{"id":44554,"date":"2026-08-11T07:53:13","date_gmt":"2026-08-11T02:23:13","guid":{"rendered":"https:\/\/mdforlives.com\/blog\/la-thalassemie-pendant-la-grossesse-defis-et-prise-en-charge\/"},"modified":"2026-11-05T18:38:37","modified_gmt":"2026-11-05T13:08:37","slug":"thalassemie-et-grossesse","status":"publish","type":"post","link":"https:\/\/mdforlives.com\/blog\/fr\/thalassemie-et-grossesse\/","title":{"rendered":"La thalass\u00e9mie pendant la grossesse : d\u00e9fis et prise en charge"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"44554\" class=\"elementor elementor-44554 elementor-40078\" data-elementor-post-type=\"post\">\n\t\t\t\t<div class=\"elementor-element elementor-element-5ff00724 e-con-full e-flex e-con e-parent\" data-id=\"5ff00724\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-403a84c8 elementor-widget elementor-widget-text-editor\" data-id=\"403a84c8\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>La thalass\u00e9mie et grossesse n\u00e9cessitent une planification m\u00e9dicale rigoureuse, car les maladies h\u00e9r\u00e9ditaires du sang peuvent avoir des cons\u00e9quences sur la sant\u00e9 maternelle et le d\u00e9veloppement du f\u0153tus. La thalass\u00e9mie affecte la production d\u2019h\u00e9moglobine, entra\u00eenant une an\u00e9mie chronique et des complications potentielles pendant la grossesse.<\/p><p>Gr\u00e2ce aux progr\u00e8s du d\u00e9pistage, du conseil g\u00e9n\u00e9tique et de la prise en charge multidisciplinaire, de nombreuses femmes atteintes de thalass\u00e9mie peuvent mener une grossesse dans de bonnes conditions de s\u00e9curit\u00e9. Les obst\u00e9triciens, les h\u00e9matologues et les sp\u00e9cialistes de m\u00e9decine f\u0153to-maternelle collaborent souvent pour g\u00e9rer les risques, surveiller la sant\u00e9 du f\u0153tus et favoriser un accouchement dans les meilleures conditions.<\/p><h2><strong>Thalass\u00e9mie et grossesse<\/strong><\/h2><p>La thalass\u00e9mie regroupe plusieurs maladies h\u00e9r\u00e9ditaires du sang caract\u00e9ris\u00e9es par une production r\u00e9duite ou absente de certaines cha\u00eenes de globine constituant l\u2019h\u00e9moglobine. L\u2019h\u00e9moglobine est essentielle au transport de l\u2019oxyg\u00e8ne dans tout l\u2019organisme.<\/p><p>Pendant la grossesse, les changements physiologiques entra\u00eenent une augmentation du volume sanguin et des besoins en oxyg\u00e8ne. Chez les femmes atteintes de thalass\u00e9mie, ces changements peuvent aggraver l\u2019an\u00e9mie et entra\u00eener des difficult\u00e9s cliniques suppl\u00e9mentaires.<\/p><p>Les principales pr\u00e9occupations li\u00e9es \u00e0 la thalass\u00e9mie et grossesse comprennent :<\/p><ul><li>l&rsquo;aggravation de l&rsquo;an\u00e9mie maternelle<\/li><li>un besoin accru de transfusions sanguines<\/li><li>les complications li\u00e9es \u00e0 la surcharge en fer<\/li><li>un retard de croissance f\u0153tale dans les cas graves<\/li><\/ul><p>Un d\u00e9pistage pr\u00e9coce et une prise en charge coordonn\u00e9e sont donc essentiels pour obtenir les meilleurs r\u00e9sultats possibles.<\/p><h2><strong>Types de thalass\u00e9mie pendant la grossesse<\/strong><\/h2><p>Les syndromes thalass\u00e9miques sont g\u00e9n\u00e9ralement class\u00e9s en fonction de la cha\u00eene de globine affect\u00e9e.<\/p><h3><strong>Alpha-thalass\u00e9mie pendant la grossesse<\/strong><\/h3><p>L\u2019alpha-thalass\u00e9mie r\u00e9sulte d\u2019une production r\u00e9duite des cha\u00eenes de globine alpha.