Skip to Main content Skip to Navigation
Master Thesis

Le dépistage préconceptionnel de la rubéole, de l'hépatite B et de la varicelle en médecine générale‎ : étude des pratiques et des obstacles réalisée sur un échantillon de médecins généralistes isérois en 2013

Abstract : CONTEXT : Preconception care aims at anticipating possible obstetric complications by delivering specific information to the patient or couple before pregnancy. Thus, it is useful to detect, before conception, rubella, chickenpox and hepatitis B viruses, which can be transmitted to the fetus during pregnancy, in order to realize a vaccine catch-up, if necessary. OBJECTIVES : Perform an inventory of practices of general practitioners (GPs) in the field of screening against these infections. Improving the understanding of the obstacles to the realization of this screening, as well as possible solutions to improve it. METHODS : Descriptive study using a questionnaire for GPs in Isère in order to characterize their practice and link this with immune data from 10 of their patients of childbearing age. RESULTS : We received 33 responses. Most GPs feel concerned by the preconception prevention and infectious serology checking. Yet, for all 3 infections, one quarter of patients had an unknown status. Barriers to screening cited by physicians are : a lack of available data on the status, a lack of time and a lack of interest of patients without desire for pregnancy. They wish women could come and speak earlier of their intention to become pregnant ; a leaflet describing the potential positive return for the patients would be welcome. CONCLUSION : The general practitioner has an important role to play in informing and educating his/her patients. In order to improve preconception screening, it seems essential to organize the collection of their immune status and make them aware of the existence and value of preconception consultation.
Document type :
Master Thesis
Complete list of metadata

Cited literature [32 references]  Display  Hide  Download

https://dumas.ccsd.cnrs.fr/dumas-00871490
Contributor : Jean-Hugues Morneau <>
Submitted on : Wednesday, October 9, 2013 - 4:20:20 PM
Last modification on : Tuesday, May 11, 2021 - 11:36:17 AM
Long-term archiving on: : Friday, April 7, 2017 - 8:46:16 AM

Identifiers

  • HAL Id : dumas-00871490, version 1

Citation

Lucie Loret Magdeleine. Le dépistage préconceptionnel de la rubéole, de l'hépatite B et de la varicelle en médecine générale‎ : étude des pratiques et des obstacles réalisée sur un échantillon de médecins généralistes isérois en 2013. Médecine humaine et pathologie. 2013. ⟨dumas-00871490⟩

Share

Metrics

Record views

221

Files downloads

802