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Master Thesis

Place du dispositif intra-utérin dans l'arsenal contraceptif de la jeune femme nullipare en soins primaires

Abstract : Intrauterine devices are the main contraceptive method in the world. In 2004, the HAS reported that "IUDs are not only intended for multiparous". Despite these new recommendations, their use on French nulliparous remain marginal : about 1% of this population use it, as of today. The objective of this study was to determine the factors that hinder the use of intrauterine devices on young nulliparous women in primary health care. A qualitative study was conducted among GPs of Isere, in their practice office. The recorded meetings were undertaken by two interviewers. The meetings were recorded and performed by two interviewers. The study was carried out in search of maximum variation, respecting an interview guide, until data saturation. After exhaustive transcription of the interviews, a thematic analysis was conducted by both investigators, thereby respecting the triangulation of data. Twenty GPs were interviewed between January and April 2013. The highlighted hindrances could be divided in four types. First of all, those dependent on the health care professionals, whether general practitioners or gynecologists. Secondly, those related to nulliparous patients, mainly from a lack of information. Finally the restraints depending on the society or on the pharmaceutical industry. Among GPs, reluctances remain anchored, despite the many studies and the recommendations issued thereafter, for nearly 10 years. Furthermore, doctors in favour of this method are confronted to the problem of their lack of practical skills. Levers of action will rely on a reorganization of the practical and theoretical teaching of gynecology in general practice.
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Master Thesis
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Submitted on : Thursday, January 9, 2014 - 2:03:02 PM
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  • HAL Id : dumas-00924414, version 1
  • PPN : 175229732


Marine Gaillard, Aude Richard. Place du dispositif intra-utérin dans l'arsenal contraceptif de la jeune femme nullipare en soins primaires. Médecine humaine et pathologie. 2013. ⟨dumas-00924414⟩



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