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Master Thesis

Suivi médical et préventif dans le post-partum des femmes en situation de précarité. Impact d’un partenariat ville-hôpital : Exemple de PRENAP 75

Abstract : Introduction: Instability is defined by J. Wresinski as followed: “The absence of one or more safety factors preventing people and families to ensure their elementary responsibilities and enjoy their fundamental rights". The medical follow-up in this instability context is rather hard to ensure, especially during postpartum periods when dealing with women who already have a child. Numerous associations try to help this particular population so that they can enjoy their fundamental needs as well as the access to health care. Material and Methods: The aim of this qualitative study is to compare the medical and prevention follow-ups as well as the subjective state of health of women living in precarious conditions during postpartum periods whether or not they are part of an association: the "ESI Familles". Using oral questionnaires for comprehension constraints, 11 women could be interviewed in each group. Results: In the group composed of women attending the "ESI Familles" since the birth of their child, the rate of contraception users is higher than in the other group. Indeed, during the interviews, it was possible to state that they could choose their contraception means with more accuracy and that dilligence to postnatal consults was more important. Moreover, these women expressed a stronger desire for the future to have a gynecological prevention follow-up. These women also have a better subjective state of health when it came to their mental health and their isolation feeling, thus enabling them to take some personal time, in their unstable daily life, to take care of their health. However, in both groups, there are no differences when it comes to the notion of attending doctor or rehabilitation of the perineum during postpartum period for women. Conclusion: The integration of women to the "PRENAP" network, so to the "ESI Familles" during pregnancy or during the postpartum period is beneficial for their medical and prevention follow-ups.
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https://dumas.ccsd.cnrs.fr/dumas-01236360
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Submitted on : Tuesday, December 1, 2015 - 4:37:09 PM
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  • HAL Id : dumas-01236360, version 1

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Camille Randon. Suivi médical et préventif dans le post-partum des femmes en situation de précarité. Impact d’un partenariat ville-hôpital : Exemple de PRENAP 75 . Gynécologie et obstétrique. 2015. ⟨dumas-01236360⟩

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