Les freins à la réalisation des interruptions volontaires de grossesse en médecine générale dans les Bouches du Rhône

Abstract : Background: Since 2004, generals practitioners (GPs) have the possibility to prescribe induced abortions, up to 7 weeks of amenorrhea. In 2016, 211,900 PGI were performed in France, this rate has been stable since 2006. We note that barely a quarter of drug-induced abortions take place outside health care facilities in the PACA region where the abortion rate is the 4th highest important of France. Aims: Make a statement of the place of knowledge of general practitioners about drug induced abortion and its practice in the city office, and identify the various obstacles to its implementation in general practice. Materials and methods: This is a descriptive cross-sectional survey conducted between September 2017 and March 2018 for Gps in Bouches-du-Rhône. A self-questionnaire was sent to 325 GPs in the region concerned, including 75 interns in general practice. The questionnaire consisted of 20 items, in the first part of which it was possible to define the socio-demographic profile of the physician questioned, and in a second part concerning only Gps whose not practicing IVG in office, to evaluate their knowledge on this subject and the different brakes to their prescription in town. The statistical analysis was performed using the percentages calculated by the Google FORM software. Results: Out of 320 questionnaires sent, 103 answers were obtained, giving a participation rate of 32.2%. The average age was 34 years old. In the surveyed population, 89.3% of physicians never prescribed abortion. Among Gps who had never prescribed abortion, 84.9% were aware of the possibility of prescribing it in the city. The knowledge of GPs about drug-induced abortion in the city is sometimes wrong. 72.8% of physicians say they are interested in training in drug-induced abortion in general practice. The main obstacles found in this survey are: the lack of competence of Gps on this subject (58.9%), the fear of medical complications of drug-induced abortion (40%), the overload of administrative constraints (14.4 %), and finally the absence of ethical adherence (10%). Conclusion: 3/4 of the GPs surveyed did not integrate the implementation of drug-induced abortion in their current practice for various reasons such as lack of competence in this area or fear of medical complications, and among them, 15% were not even aware of this possibility. It seems necessary to improve the training of GPs in this subject and to improve the means of information addressed to Gps.
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Maëlise Caillé. Les freins à la réalisation des interruptions volontaires de grossesse en médecine générale dans les Bouches du Rhône. Sciences du Vivant [q-bio]. 2018. ⟨dumas-01950734⟩

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