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Master Thesis

État des lieux de la pratique du suivi gynécologique de prévention et des consultations de contraception : étude menée en 2014 auprès des sages-femmes d'Auvergne

Abstract : Five years after HPST law in 2009 which expended the field of competences of midwifery to gynecological follow-up and contraception consultations we wanted to find out how midwifes invested their new skills. Aim: The principal aim of this study was to describe midwifery practices in Auvergne in 2014 about gynecological follow-up and contraception consultations. Method: This is a multicentric cross-sectional descriptive observation study made on midwifery in Auvergne who works in hospital or clinic, in a liberal cabinet, in child and maternal protection center or in family planning center. Results and discussion: The answer rate of our study was 30%. 33% of midwifes declared to realize contraception consultations ; 97% realized contraception information and 94% prescribed contraceptive methods particularly as part of obstetrical professional practice. 34% of midwifes declared to realize gynecological follow-up ; 50% of midwife practiced breast examination and 56 % realized cervical pap smears particularly as part of obstetrical professional practice. Conclusion: These skills permit a global monitoring of patients (pregnancy, delivery, postnatal follow-up and gynecological follow-up). To facilitate the extension of the practice of gynecological follow-up by midwives, it seems necessary to make the profession and field of competences of midwife more visible to patients or the others health professionals and to improve the practical side of formations.
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Élodie Giraud. État des lieux de la pratique du suivi gynécologique de prévention et des consultations de contraception : étude menée en 2014 auprès des sages-femmes d'Auvergne. Gynécologie et obstétrique. 2015. ⟨dumas-01348879⟩

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