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Master Thesis

Accompagnement en salle de naissance des femmes avec un antécédent de mort fœtale in utéro : analyse du point de vue d’un panel de sages-femmes

Abstract : Fetal death (FD) is a traumatic event that can weaken the psychological balance of women during a subsequent pregnancy. The birth of the next child, reminding the confrontation with the stillborn child, is thus a highly dreaded moment that can generate a surge of anxiety in these patients. The support and the practice of the delivery of a stillborn child is part of midwives’ role in the delivery room. They are not insensitive to the confrontation with death, a non-trivial situation in maternity ward. Our study is a qualitative study with 20 midwives from two Parisian maternities, based on semi-structured interviews. It aimed to analyse the views of midwives on support in the delivery room of vulnerable patients with history of a FD. We studied the attitude of midwives in front of these women. Results of our study show that a better support of patient is correlated with the level of experience. Midwives who have been less confronted to FD, don’t talk easily about it. In addition, they tended to project themselves as the patient and then, found it difficult to take care of these women. At last, the experience of giving birth in women carrying a fetal death appears to allow midwives to be more comfortable in their accompaniment of patients giving birth to a child of a subsequent pregnancy. The attitude of midwives seems different depending on experience, although the views are sometimes divergent on the need to talk about with the patient of her history of fetal death, during the subsequent childbirth.
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https://dumas.ccsd.cnrs.fr/dumas-01191879
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Submitted on : Tuesday, September 15, 2015 - 3:46:23 PM
Last modification on : Friday, June 26, 2020 - 4:44:02 PM
Long-term archiving on: : Monday, December 28, 2015 - 10:47:14 PM

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Distributed under a Creative Commons Attribution - NonCommercial - NoDerivatives 4.0 International License

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  • HAL Id : dumas-01191879, version 1

Citation

Christina Obertsauber. Accompagnement en salle de naissance des femmes avec un antécédent de mort fœtale in utéro : analyse du point de vue d’un panel de sages-femmes. Gynécologie et obstétrique. 2015. ⟨dumas-01191879⟩

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