Analyse des pratiques : le soutien à la parentalité par les sages-femmes dans le post partum. Étude observationnelle auprès de 108 sages-femmes exerçant dans le Puy-de-Dôme

Abstract : Introduction : In front of the seriouness of parenthood disorders and the need of the new parents, the support to parenthood has become an issue, at the beginning of postpartum. The main aim was to describe the practices by the midwifes allowing the identification of the vulnerability and the prevention of parenthood disorders, in post-partum. The secondary aim was to identify the factors which can influence these practices. Methods : In this observational study, a questionnaire, based on clinical cases, was created from reference documents about birth and parenthood preparation and suggested to midwifes practicing in Puy-de-Dome. Then, conformity scores were worked out by comparison with reference documents, and tested according to factors. Results : The total conformity was from 74.25 % to recommendations, on average; from 77.33% for the identification of the vulnerability; and from 72.70 % for prevention. Only the number of domains of activity was identified as a factor influencing to the prevention (p = 0.04). Discussion : The shape of the questionnaire led to misunderstandings and difficulties of interpretation. Although the practice conformed with the recommendations, the communication within the perinatal network, the data transmission to parents remain topical subjects. Conclusion : Despite a satisfactory conformity, midwifes describe a need for training and for time, in a context of early discharge, of multiplicity of actors…
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Mathilde Cognet. Analyse des pratiques : le soutien à la parentalité par les sages-femmes dans le post partum. Étude observationnelle auprès de 108 sages-femmes exerçant dans le Puy-de-Dôme. Médecine humaine et pathologie. 2018. ⟨dumas-01944121⟩

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