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Master Thesis

L'accompagnement global à la naissance et l'accès des sages-femmes libérales aux plateaux techniques : quels bénéfices pour les couples ?

Abstract : Objective: To evaluate the global accompaniment at the birth with access to a technical platform by the liberals midwifes. By trying to know the felt of the couples and by evaluating the medical interest.

Method: We realized a phone survey including 49 couples which benefited from the global accompaniment in the birth in France over a period of 11 years.

Result: The social and economic standing is higher than French population. The rate of hospitalization is significantly lower (6,12%) than that found the pregnancies at low-risk obstetrical having a classic health care. The percentage of caesarian is 3times lesser in the global accompaniment than for the pregnancies at low-risk in France. The instrumental extraction rate is no. The induction of delivery is more rarely necessary and the women give birth mainly without analgesia (85,71%). The inconvenience is than the appeal to a general anesthesia is more frequent. The post partum period is mainly physiological. Concerning the felt of their follow-up, the patients are very satisfied with the pregnancy (95,92%), the delivery (89,80%) and post partum period (77,55%). They are ready of renewing this experience (79,59%).

Conclusion: This study brought to light the profits of the global accompaniment within a fastening with a technical program. There is first of all a medical advantage in this practice but also a positive impact on the personal experience of the pregnancy, the delivery and post partum period by the patients.

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https://dumas.ccsd.cnrs.fr/dumas-00659778
Contributor : Université d'Angers - Scd <>
Submitted on : Friday, January 13, 2012 - 3:51:49 PM
Last modification on : Friday, May 10, 2019 - 1:26:01 PM
Long-term archiving on: : Saturday, April 14, 2012 - 2:32:02 AM

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  • HAL Id : dumas-00659778, version 1

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Solène Touchard. L'accompagnement global à la naissance et l'accès des sages-femmes libérales aux plateaux techniques : quels bénéfices pour les couples ?. Gynécologie et obstétrique. 2011. ⟨dumas-00659778⟩

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