{"id":7601,"date":"2020-03-12T19:04:43","date_gmt":"2020-03-12T23:04:43","guid":{"rendered":"https:\/\/natural-womanhood.local\/?p=7601"},"modified":"2024-05-18T21:00:06","modified_gmt":"2024-05-19T02:00:06","slug":"la-supplementation-en-progesterone-aide-a-prevenir-les-fausses-couches-bonne-nouvelle-pour-les-mamans-et-les-bebes-2020","status":"publish","type":"post","link":"https:\/\/naturalwomanhood.org\/fr\/progesterone-supplementation-helps-prevent-miscarriage-good-news-for-moms-and-babies-2020\/","title":{"rendered":"La progest\u00e9rone aide \u00e0 pr\u00e9venir les fausses couches : Une bonne nouvelle pour les mamans et les b\u00e9b\u00e9s"},"content":{"rendered":"

Les fausses couches sont malheureusement l'une des exp\u00e9riences les plus courantes dans la vie reproductive d'une femme. Environ vingt pour cent des grossesses se terminent par une fausse couche, le plus souvent au cours du premier trimestre. Certaines femmes vivent tragiquement la m\u00eame perte d\u00e9vastatrice \u00e0 plusieurs reprises, sans que les m\u00e9decins ne puissent fournir beaucoup d'explications. Aujourd'hui, de nouvelles \u00e9tudes ont r\u00e9v\u00e9l\u00e9 qu'un suppl\u00e9ment d'une simple hormone pourrait offrir une meilleure chance aux m\u00e8res et aux b\u00e9b\u00e9s : La progest\u00e9rone.<\/span><\/p>\n\n\n\n

Selon la Ind\u00e9pendants<\/em><\/a>, t<\/span>a recherche est le fruit d'un travail d'\u00e9quipe entre des chercheurs de l'Universit\u00e9 de Birmingham et de l'Institut de recherche de l'Union europ\u00e9enne. <\/span>Centre national de recherche sur les fausses couches de Tommy<\/span><\/a> au Royaume-Uni. L'un d'entre eux <\/span>connue sous le nom d'essai PROMISE,<\/span><\/a> a \u00e9t\u00e9 publi\u00e9 dans le <\/span>American Journal of Obstetrics and<\/span><\/i> Gyn\u00e9cologie et <\/span>a examin\u00e9 plus de 800 femmes au Royaume-Uni et aux Pays-Bas qui avaient subi des fausses couches \u00e0 r\u00e9p\u00e9tition. Les chercheurs ont observ\u00e9 que les patientes ayant re\u00e7u une suppl\u00e9mentation en progest\u00e9rone vaginale micronis\u00e9e avaient un taux de naissance vivante sup\u00e9rieur de 3 %.<\/span><\/p>\n\n\n\n

Une deuxi\u00e8me \u00e9tude, connue sous le nom d'essai PRISM, a \u00e9t\u00e9 publi\u00e9e dans la revue <\/span>BJOG : Journal international d'obst\u00e9trique et de gyn\u00e9cologie<\/span><\/i><\/a> et ont \u00e9valu\u00e9 4 153 femmes trait\u00e9es dans des h\u00f4pitaux britanniques. Toutes les patientes pr\u00e9sentaient des saignements en d\u00e9but de grossesse, un sympt\u00f4me effrayant qui peut parfois pr\u00e9sager une fausse couche. Les r\u00e9sultats ont r\u00e9v\u00e9l\u00e9 que pour les m\u00e8res qui avaient d\u00e9j\u00e0 subi au moins une perte ant\u00e9rieure, la suppl\u00e9mentation en progest\u00e9rone permettait d'augmenter de 5 % le nombre de b\u00e9b\u00e9s n\u00e9s vivants. Les femmes ayant re\u00e7u un placebo n'ont pas b\u00e9n\u00e9fici\u00e9 des m\u00eames avantages.<\/span><\/p>\n\n\n\n

Dans les cas les plus d\u00e9sesp\u00e9r\u00e9s, pour les femmes qui avaient d\u00e9j\u00e0 fait au moins trois fausses couches, on a constat\u00e9 que la progest\u00e9rone vaginale micronis\u00e9e augmentait le taux de naissances vivantes d'un pourcentage \u00e9tonnant de 15 %.<\/span><\/p>\n\n\n\n

Comment la progest\u00e9rone peut r\u00e9duire le nombre de fausses couches<\/b><\/span><\/h2>\n\n\n\n

