Épisiotomie : annonce et consentement

Abstract : Introduction : Today, women, as well as the medias feel concerned about episiotomy and the consent that should be associated to it. Even though midwives are told to reduce the rate of episiotomy, they still sometimes need to do it. Objectives : The aim of the project was to study french midviwes’ practices about consent while perfoming an episiotomy. The authors also wanted to know about the difficulties midwives were facing in their practices, and also to know about their feelings about the current publicity. Study : It’s a qualitative study. Individuals interviews were led with the help of ten midwives of a level-3 hospital in Auvergne. Results : Several factors seem to interfere in midwives’ practices such as their ability to talk about episiotomy with women, or the fact that they belong to different midwives’ generations. The context also seem to be important : if the woman they’re taking care of doesn’t seem very concerned about episiotomy, midwives tend not to ask for their consent before performing the episiotomy. Midwives admit that they don’t often use the interrogative form to ask for consent because they’re afraid that the woman might say no. Almost all of the things that mdiwives explained during the interview were on point with scientific articles, whereas midwives’ practices are still quite different from what women expect to get from midwives during labor. Conclusion : Midwives agree to say that giving proper informations to women is more important that asking for consent ; the French College of Midwives consider that there’s a lack of midwives in the hospitals which doesn’t allow them do to their job properly.
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Diane Berthonneau. Épisiotomie : annonce et consentement. Médecine humaine et pathologie. 2018. ⟨dumas-01943763⟩

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