Examen clinique du nouveau-né au premier jour de vie : quelle place pour la sage-femme?

Abstract : Objective : To identify the role of the midwife in the physical examination of the term newborn throughout his first day of life. To determine what are the obstacles and motivations for involving midwives to intervene with newborns. Design and participants : Quantitative observational transversal study including two parts (descriptive and etiological). The midwives interviewed came from maternity of type III in the Auvergne-Rhône-Alpes and Île-de-France regions. Data collection was done from an online questionnaire. The results were obtained after statistical analysis and thematic analysis. Findings : In Auvergne-Rhône-Alpes, midwives do not achieve the clinical examination of the newborn at the first day of life unlike some maternity of type III in Île-de-France (21.43%). The theoretical knowledge, the experience gained on the field and the desire to provide total care to mothers and babies are arguments for midwives to undertake the newborn examination. The main obstacles mentioned are the midwives‘s overwork, the current functioning of the services with the pediatrician at the center of the follow-up of the newborn and an initial training insufficient on certain specific points (notably the cardiac auscultation). Conclusions : The role of the midwife in relation to the physical examination of the newborn at the first day of life is not well-defined. This study showed that a change in practices is possible. A reorganization of services and an upgrade of midwives seems necessary for a general evolution of practices.
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Christelle Desbats. Examen clinique du nouveau-né au premier jour de vie : quelle place pour la sage-femme?. Médecine humaine et pathologie. 2018. ⟨dumas-01945601⟩

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