<\/p><p>La gravit\u00e9 d\u00e9pend du nombre de g\u00e8nes de globine alpha affect\u00e9s :<\/p><ul><li>Porteur silencieux \u2013 aucun sympt\u00f4me clinique<\/li><li>Trait alpha-thalass\u00e9mique \u2013 an\u00e9mie l\u00e9g\u00e8re<\/li><li>Maladie \u00e0 h\u00e9moglobine H \u2013 an\u00e9mie mod\u00e9r\u00e9e \u00e0 s\u00e9v\u00e8re<\/li><li>Hydrops f\u0153tal \u2013 affection f\u0153tale grave<\/li><\/ul><p>Lorsque les deux parents sont porteurs de mutations de l\u2019alpha-thalass\u00e9mie, des complications f\u0153tales telles que l\u2019hydrops f\u0153tal peuvent survenir.<\/p><p>Les tests g\u00e9n\u00e9tiques pr\u00e9nataux peuvent aider \u00e0 identifier les risques d\u00e8s le d\u00e9but de la grossesse.<\/p><h3><strong>B\u00eata-thalass\u00e9mie pendant la grossesse<\/strong><\/h3><p>La b\u00eata-thalass\u00e9mie affecte la production des cha\u00eenes de globine b\u00eata.<\/p><p>Cette maladie se pr\u00e9sente sous plusieurs formes :<\/p><ul><li>B\u00eata-thalass\u00e9mie mineure (trait)<\/li><li>B\u00eata-thalass\u00e9mie interm\u00e9diaire<\/li><li>B\u00eata-thalass\u00e9mie majeure<\/li><\/ul><p>Les femmes pr\u00e9sentant un trait b\u00eata-thalass\u00e9mique pendant la grossesse souffrent g\u00e9n\u00e9ralement d\u2019une an\u00e9mie l\u00e9g\u00e8re et tol\u00e8rent habituellement bien la grossesse avec un suivi m\u00e9dical adapt\u00e9.<\/p><p>Cependant, les femmes atteintes de b\u00eata-thalass\u00e9mie majeure ont souvent besoin de transfusions sanguines et d\u2019une prise en charge sp\u00e9cialis\u00e9e.<\/p><p><img fetchpriority=\"high\" decoding=\"async\" class=\"aligncenter size-full wp-image-40417\" src=\"https:\/\/mdfl-blog20.azurewebsites.net\/blog\/wp-content\/uploads\/2026\/08\/Thalassemia-in-Pregnancy-inartical-image-1.jpg\" alt=\"Sch\u00e9ma illustrant les mutations g\u00e9n\u00e9tiques responsables de l\u2019alpha-thalass\u00e9mie et de la b\u00eata-thalass\u00e9mie \" width=\"800\" height=\"400\" srcset=\"https:\/\/mdforlives.com\/blog\/wp-content\/uploads\/2026\/08\/Thalassemia-in-Pregnancy-inartical-image-1.jpg 800w, https:\/\/mdforlives.com\/blog\/wp-content\/uploads\/2026\/08\/Thalassemia-in-Pregnancy-inartical-image-1-300x150.jpg 300w, https:\/\/mdforlives.com\/blog\/wp-content\/uploads\/2026\/08\/Thalassemia-in-Pregnancy-inartical-image-1-768x384.jpg 768w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><\/p><h2><strong>Fertilit\u00e9 et grossesse en cas de thalass\u00e9mie<\/strong><\/h2><p>Historiquement, les taux de fertilit\u00e9 chez les femmes atteintes de formes s\u00e9v\u00e8res de thalass\u00e9mie \u00e9taient plus faibles en raison de l\u2019an\u00e9mie chronique et de la surcharge en fer, qui peuvent affecter la fonction endocrinienne.<\/p><p>Les progr\u00e8s des traitements m\u00e9dicaux ont consid\u00e9rablement am\u00e9lior\u00e9 les r\u00e9sultats en mati\u00e8re de reproduction.<\/p><h3><strong>Fertilit\u00e9 et b\u00eata-thalass\u00e9mie<\/strong><\/h3><p>Les femmes atteintes de b\u00eata-thalass\u00e9mie majeure peuvent pr\u00e9senter un retard de pubert\u00e9 ou des troubles hormonaux. Les protocoles transfusionnels modernes et les traitements ch\u00e9lateurs du fer ont am\u00e9lior\u00e9 les perspectives de fertilit\u00e9.<\/p><h3><strong>Fertilit\u00e9 et alpha-thalass\u00e9mie<\/strong><\/h3><p>La plupart des femmes pr\u00e9sentant un trait alpha-thalass\u00e9mique conservent une fertilit\u00e9 normale. Toutefois, un conseil g\u00e9n\u00e9tique est important lorsque les deux partenaires sont porteurs de g\u00e8nes de l\u2019alpha-thalass\u00e9mie.