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Master Thesis

Étude observationnelle descriptive quantitative sur l’évaluation et la prise en charge de la douleur dans l’interruption volontaire de grossesse médicamenteuse réalisée en ambulatoire en Ile-de-France

Abstract : Background - In 2011, 222 500 abortions were performed in France, with this number being stable for a number of years. Since 2004 it has been possible for private practitioners to perform medical abortions at home after having signed an agreement with a referent hospital. Although security and acceptability of this method have been demonstrated, there is less data about the pain experienced by the patients during this procedure. Objective - The aim of this work was to assess the severity of the pain associated with medical abortion and its analgesic treatment along with potential related factors of severe pain during medical abortion at home. Methods - An observational descriptive and quantitative study was performed with an anonymous autoquestionnaire made available via the Internet for patients undergoing medical abortion at home within the Ile-De-France region. Results - The mean pain score was 5,6 out of 10 with 105 patients out of the 193 (55%) patients surveyed experiencing a pain score of 6 or more in 10. Analgesics prescriptions were very wide. Among the influent factors of severe pain, nulliparity (OR 4,10 CI 2,04-8,22 p<0,0001), lack of choice regarding the method of abortion (OR 2,32, CI 95% 1,13-4,78, p=0,0218) and lack of information received on the level of pain of the method (OR 3,27, IC 95% 1,09-9,74, p=0,0334) were significantly correlated with intense pain. Discussion - Medical abortion remains a method where the main side effect is pain, which at times can be very intense. In order to improve the care of women undergoing medical abortion at home, more studies need to be performed on pain evaluation and on the most appropriate analgesic treatment so that best practices can be established.
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Master Thesis
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Submitted on : Friday, March 20, 2015 - 4:18:31 PM
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Sandra Cavet. Étude observationnelle descriptive quantitative sur l’évaluation et la prise en charge de la douleur dans l’interruption volontaire de grossesse médicamenteuse réalisée en ambulatoire en Ile-de-France. Médecine humaine et pathologie. 2014. ⟨dumas-01133924⟩

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