\u00c9tant donn\u00e9 qu'environ <\/span>1 million de fausses couches<\/span><\/a> se produisent chaque ann\u00e9e aux \u00c9tats-Unis, ces \u00e9tudes sugg\u00e8rent que des dizaines de milliers de grossesses pourraient \u00eatre sauv\u00e9es.<\/span><\/p>\n\n\n\n

Le <\/span>Ind\u00e9pendants<\/span><\/i> citations<\/a> Adam Devall, chercheur principal, \"Le r\u00f4le de la suppl\u00e9mentation en progest\u00e9rone au cours du premier trimestre dans le traitement des grossesses \u00e0 haut risque de fausse couche est une question de recherche de longue date qui est d\u00e9battue dans la litt\u00e9rature m\u00e9dicale depuis plus de 60 ans\". Mais ce n'est pas une nouvelle pour les praticiens de la sensibilisation \u00e0 la fertilit\u00e9 et pour les m\u00e9decins de famille. <\/span>M\u00e9decins form\u00e9s \u00e0 la NaProTechnology<\/span><\/a>. Depuis des d\u00e9cennies, ils savent que <\/span>Les hormones de progest\u00e9rone peuvent contribuer \u00e0 pr\u00e9venir les fausses couches<\/span><\/a>. <\/span><\/p>\n\n\n\n

Comment ? \"<\/span>Pendant la grossesse, la progest\u00e9rone maintient la muqueuse ut\u00e9rine, assure la nutrition de l'endom\u00e8tre pour le f\u0153tus et pr\u00e9vient les contractions ut\u00e9rines pr\u00e9matur\u00e9es\". <\/span>Allison Jung, assistante m\u00e9dicale sp\u00e9cialis\u00e9e en gyn\u00e9cologie-obst\u00e9trique, a \u00e9crit pour <\/span>La f\u00e9minit\u00e9 naturelle<\/span><\/i><\/a> au d\u00e9but de cette ann\u00e9e. Si le corps d'une femme enceinte ne produit pas naturellement suffisamment de progest\u00e9rone pour que son ut\u00e9rus reste un environnement s\u00fbr et sain pour le b\u00e9b\u00e9 qui grandit, elle peut conna\u00eetre une \".<\/span>grossesse chimique<\/span><\/a>terme courant pour d\u00e9signer une fausse couche tr\u00e8s pr\u00e9coce.<\/span><\/p>\n\n\n\n

Bien qu'un test effectu\u00e9 au cabinet du m\u00e9decin puisse r\u00e9v\u00e9ler de faibles niveaux d'hormones de grossesse dans la circulation sanguine et qu'un test d'urine effectu\u00e9 \u00e0 domicile puisse donner un l\u00e9ger r\u00e9sultat positif, une femme qui souffre de cette forme de fausse couche commencera \u00e0 saigner vers la cinqui\u00e8me semaine de gestation, quelques jours avant que la grossesse ne soit visible \u00e0 l'\u00e9chographie. Certaines femmes qui ne suivent pas leur cycle peuvent interpr\u00e9ter ces saignements comme un simple retard de r\u00e8gles et ne pas se rendre compte de ce qui s'est pass\u00e9. \"<\/span>Une femme peut faire une fausse couche plus tard au cours du premier trimestre si elle a un faible taux de progest\u00e9rone et que les s\u00e9cr\u00e9tions endom\u00e9triales sont faibles, ce qui affame le f\u0153tus avant que le placenta ne prenne le relais\", \u00e9crit Mme Jung. <\/span><\/p>\n\n\n\n

Un faible taux de progest\u00e9rone peut \u00e9galement affecter la sant\u00e9 gestationnelle en fin de grossesse. \u00c9tant donn\u00e9 que cette hormone favorise la croissance de l'ut\u00e9rus et l'emp\u00eache de se contracter, la suppl\u00e9mentation en progest\u00e9rone est un moyen tr\u00e8s important de prot\u00e9ger les mamans et les b\u00e9b\u00e9s des dangers d'une naissance pr\u00e9matur\u00e9e \u00e0 la fin du deuxi\u00e8me et au d\u00e9but du troisi\u00e8me trimestre. <\/span><\/p>\n\n\n\n

Comment une femme peut-elle savoir si elle a un taux de progest\u00e9rone trop bas ? Elle n'a pas besoin d'attendre d'\u00eatre enceinte pour le savoir. En suivant de mani\u00e8re proactive son cycle menstruel \u00e0 l'aide d'un <\/span>M\u00e9thode bas\u00e9e sur la prise de conscience de la fertilit\u00e9<\/span><\/a> (FABM), une femme et son \u00e9quipe soignante peuvent d\u00e9tecter des probl\u00e8mes potentiels, notamment une carence en progest\u00e9rone. Par exemple, ses dossiers peuvent r\u00e9v\u00e9ler une phase lut\u00e9ale anormalement courte. La phase lut\u00e9ale est la partie du cycle d'une femme qui commence apr\u00e8s l'ovulation et dure jusqu'au d\u00e9but des r\u00e8gles. Si les graphiques indiquent moins de 10 jours entre l'ovulation et les saignements menstruels, et surtout si cela s'accompagne de saignements bruns \u00e0 la fin des r\u00e8gles, cela sugg\u00e8re qu'une carence en progest\u00e9rone pourrait \u00eatre en cause.<\/span><\/p>\n\n\n\n

