Naître à la maison : modèle ou hérésie ? L’accouchement programmé à domicile en France : un conflit entre la confiance en la nature humaine et la sécurité des normes médicales

Abstract : Purpose of the study: Identify and analyze the different perspectives which fuel the controversy regarding home birth in France. Materials and method: This study was conducted according to the methodology of controversial analysis. Forty-three articles from seventy different authors were analyzed, using a reading grid for data analysis, then classified into two tables, and regrouped into positive or negative arguments concerning the practice of home birth. These selected documents date between December 1998 and September 2017. Results: The arguments for home birth relies essentially on a naturalistic vison of the birth, which is centered on the fundamental capacity of the woman to deliver. On the other hand, the opponents of home birth argue upon a more medical foundation, citing the risk of complications for the mother or the baby as their main reason to oppose home birth. Conclusion: The study shed light upon the profound divide between the protagonists of the controversy : their concepts of birth, safety, and risk are quite different. The solution does not seem to be able to emerge from either position but rather through an equilibrium between respect of nature and trust in science progress, by the way of a reasoned and prudent de-medicalization of the birth which would allow to reduce to a maximum the iatrogenic while reconciling medical safety and emotional safety.
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https://dumas.ccsd.cnrs.fr/dumas-01945964
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Submitted on : Wednesday, December 5, 2018 - 4:33:13 PM
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Anne-Charlotte Durnerin. Naître à la maison : modèle ou hérésie ? L’accouchement programmé à domicile en France : un conflit entre la confiance en la nature humaine et la sécurité des normes médicales. Gynécologie et obstétrique. 2018. ⟨dumas-01945964⟩

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