<\/p><p>Le d\u00e9pistage avant la conception permet d&rsquo;\u00e9valuer les risques f\u0153taux avant le d\u00e9but de la grossesse.<\/p><h2><strong>Pr\u00e9paration \u00e0 la grossesse en cas de thalass\u00e9mie<\/strong><\/h2><p>Une planification avant la conception est fortement recommand\u00e9e pour les femmes atteintes de thalass\u00e9mie.<\/p><p>Les principales \u00e9tapes comprennent :<\/p><p>Conseil g\u00e9n\u00e9tique<\/p><p>Les couples devraient b\u00e9n\u00e9ficier d&rsquo;un d\u00e9pistage du statut de porteur afin de d\u00e9terminer si les deux partenaires pr\u00e9sentent des mutations responsables de la thalass\u00e9mie.<\/p><p>\u00c9valuation h\u00e9matologique<\/p><p>L&rsquo;\u00e9valuation comprend g\u00e9n\u00e9ralement :<\/p><ul><li>les taux d&rsquo;h\u00e9moglobine<\/li><li>le bilan martial<\/li><li>la fonction cardiaque<\/li><li>la fonction h\u00e9patique<\/li><\/ul><p>Prise en charge de la surcharge en fer<\/p><p>Les patientes recevant des transfusions \u00e0 long terme peuvent d\u00e9velopper une surcharge en fer. Le traitement ch\u00e9lateur du fer peut \u00eatre ajust\u00e9 avant la conception.<\/p><p>Vaccination et d\u00e9pistage des infections<\/p><p>La vaccination contre certaines infections, notamment l\u2019h\u00e9patite, peut \u00eatre recommand\u00e9e avant la grossesse.<\/p><p>Une \u00e9valuation compl\u00e8te avant la conception contribue \u00e0 r\u00e9duire les risques de complications.<\/p><h2><strong>Prise en charge pendant la grossesse<\/strong><\/h2><p>La prise en charge de la grossesse n\u00e9cessite une surveillance \u00e9troite tout au long des trois trimestres.<\/p><p>Surveillance de l&rsquo;h\u00e9moglobine<\/p><p>Des analyses sanguines r\u00e9guli\u00e8res permettent de suivre les taux d&rsquo;h\u00e9moglobine et de d\u00e9terminer les besoins en transfusions.<\/p><p>Surveillance du fer<\/p><p>Les taux de fer doivent \u00eatre surveill\u00e9s attentivement. Une suppl\u00e9mentation en fer ne doit \u00eatre administr\u00e9e que si une carence en fer est confirm\u00e9e.<\/p><p>Surveillance f\u0153tale<\/p><p>Les \u00e9chographies peuvent permettre d&rsquo;\u00e9valuer :<\/p><ul><li>la croissance f\u0153tale<\/li><li>le volume du liquide amniotique<\/li><li>l&rsquo;\u00e9tat du placenta<\/li><\/ul><p>Un d\u00e9pistage g\u00e9n\u00e9tique peut \u00e9galement \u00eatre propos\u00e9 si les deux parents sont porteurs.<\/p><p>Surveillance cardiovasculaire<\/p><p>Les formes s\u00e9v\u00e8res de thalass\u00e9mie peuvent augmenter la sollicitation du c\u0153ur, en particulier chez les patientes d\u00e9pendantes des transfusions.<\/p><p>Une \u00e9valuation cardiovasculaire r\u00e9guli\u00e8re permet de d\u00e9tecter pr\u00e9cocement d&rsquo;\u00e9ventuelles complications.<\/p><p><img decoding=\"async\" class=\"aligncenter size-full wp-image-40418\" src=\"https:\/\/mdfl-blog20.azurewebsites.net\/blog\/wp-content\/uploads\/2026\/08\/Thalassemia-in-Pregnancy-inartical-image-2.jpg\" alt=\"\u00c9chographie pr\u00e9natale pour surveiller la sant\u00e9 du f\u0153tus en cas de thalass\u00e9mie pendant la grossesse\" width=\"800\" height=\"400\" srcset=\"https:\/\/mdforlives.com\/blog\/wp-content\/uploads\/2026\/08\/Thalassemia-in-Pregnancy-inartical-image-2.jpg 800w, https:\/\/mdforlives.com\/blog\/wp-content\/uploads\/2026\/08\/Thalassemia-in-Pregnancy-inartical-image-2-300x150.jpg 300w, https:\/\/mdforlives.com\/blog\/wp-content\/uploads\/2026\/08\/Thalassemia-in-Pregnancy-inartical-image-2-768x384.jpg 768w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><\/p><h2><strong>Prise en charge pendant l&rsquo;accouchement<\/strong><\/h2><p>La planification de l&rsquo;accouchement d\u00e9pend de l&rsquo;\u00e9tat de sant\u00e9 maternel et de l&rsquo;\u00e9volution de la grossesse.