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Master Thesis

Conseil contraceptif en psychiatrie : impact des facteurs sociodémographiques et médicaux pouvant influencer le conseil contraceptif chez cent patientes suivies en centre médico-psychologique d’Île de France

Abstract : The contraceptive advice involves regular intervention of a general practitioner or a gynecologist. It is bordered by the recommendations of the HAS (2013) and must be adapted, personalized and chosen by the patient.
The aim of our study was to observe the demographic and medical characteristics involved in the choice of a contraception in patients with psychiatric disease and reveal the specifics of contraceptive advice in these patients.
Of the 100 patients interviewed, 43 have a contraception (against 90 in the general population).
Sociodemographic factors as: eligibility to a Disability Allowance or a measure of legal protection, appear to be related to lower rates of contraception and show impaired autonomy of these patients. Medical factors as suffering from schizophrenia and personality disorders are associated with lower rates of contraception compared to other psychiatric disorders.
The most chosen contraceptions are the intrauterine device and the contraceptive implant. They are more used than in the general population and seem suitable for these patients suffering from difficulties with adherence. They are here routinely prescribed by gynecologists, whitch rises questions on the practices of general practitioners.
Lack of contraception is often due to a lack of information.
Therefore, general practitioners, and gynecologists, must know the medical, demographic and behavioral characteristics of their patients provide an appropriate contraceptive advice whithin dedicated consultations.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-01132077
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Submitted on : Monday, March 16, 2015 - 4:04:53 PM
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Marianne Delbecq Guirimand. Conseil contraceptif en psychiatrie : impact des facteurs sociodémographiques et médicaux pouvant influencer le conseil contraceptif chez cent patientes suivies en centre médico-psychologique d’Île de France. Médecine humaine et pathologie. 2014. ⟨dumas-01132077⟩

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