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Master Thesis

Satisfaction maternelle et mode d'accouchement

Abstract : Background : For health, satisfaction is an indicator of quality care. That's why patient's satisfaction evaluation became a regulatory requirement. But obstetric is a speciality where parent's expectations and interventions in emergency cannot always cohabit. Aims : We do this work to identify the obstetrical factors which influence women satisfaction, including the impact of instrumental vaginal delivery. We search how patient's satisfaction could be increased if we change some of those factors, including the midwife support. Method : We conducted a prospective comparative study type of exposed-unexposed at Port-Royal maternity during June to October 2009, using a test partially issued from Labour Agentry Scale and a report of data on the medical record. Results : After instrumental vaginal delivery, women are significantly less satisfied than women after spontaneous vaginal delivery. Induction and post partum haemorrhage reduce patient's satisfaction too. We measure a correlation between midwife support and satisfaction whatever the mode of delivery, but we observe an important lack of information in case of instrumental vaginal delivery: 35% of women don't know the indication of instrumental vaginal delivery and this indication were never explain in post partum by the doctor or the midwife. Conclusion : The obstetric variables influencing patients satisfaction can't be modified, but the support and the information can be modified, showing the important role which the midwife can have.
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https://dumas.ccsd.cnrs.fr/dumas-00563944
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Submitted on : Monday, February 7, 2011 - 4:07:18 PM
Last modification on : Tuesday, November 10, 2020 - 4:50:43 PM
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  • HAL Id : dumas-00563944, version 1

Citation

Julie Chauvin. Satisfaction maternelle et mode d'accouchement. Gynécologie et obstétrique. 2010. ⟨dumas-00563944⟩

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