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Master Thesis

Dispositif intra-utérin et nullipares Enquête auprès d'étudiantes nullipares et de professionnels de santé sur Marseille et Aix-en-Provence

Abstract : Introduction: In its recommendations of 2004, the ANAES publishes that the IUD is a mean of contraception which can be proposed to women no matter the gestite or the parity. Despite these clear recommendations, doubts regarding the IUD persist among both nulliparous, and some healthcare professionals who think wrongly that the nulliparity is a contraindication for the pose of an IUD. Objectives: The main objectives of the study are to determine if the recommendations of the HAS are applied by the healtcare professionals and to estimate the place of IUD to nulliparous. The second objective is to understand reluctances of nulliparous towards the IUD. Methods: Descriptive study of March 1st, 2016 and October 30th, 2016, realized with students nulliparous and healthcare professionals (gynecologists, midwives, general practitioners) in Aix-en-Provence and Marseille. Data were collected using two nameless questionnaires for each of the studied populations. Résults: 85% of gynecologists, 88,9% of midwives and 54,5% of general practitioners interrogated say to inform their young patients of possibilities to benefit of IUD ; nevertheless only 75% of gynecologists, 22,2% of midwives and 9,1% of general practitioners declare to pose IUD to nulliparous in their professionals practices. Regarding the nulliparous, results shown that the IUD is the second most used mean of contraception (12,1%) and generates 100% of satisfaction of its users. However, a lot of young women admit to be inadequately informed about IUD in the context of a gynecological follow-up and still express reservations –not always based- about this contraceptive. Conclusion: The size of our sample being weak we cannot generalize the results to a bigger population. However it seems necessary to overcome the lack of information about nulliparous and specifically throughout the development of governmental actions and the promotion of this practice toward the healthcare professionals in contraception.
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Submitted on : Wednesday, November 15, 2017 - 8:41:11 AM
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Pauline Laurent. Dispositif intra-utérin et nullipares Enquête auprès d'étudiantes nullipares et de professionnels de santé sur Marseille et Aix-en-Provence. Gynécologie et obstétrique. 2017. ⟨dumas-01635312⟩



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