Prévention de la mort inattendue du nourrisson : connaissances et pratiques des sages-femmes du Puy-de-Dôme. Étude quantitative auprès de 120 sages-femmes du Puy-de-Dôme

Abstract : Introduction: The sudden unexpected death in infancy (SUDI) is defined by the sudden death of an infant without medical history. Every year, approximately 250 cases are counted in France including 100-150 which could have been avoided if recommendations were followed. Objectives: To estimate the knowledge of the midwives about the SUDI. To make an inventory of the practices of the midwives of Puy-de-Dôme concerning this prevention, to establish the obstacles to a systematic prevention and to determine if the experience and the type of exercise of the midwives had an impact on it. Material and method: A descriptive transversal study was realized by a questionnaire given to 120 midwives practicing in the department of Puy-de-Dôme. Results: Midwives had some knowledges on the SUDI but these were insufficient. Only 52% did systematically the prevention including a majority of liberal midwives and recently qualified.The prevention was mainly made after the childbirth. The first cause of not prevention was when the information was already given by the pediatrician or the auxiliary of nursery. Discussion: Is the quality of the initial training sufficient? Is it necessary to begin to talk about the subject from the third quarter of the pregnancy? Are the parts of every actor of health defined well? Conclusion: An improvement of the prevention seems necessary to reduce the number of cases of SUDI and the midwives are in the front line to talk about the subject throughout the care of the patients and it even before the childbirth.
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Master Thesis
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Lucie Dif. Prévention de la mort inattendue du nourrisson : connaissances et pratiques des sages-femmes du Puy-de-Dôme. Étude quantitative auprès de 120 sages-femmes du Puy-de-Dôme. Médecine humaine et pathologie. 2018. ⟨dumas-01945753⟩

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