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Master Thesis

La consultation gynécologique à la maison d'arrêt de Caen : intérêt du dépistage des infections sexuellement transmissibles, place de la sage-femme

Abstract : Objective : Studying the course of the gynaecological surgery carried out at the prison of Caen with the inmate women by insisting on the practice of the screening of sexually transmitted infections. Methods : Prospective observational study in two axes (qualitative and quantitative) performed between May 31st 2016 and September 31st 2016 including 28 inmate women at the prison of Caen. Results : The gynaecological surgery carried out at the prison of Caen includes breast palpation (14%), Pap smear test (32%), the putting on a spéculum (39%) and vaginal touch (11%). The screening of sexually transmitted infections is suggested to every women and many carry it out (84,71%). The prevalence of carriage of sexually transmitted infections tend to be higher than in the general population, increased by their lack of medical follow-up, their young age (m = 35) and their overconsumption of toxics (96,30%). Currently, a midwife carries out interventions on sexuality and contraception twice or three times a year. Conclusion : The gynaecological surgery currently carried out by a doctor at the prison of Caen has a major interest near the inmate women. They constitute a more at-risk population of portage and transmission of sexually transmitted infections form a high-risk population. The screening of sexually transmitted infections takes a prominent place during the gynaecological surgery, leaving little room to the speeches of prevention and information on contraception. With the extension of her skills, a midwife could contribute to the gynaecological aftercare of inmate women.
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https://dumas.ccsd.cnrs.fr/dumas-01548169
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Submitted on : Tuesday, June 27, 2017 - 11:35:27 AM
Last modification on : Wednesday, December 4, 2019 - 9:52:02 AM
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  • HAL Id : dumas-01548169, version 1

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Lauranne Hamon-Mejias. La consultation gynécologique à la maison d'arrêt de Caen : intérêt du dépistage des infections sexuellement transmissibles, place de la sage-femme. Gynécologie et obstétrique. 2017. ⟨dumas-01548169⟩

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