<\/p><p>Les principaux \u00e9l\u00e9ments \u00e0 prendre en compte sont :<\/p><ul><li>le maintien de taux d&rsquo;h\u00e9moglobine stables<\/li><li>la gestion des besoins en transfusions sanguines<\/li><li>la surveillance du bien-\u00eatre f\u0153tal pendant le travail<\/li><\/ul><p>De nombreuses femmes atteintes de thalass\u00e9mie peuvent accoucher par voie basse. Une c\u00e9sarienne peut \u00eatre recommand\u00e9e si des complications obst\u00e9tricales surviennent.<\/p><p>Les \u00e9quipes de soins multidisciplinaires contribuent \u00e0 garantir des conditions d&rsquo;accouchement s\u00fbres.<\/p><h2><strong>Prise en charge apr\u00e8s l&rsquo;accouchement<\/strong><\/h2><p>Le suivi m\u00e9dical reste important apr\u00e8s l&rsquo;accouchement.<\/p><p>Les principales priorit\u00e9s comprennent :<\/p><p>Surveillance des taux d&rsquo;h\u00e9moglobine<\/p><p>Les param\u00e8tres de la num\u00e9ration sanguine sont r\u00e9\u00e9valu\u00e9s afin d&rsquo;\u00e9valuer l&rsquo;an\u00e9mie et la r\u00e9cup\u00e9ration.<\/p><p>Reprise du traitement ch\u00e9lateur du fer<\/p><p>Les femmes atteintes de thalass\u00e9mie d\u00e9pendante des transfusions peuvent reprendre le traitement ch\u00e9lateur du fer apr\u00e8s avoir pris en compte les consid\u00e9rations li\u00e9es \u00e0 l&rsquo;allaitement.<\/p><p>Conseils en mati\u00e8re de contraception<\/p><p>Les discussions sur la planification familiale contribuent \u00e0 favoriser des grossesses futures dans de bonnes conditions de s\u00e9curit\u00e9.<\/p><p>\u00c9valuation du nouveau-n\u00e9<\/p><p>Le d\u00e9pistage n\u00e9onatal peut permettre d&rsquo;identifier les traits thalass\u00e9miques h\u00e9rit\u00e9s des parents.<\/p><h2><strong>Points essentiels \u00e0 retenir<\/strong><\/h2><ul><li>La thalass\u00e9mie et grossesse n\u00e9cessitent une prise en charge coordonn\u00e9e entre obst\u00e9triciens et h\u00e9matologues.<\/li><li>Le d\u00e9pistage g\u00e9n\u00e9tique permet d&rsquo;\u00e9valuer les risques f\u0153taux avant ou pendant la grossesse.<\/li><li>Les femmes pr\u00e9sentant un trait thalass\u00e9mique ont souvent des grossesses r\u00e9ussies avec une surveillance adapt\u00e9e.<\/li><li>Les formes s\u00e9v\u00e8res peuvent n\u00e9cessiter des transfusions sanguines et une prise en charge sp\u00e9cialis\u00e9e.<\/li><li>Une prise en charge multidisciplinaire am\u00e9liore consid\u00e9rablement les r\u00e9sultats maternels et f\u0153taux.<\/li><\/ul><p>Consultez \u00e9galement notre article sur <a href=\"https:\/\/mdforlives.com\/blog\/hypertension-among-pregnant-women\/\" data-wpel-link=\"internal\">l&rsquo;hypertension chez la femme enceinte.<\/a><\/p><h2><strong>Conclusion<\/strong><\/h2><p>Les progr\u00e8s de l&rsquo;h\u00e9matologie, du d\u00e9pistage pr\u00e9natal et de la prise en charge obst\u00e9tricale multidisciplinaire ont consid\u00e9rablement am\u00e9lior\u00e9 les r\u00e9sultats pour les femmes atteintes de thalass\u00e9mie pendant la grossesse.<\/p><p>Gr\u00e2ce \u00e0 un conseil pr\u00e9conceptionnel adapt\u00e9, \u00e0 une surveillance attentive pendant la grossesse et \u00e0 des strat\u00e9gies th\u00e9rapeutiques individualis\u00e9es, de nombreuses femmes atteintes de thalass\u00e9mie peuvent mener leur grossesse \u00e0 terme en toute s\u00e9curit\u00e9 et donner naissance \u00e0 des b\u00e9b\u00e9s en bonne sant\u00e9.