.