Comment les m\u00e9decins NaPro traitent-ils la carence en progest\u00e9rone ? <\/b><\/span><\/h2>\n\n\n\n

Contrairement aux gyn\u00e9cologues-obst\u00e9triciens traditionnels, les m\u00e9decins du NaPro n'utilisent pas de pilules contraceptives, qui inondent le corps d'une dose constante de progest\u00e9rone synth\u00e9tique, fabriqu\u00e9e en usine, tous les jours. Chez une femme en bonne sant\u00e9, le taux de progest\u00e9rone est le plus \u00e9lev\u00e9 apr\u00e8s l'ovulation, et c'est donc \u00e0 ce moment-l\u00e0 que les m\u00e9decins de NaPro compl\u00e8tent avec <\/span>progest\u00e9rone bio-identique<\/span><\/a> et personnaliser la dose pour chaque femme, en se basant sur les dossiers de la patiente pour d\u00e9terminer le moment o\u00f9 le m\u00e9dicament doit \u00eatre administr\u00e9. Certaines femmes prennent la progest\u00e9rone sous forme de pilule orale ou de suppositoire vaginal, tandis que d'autres la prennent sous forme d'injections intramusculaires de \"progest\u00e9rone dans l'huile\". <\/span><\/p>\n\n\n\n

Qu'en est-il apr\u00e8s la conception ? \"Si une femme est enceinte, son m\u00e9decin NaPro \u00e9valuera sa production naturelle de progest\u00e9rone toutes les deux semaines pendant toute la dur\u00e9e de sa grossesse. Le remplacement d\u00e9pendra des r\u00e9sultats du laboratoire et de l'\u00e9tat d'avancement de la grossesse ; la progest\u00e9rone ne doit \u00eatre remplac\u00e9e qu'\u00e0 des niveaux physiologiques\", \u00e9crit Jung. L'accent est mis sur le r\u00e9tablissement de l'organisme \u00e0 un niveau aussi proche que possible d'une performance saine et naturelle.<\/span><\/p>\n\n\n\n

Quelle est la voie d'administration de la progest\u00e9rone la plus efficace ? <\/span><\/h2>\n\n\n\n

NaPro's protocole de soutien \u00e0 la progest\u00e9rone pendant la grossesse <\/a>recommande l'administration de progest\u00e9rone par voie intramusculaire. Selon des t\u00e9moignages anecdotiques, les femmes qui ne supportent pas cette voie d'administration se voient proposer de la progest\u00e9rone par voie vaginale. Mais les statistiques de NaPro sur l'efficacit\u00e9 d'une voie par rapport \u00e0 l'autre sont difficiles \u00e0 obtenir. <\/span><\/p>\n\n\n\n

Nous disposons de donn\u00e9es r\u00e9centes sur la recherche introduisant la suppl\u00e9mentation en progest\u00e9rone pour r\u00e9duire les taux de fausses couches chez les femmes ayant subi une intervention chirurgicale. les techniques de procr\u00e9ation assist\u00e9e (PMA)<\/a> comme la f\u00e9condation in vitro (FIV)<\/a>La progest\u00e9rone est une alternative naturelle \u00e0 laquelle NaPro, NEO Fertility, FEMM et d'autres formes de m\u00e9decine reproductive r\u00e9paratrice peuvent se substituer. Bien que les essais PRISM et PROMISE mentionn\u00e9s ci-dessus n'aient pas \u00e9tudi\u00e9 l'efficacit\u00e9 de la progest\u00e9rone intramusculaire, une \u00e9tude de l'efficacit\u00e9 de la progest\u00e9rone intramusculaire a \u00e9t\u00e9 r\u00e9alis\u00e9e. \u00c9tude 2019<\/a> de femmes ayant re\u00e7u dons d'ovocytes<\/a> (une forme de ART<\/a>) et qui ont re\u00e7u des injections intramusculaires hebdomadaires de progest\u00e9rone juste apr\u00e8s le transfert d'embryons ont eu des taux de fausses couches significativement plus faibles (16,7%) que les femmes qui ont re\u00e7u de la progest\u00e9rone par voie vaginale (47%). <\/span><\/p>\n\n\n\n

