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Master Thesis

Comprendre l'absence à la consultation post-IVG instrumentale : une étude qualitative auprès de femmes concernées en Aquitaine

Abstract : Context: The follow-up visit after a surgical abortion is an important stage of the care pathway of induced abortion. However, this visit shows some dysfunctions in particular the fact that a large percentage of women fail to observe these follow-up visit. Purpose: The purpose of this study is to identify the reasons of this non-compliance to the follow-up visit, by collecting experiences and perceptions of women, in order to suggest improvements. Method: This qualitative research was conducted, in the Aquitaine region, among women over the age of 18, who did not benefit from a follow-up visit. It was carried out by telephone by means of semi-structured interviews. Results: 13 women were interviewed in 2016-2017. They explain their failure to observe this follow-up visit by several reasons: the fact that no one proposed them any visit, practical and psychological difficulties, a poor experience with the medical and nursing staff, a visit representing no interest. They have also reported a lack of information regarding the purpose of this follow-up visit. When there is no visit, women lack the attention and dialogue they need after abortion procedures. The general practitioner is a trusted partner that could conduct these follow-up visits. Conclusion: In the actual context of increased percentage of repeated abortions, it seems crucial to maintain and improve the follow-up visit. For women, this visit represents an ideal moment to regain control over their gynecologic follow-up and their contraceptive method. For doctors, this visit represents the opportunity to screen abuses and psychological distresses. In order to achieve these goals, with improved professional training and reinforced of network between hospitals and community medicine, the general practitioner could play a central role in this follow-up visit.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-01563253
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Submitted on : Monday, July 17, 2017 - 2:36:16 PM
Last modification on : Wednesday, October 25, 2017 - 1:19:09 AM
Long-term archiving on: : Saturday, January 27, 2018 - 3:45:36 AM

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Marion Alesi. Comprendre l'absence à la consultation post-IVG instrumentale : une étude qualitative auprès de femmes concernées en Aquitaine. Médecine humaine et pathologie. 2017. ⟨dumas-01563253⟩

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