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Master Thesis

L'évaluation de la prise en charge du tabac chez la femme enceinte par les professionnels médicaux libéraux

Abstract : Goals: 1. Evaluate how pregnant women are followed in terms of use of tobacco by private professionals of medical who are in practice in Angers and estimate the proportion of people among the medical staff who : - Enforce the “medical advice”; - Talk about passive smoking; - Deliver quality information to patient during consultations; - Inform smoking pregnant patients about the existence of consultations about smoking; - Feel difficulties with talking about tobacco. 2. Compare medical staffs that follow the pregnant woman, depending on their areas. Analysed population and methods: This memoir is a descriptive and comparative survey through the means of a questionnaire self fellable. The target consists in 98 practitioners, 15 gynaecologist-obstetricians and 9 midwives. This study took place from 07/01/09 to 10/01/09.

Results: The answer rate is 67.9%. 8.3% of the interrogate people smoke and 27.3% of them are former smokers. The “minimal advice” is well enforced by 39.2% of doctors, 66.7% of gynaecologists and 88.9% of midwives i.e. 46.3% of the medical staff. 47.9% of the interrogated people do not ask about the use of cannabis. 68.6% of the targets do not ask whether the companion of the smoking woman smokes and 33.9% do not ask at all when the patient doesn't smoke. 30.6% of the targets have informative leaflets. Among them, 32.4% deliver it from hand to hand. 61.2% of the targets don't talk about the existence of consultations about smoking. 24.8% of the targets feel uneasy when talking about tobacco, the lack of time is the main reason for 14.8% of those who answered. 30.6% of targets feel uneasy when talking a pregnant woman bout tobacco. 18.9% of them talk about a feeling of guilt.

Debate and conclusion: I not enough study the use of tobacco by a pregnant woman. Meanwhile, this habit is improving. Knowing whether the woman smokes or not is often checked but the “minimal advice” is not enforced. Cannabis is not seeked as a factor. Passive smoking is not identified and patients are not informed about its risks. Few doctors and gynaecologists offer leaflets. Doctors do not inform about the existence of consultations about smoking. Being formed like the midwives would improve all the medical staff's practice. This study may enable the UCT of Angers University Hospital to offer more precise formation to various medical specialities.

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https://dumas.ccsd.cnrs.fr/dumas-00543725
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Submitted on : Monday, December 6, 2010 - 3:45:44 PM
Last modification on : Friday, May 10, 2019 - 1:26:01 PM
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Justin Papin-Groseil. L'évaluation de la prise en charge du tabac chez la femme enceinte par les professionnels médicaux libéraux. Gynécologie et obstétrique. 2010. ⟨dumas-00543725⟩

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