<\/p><p>Un diagnostic pr\u00e9coce et une prise en charge m\u00e9dicale coordonn\u00e9e restent les facteurs les plus importants pour r\u00e9duire les risques li\u00e9s \u00e0 la grossesse.<\/p><p>Explorez <a href=\"https:\/\/mdforlives.com\/\" target=\"_blank\" rel=\"follow noopener\" data-wpel-link=\"external\">MDForlives<\/a> pour d\u00e9couvrir davantage d&rsquo;informations sur les enjeux mondiaux de la sant\u00e9. D\u00e9couvrez des analyses de recherche et des points de vue de professionnels de sant\u00e9 qui contribuent \u00e0 fa\u00e7onner les soins de sant\u00e9 modernes.<\/p><p>Consultez \u00e9galement notre article sur la <a href=\"https:\/\/mdforlives.com\/blog\/birth-defect-prevention-take-charge-of-your-pregnancy-health\/\" target=\"_blank\" rel=\"noopener\" data-wpel-link=\"internal\">pr\u00e9vention des malformations cong\u00e9nitales.<\/a><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-b431c31 elementor-widget elementor-widget-heading\" data-id=\"b431c31\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Questions fr\u00e9quentes<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-25d4a7b elementor-widget elementor-widget-n-accordion\" data-id=\"25d4a7b\" data-element_type=\"widget\" data-settings=\"{&quot;default_state&quot;:&quot;expanded&quot;,&quot;max_items_expended&quot;:&quot;one&quot;,&quot;n_accordion_animation_duration&quot;:{&quot;unit&quot;:&quot;ms&quot;,&quot;size&quot;:400,&quot;sizes&quot;:[]}}\" data-widget_type=\"nested-accordion.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"e-n-accordion\" aria-label=\"Accordion. Open links with Enter or Space, close with Escape, and navigate with Arrow Keys\">\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-3960\" class=\"e-n-accordion-item\" open>\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"1\" tabindex=\"0\" aria-expanded=\"true\" aria-controls=\"e-n-accordion-item-3960\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> Si les deux parents sont porteurs de la thalass\u00e9mie, quels sont les pourcentages de risque pour le f\u0153tus ? <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><i aria-hidden=\"true\" class=\"fas fa-angle-up\"><\/i><\/span>\n\t\t\t<span class='e-closed'><i aria-hidden=\"true\" class=\"fas fa-angle-down\"><\/i><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-3960\" class=\"elementor-element elementor-element-5441838 e-con-full e-flex e-con e-child\" data-id=\"5441838\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-6ee2459 elementor-widget elementor-widget-text-editor\" data-id=\"6ee2459\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Si les deux parents portent la m\u00eame mutation de la thalass\u00e9mie, chaque grossesse comporte 25 % de risque de donner naissance \u00e0 un enfant atteint, 50 % de risque de donner naissance \u00e0 un enfant porteur et 25 % de probabilit\u00e9 de donner naissance \u00e0 un enfant non atteint.