Les représentations de la prescription de morphiniques chez les internes de médecine générale en fin de cursus à l'université de Bordeaux

Abstract : Introduction: since the 2000s, the rate of abortion has been stable due to two opposing movements : on the one hand, the proportion of women undergoing abortions is decreasing and, on the other hand, the number of repeat abortion is increasing. Objectives: this study aims to establish the profile of patients who have undergone several abortions, to suggest ways to reduce this rate. Material and methods: descriptive, observational, monocentric, epidemiological, retrospective study, conducted at the MSPB health center in Talence, of patients with a medical history of one or more abortions, using surgical abortion, in 2016. Results: 121 patients were included ; 36% of surgical abortions were repeat abortions. The typical patient unfergoing a repeat abortion was 25 to 29 years old, with at least one child, a smoker, without gynecological care, professionally active. These women were at higher risk for repeating IVGs due to lack of contraception (45%) or non-compliance with the pill (20%). 72% of patients did not have post-abortion consultation, which help rule out complications and is a key moment for contraception. Conclusion: in this context of increasing repeated abortion, it is essential to maintain and optimize post-abortion consultation. This is the perfect time to define appropriate contraception.
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Master Thesis
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Marie Leroy. Les représentations de la prescription de morphiniques chez les internes de médecine générale en fin de cursus à l'université de Bordeaux. Médecine humaine et pathologie. 2018. ⟨dumas-01969785⟩

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