D'autre part, cette Recherche 2020<\/a> a constat\u00e9 que les taux de naissances vivantes \u00e9taient \u00e9quivoques (une voie n'\u00e9tait pas sup\u00e9rieure \u00e0 l'autre) pour le gel de progest\u00e9rone intramusculaire par rapport au gel de progest\u00e9rone vaginal administr\u00e9 aux femmes ayant subi un transfert d'embryons congel\u00e9s dans le cadre d'une FIV. En outre, Recherche 2014<\/a> a constat\u00e9 que la progest\u00e9rone vaginale avait un impact plus important sur le tissu endom\u00e9trial (rappelons que l'endom\u00e8tre est la paroi interne de l'ut\u00e9rus) et moins d'effets syst\u00e9miques, ce qui devrait entra\u00eener moins d'effets secondaires. <\/span><\/p>\n\n\n\n

Le bilan<\/h2>\n\n\n\n

Le National Institute for Health and Care Excellence du Royaume-Uni a annonc\u00e9 qu'il mettait \u00e0 jour ses lignes directrices sur la gestion des fausses couches potentielles, en tenant compte des nouvelles preuves de l'efficacit\u00e9 de la progest\u00e9rone dans la pr\u00e9vention des fausses couches. Les nouvelles recherches confirment une fois de plus la valeur de l'utilisation des principes FABM et NaPro dans le domaine de la sant\u00e9 des femmes. C'est une excellente nouvelle pour les mamans et leurs b\u00e9b\u00e9s !<\/span><\/p>\n\n\n\n

Cet article a \u00e9t\u00e9 mis \u00e0 jour le 4 avril 2023 pour r\u00e9soudre un lien bris\u00e9 de l'Independent et pour ajouter des recherches concernant l'efficacit\u00e9 de la progest\u00e9rone intramusculaire par rapport \u00e0 la progest\u00e9rone vaginale. <\/em><\/p>\n\n\n\n

Lectures compl\u00e9mentaires<\/b><\/p>\n\n\n\n

D\u00e9ficit en progest\u00e9rone : Comment une quantit\u00e9 insuffisante de progest\u00e9rone peut entra\u00eener de graves probl\u00e8mes<\/span><\/a><\/p>\n\n\n\n

Comment la sensibilisation \u00e0 la fertilit\u00e9 r\u00e9duit le risque de fausse couche<\/span><\/a><\/p>\n\n\n\n

Une \u00e9tude sugg\u00e8re que l'administration de progest\u00e9rone aux femmes pourrait am\u00e9liorer leurs chances d'avoir un enfant<\/span><\/a><\/p>\n\n\n\n

Conna\u00eetre les \u0153strog\u00e8nes et progestatifs synth\u00e9tiques : Quels sont leurs effets sur notre corps ?<\/span><\/a><\/p>\n\n\n\n

Ce que toute femme qui arr\u00eate la pilule doit savoir avant d'essayer d'avoir un enfant<\/span><\/a><\/p>\n\n\n\n

Comment la d\u00e9tection du risque de fausse couche m'a aid\u00e9e \u00e0 devenir m\u00e8re<\/span><\/a><\/p>\n\n\n\n

Qu'est-ce qu'une \"grossesse chimique\" ?<\/span><\/a><\/p>\n\n\n\n

L'utilisation de suppl\u00e9ments de progest\u00e9rone dans le traitement de la d\u00e9pression post-partum<\/span><\/a><\/p>","protected":false},"excerpt":{"rendered":"Comment trouver un m\u00e9decin qui le prescrira ?","protected":false},"author":49,"featured_media":7602,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_kad_blocks_custom_css":"","_kad_blocks_head_custom_js":"","_kad_blocks_body_custom_js":"","_kad_blocks_footer_custom_js":"","csco_singular_sidebar":"","csco_page_header_type":"","csco_page_load_nextpost":"","csco_post_video_location":[],"csco_post_video_url":"","csco_post_video_bg_start_time":0,"csco_post_video_bg_end_time":0,"footnotes":""},"categories":[5509,5181],"tags":[59,5320],"class_list":{"0":"post-7601","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-pregnancy-loss","8":"category-reproductive-and-menstrual-disorders","9":"tag-infertility","10":"tag-miscarriage","11":"cs-entry","12":"cs-video-wrap"},"acf":[],"yoast_head":"\nStudies Show that Progesterone Supplementation can Prevent Miscarriage<\/title>\n<meta name=\"description\" content=\"About twenty percent of all pregnancies end with a miscarriage. 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