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Master Thesis

La contraception du post-partum : étude descriptive des connaissances des accouchées du 19 octobre au 26 novembre 2015 d’une maternité d’Auvergne de type trois sur leur contraception du post-partum

Abstract : Background : Almost all women who have access to contraception use a form of birth control. Contraceptive failure is very frequent and is due to a misuse of birth control methods. These problems are very common during the postpartum period. Therefore this study has focused on what the women who have recently given birth know about contraception during the postpartum period. Study design : A descriptive and cross-sectional study was conducted from 19th October 2015 to 13th January 2016. 300 women who have recently given birth in a type three maternity ward agreed to participate. 193 women completed the self-assessment questionnaire between the second week after childbirth and the week before postnatal consultation. The women included in the study chose a birth control method recommended during the postpartum period (oestroprogestogen pill, progestogen-only pill, condom, contraceptive implant, Lactational Amenorrhea Method (LAM) or spermicides). Results : A total of 167 women are included: 111 chose the progestogen-only pill, 51 condoms, three the LAM, and two the contraceptive implant. The majority of women who use condoms (78,4%) had good knowledge of their birth control method (≥75% score) whereas only 21,7% of the women who used progestogen-only pills had the same score. Education, preparation for childbirth and knowledge about return of fertility seem to have a positive influence on their knowledge. Discussion : Not all types of birth control recommended during the postpartum period are included in this study. The majority of women did not have the knowledge necessary to ensure optimal use of their postpartum birth control method. Communication about this subject and a specific verbal information inspired by the BERCER method and associated with didactic tools are recommended.
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Julie Munéry. La contraception du post-partum : étude descriptive des connaissances des accouchées du 19 octobre au 26 novembre 2015 d’une maternité d’Auvergne de type trois sur leur contraception du post-partum. Gynécologie et obstétrique. 2016. ⟨dumas-01566880⟩

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