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Master Thesis

Prise en charge de la douleur lors de la pose d'un dispositif intra-utérin : état des lieux des pratiques professionnelles dans le Puy- de-Dôme

Abstract : Background : Since 2004, intrauterin device is the contraceptive method of first intention for all woman. Its Pearl Index is excellent either model chosen. However, it’s little used by french people. The main reason is the apprehension of the pain during its insertion. This study suggestes making a evaluation of professional practices of Puy-De-Dôme about pain care when insert IUDs. Study design : This study is an observational study with a descriptive aim realized thanks to the distribution of questionnaire to the midwifes of Puy-de-Dôme realizing gynaecological consultations. Results : Midwifes of Puy-de-Dôme are sensitive in the pain due to the insertion of IUD, 95,5 % of midwifes prescribed a premediction. Liberal midwifes prescribe mainly of the homeopathy, while hospital midwifes of the antispamodics. Pozzi tenaculum is use in 62,2% of the cases, mainly in a systematic way. The relationship of trust with the women seems essential for all the midwives. Discussion : Midwifes of our study noted an important lack on knowledge of IUD by women. In contrast, pain management of a point of seen medicinal seems satisfactory. A notebook of information abouth the IUD is then proposed.
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Master Thesis
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Kiliane Deschamps. Prise en charge de la douleur lors de la pose d'un dispositif intra-utérin : état des lieux des pratiques professionnelles dans le Puy- de-Dôme. Médecine humaine et pathologie. 2017. ⟨dumas-01812572⟩

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