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Master Thesis

Caractéristiques médico-psycho-sociales et suivi obstétrical des femmes enceintes en situation de vulnérabilité sur Bordeaux métropole

Abstract : Background: France has for many years an increase in precarious situations of pregnant women vulnerabilities These situations have an impact on the smooth running of pregnancy. One answer to this problem was the creation of medical and psychosocial staff and early prenatal care. Their goals were to identify as early as possible those situations of vulnerability and take care of a multidisciplinary way. Despite this, the professionals working with this population have difficulties to share the prioritization criteria of their interventions and to coordinate their interventions. Objective: To describe the medical, psychological and social characteristics and obstetric monitoring of vulnerable pregnant patients supported by the Perinatal Network of Bordeaux metropolis. Materials and Methods: Prospective cohort study conducted from records of patients from 1 October 2014 to 27 February 2015. Results: The majority of women were of foreign origin (especially African), irregular (not residence), single, or not speaking little French and abused. Most had no income and insufficient social protection (19.3% without additional health). The housing problem during and after delivery was predominant in the care of these women: 71% experienced street during pregnancy and housing was planned after delivery in only 58.1% of cases (19,3% considered insecure). On the medical side, despite long history including the psychiatric (51.6% of psychiatric disorders), obstetric monitoring (antenatal consultations, obstetric ultrasound, biological and urine samples) was in most cases in line with the recommendationsset by the HAS. Conclusion: These patients have a cumulative vulnerabilities (medical, psychological and social) that require a comprehensive, multidisciplinary reflection registering in time. An early identification of vulnerabilities and capacities of mothers is essential to more effectively guide medical and social action at the individual level.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-01238416
Contributor : Bu Carreire Université de Bordeaux <>
Submitted on : Friday, December 4, 2015 - 6:50:29 PM
Last modification on : Sunday, October 25, 2020 - 7:04:53 AM
Long-term archiving on: : Saturday, April 29, 2017 - 4:53:28 AM

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  • HAL Id : dumas-01238416, version 1

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Nicolas Chabellard. Caractéristiques médico-psycho-sociales et suivi obstétrical des femmes enceintes en situation de vulnérabilité sur Bordeaux métropole. Médecine humaine et pathologie. 2015. ⟨dumas-01238416⟩

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