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Master Thesis

La visite postnatale : chez le médecin généraliste ou chez un autre spécialiste ? Étude transversale recherchant des raisons motivant le choix des patientes dans une maternité de niveau 1

Abstract : The women's choice and their reasons for choosing a practitioner for the postnatal visit (PNV) have been seldom investigated. Method : For the cross-sectional study, we used a questionnaire and medical re-cords, to define the selections from 132 women in postnatal care unit inside a grade 1 maternity. The primary outcome was to find out reasons that influence woolen's choice for the specialist at the PNV. The secondary outcome was to define the main items among 22 PNV with the same practitioner. Results The main reason is pregnancy following, indicated by 101 women (76,5%). Usual gynecologic care was significantly associated with practitioner choice (p < 0, 0001). Obstetrician from hospital was indicated by 78 women out of 132 (76,5%), with following specific reasons : competence for the visit (p < 0, 05), bad feeling of delivery, -g private a delivery, and among intermediate workers (Fisher's exact test). General practitioner was designed by 28 women (21,2%), with following specific reasons : familiarity (p <0,05), old routine care = 0,02), visit delay and opportunity to discuss other medical subject (p < 0,05). Midwife and liberal gynecologist were designated by 13 women (9,85%) each. PNV mainly introduces menses (90,9%), family planning, cervical smear test and gynecologic examination (86,4%), Conclusions : Women's care provider choice for the postnatal visit is influenced by perinatal and routine care factors. PNV integrates with the patients' whole medical care ; we have to promote the general practitioner's role.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-00846731
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Submitted on : Friday, July 19, 2013 - 5:10:45 PM
Last modification on : Friday, October 23, 2020 - 5:00:51 PM
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Thibault Laude. La visite postnatale : chez le médecin généraliste ou chez un autre spécialiste ? Étude transversale recherchant des raisons motivant le choix des patientes dans une maternité de niveau 1. Médecine humaine et pathologie. 2013. ⟨dumas-00846731⟩

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