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Master Thesis

Etude comparative des enquêtes 2008 et 2009 sur l'impact de la mise en place d'un protocole d'information sur la vaccination des parents contre la coqueluche en maternité et étude sur le suivi des recommandations de vaccination contre la coqueluche au sein des 24 maternités du Réseau Sécurité Naissance des Pays de la Loire

Abstract : INTRODUCTION: Whooping-cough is an infectious and very contagious disease; it's the primary cause of death in young babies under 2 months old in France. In 2004, new recommendations for the whooping cough vaccination were developed through a strategy called “cocooning”. Although at first these recommendations were rarely followed, they were reinforced in 2008. Since 2006 at the CHU Angers, a new protocol was created in order to inform parents of these recommendations; and a first survey was carried out in 2008 to assess its impact.

PATIENTS AND COURSE: 2 studies have been completed. The first is a comparative study of investigations carried out at the CHU Angers throughout 2008 and 2009, in order to assess the efficiency over a period of time of the strategy of information put in place. The second is results from a questionnaire survey, regarding the implementation of formalities looking to prevent the Whopping-cough in 24 maternities of the Réseau Sécurité Naissance (Safe-Birth Network) of the Pays de la Loire

RESULTS: The information strategy put in place at the Maternity of Angers showed good results regarding the rate of vaccinations by the parents in 2008, and this was further confirmed in 2009. The midwife has become the principal mediator of this information in maternity. The vaccination occurs sooner after the birth and essentially by the general practitioner. The following of recommendations around Whooping- cough vaccination within the maternities of the Pays de la Loire has improved significantly since 2008 through the development of various new information protocols.

CONCLUSION: The role of the midwives has been reinforced in the prevention of the Whooping-cough in young infants. This subject now concerns all health professionals around births and demands good knowledge of the recommendations. The implementation of the vaccination strategy at the maternity in the immediate post partum could improve the vaccination coverage, but this is questioned by the privileged place of the general practitioner in this area.

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https://dumas.ccsd.cnrs.fr/dumas-00557151
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Submitted on : Tuesday, January 18, 2011 - 4:00:42 PM
Last modification on : Friday, October 23, 2020 - 4:37:40 PM
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Claire Portejoie. Etude comparative des enquêtes 2008 et 2009 sur l'impact de la mise en place d'un protocole d'information sur la vaccination des parents contre la coqueluche en maternité et étude sur le suivi des recommandations de vaccination contre la coqueluche au sein des 24 maternités du Réseau Sécurité Naissance des Pays de la Loire. Gynécologie et obstétrique. 2010. ⟨dumas-00557151⟩

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