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Master Thesis

Le volet anténatal du PRADO. Quelle place dans l'information des femmes enceintes sur l'offre de soin de la sage-femme ?

Abstract : Objectives. Main objective : To evaluate the contribution of PRADO's prenatal part (experience initiated by Yvelines's CPAM in july 2012) in information of pregnant women about the midwifery offer of prenatal and postnatal care. Secondary objective : To determine if PRADO's prenatal part leads women with low risk pregnancy to consult a midwife for the whole prenatal offer (antenatal visits, preparation for birth and parenthood). Material and methods. We carried out a retrospective, comparative, descriptive and bicentric study which started on september 17, 2013 and ended on january 6, 2014, based on an anonymous questionnaire. It was distributed to primiparous affiliated to CPAM, recruited in waiting rooms of Obstetrics and Anesthesia departments of the CHIPS' maternity (group 78, with experience of PRADO's prenatal part and the CHA's maternity (group 95, without the experience of PRADO's prenatal part). Results. 56 questionnaires were collected in group 78 and 57 in group 95. There is no significant difference between the general characteristics of those two populations. In both groups, 80% of patients declared being informed on prenatal and postnatal care offer by midwife. Less than the half of patients declared being informed by their CPAM. When it happens, information brochure of PRADO's prenatal part is few mentioned as information source in group 78 (39%) in comparison with maternity guide. In both groups, the majority of patients consults a midwife for preparation to birth and parenthood (at least 70%). Proportion of midwifes consulted for pregnancy follow-up it less important (about 45% in both groups). Conclusion. PRADO's prenatal part isn't often used to inform patients about the midwifery care offer in our study. This written campaign information isn't enough to direct patients to midwife. Oral campaign information intended for French population might be necessary.
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Katia Aghili. Le volet anténatal du PRADO. Quelle place dans l'information des femmes enceintes sur l'offre de soin de la sage-femme ?. Gynécologie et obstétrique. 2014. ⟨dumas-00993327⟩



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