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-3961\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"2\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-3961\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> Quel calendrier de surveillance faut-il pr\u00e9voir en cas de thalass\u00e9mie et grossesse ? <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><i aria-hidden=\"true\" class=\"fas fa-angle-up\"><\/i><\/span>\n\t\t\t<span class='e-closed'><i aria-hidden=\"true\" class=\"fas fa-angle-down\"><\/i><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-3961\" class=\"elementor-element elementor-element-051450f e-con-full e-flex e-con e-child\" data-id=\"051450f\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-15612c5 elementor-widget elementor-widget-text-editor\" data-id=\"15612c5\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>La surveillance comprend g\u00e9n\u00e9ralement des analyses sanguines r\u00e9guli\u00e8res, des \u00e9chographies pour suivre la croissance f\u0153tale et des \u00e9valuations cardiaques maternelles tout au long de la grossesse. Le calendrier exact d\u00e9pend de la gravit\u00e9 de la maladie et de la n\u00e9cessit\u00e9 ou non d&rsquo;un traitement transfusionnel.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-3962\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"3\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-3962\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> Quels conseils donner aux couples lorsque les deux partenaires sont porteurs de la thalass\u00e9mie ? <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><i aria-hidden=\"true\" class=\"fas fa-angle-up\"><\/i><\/span>\n\t\t\t<span class='e-closed'><i aria-hidden=\"true\" class=\"fas fa-angle-down\"><\/i><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-3962\" class=\"elementor-element elementor-element-d9638a8 e-con-full e-flex e-con e-child\" data-id=\"d9638a8\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-d27f5f6 elementor-widget elementor-widget-text-editor\" data-id=\"d27f5f6\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Le conseil g\u00e9n\u00e9tique aide les couples \u00e0 comprendre les modes de transmission, les possibilit\u00e9s de d\u00e9pistage pr\u00e9natal et les issues possibles de la grossesse. Il aborde \u00e9galement les options reproductives et les proc\u00e9dures de diagnostic f\u0153tal.<\/p><div class=\"saboxplugin-wrap\"><div class=\"saboxplugin-tab\"> <\/div><\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<script type=\"application\/ld+json\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@type\":\"FAQPage\",\"mainEntity\":[{\"@type\":\"Question\",\"name\":\"Si les deux parents sont porteurs de la thalass\\u00e9mie, quels sont les pourcentages de risque pour le f\\u0153tus ?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Si les deux parents portent la m\\u00eame mutation de la thalass\\u00e9mie, chaque grossesse comporte 25 % de risque de donner naissance \\u00e0 un enfant atteint, 50 % de risque de donner naissance \\u00e0 un enfant porteur et 25 % de probabilit\\u00e9 de donner naissance \\u00e0 un enfant non atteint.\"}},{\"@type\":\"Question\",\"name\":\"Quel calendrier de surveillance faut-il pr\\u00e9voir en cas de thalass\\u00e9mie et grossesse ?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"La surveillance comprend g\\u00e9n\\u00e9ralement des analyses sanguines r\\u00e9guli\\u00e8res, des \\u00e9chographies pour suivre la croissance f\\u0153tale et des \\u00e9valuations cardiaques maternelles tout au long de la grossesse. 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[&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":44556,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"default","adv-header-id-meta":"","stick-header-meta":"default","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"set","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center 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