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Master Thesis

La prévention gynécologique par les sages-femmes : freins et motivations à leur pratique médicale : étude réalisée sur le territoire auvergnat auprès de 209 sages-femmes

Abstract : Introduction : In France 19% of women doesn’t have any regular gynaecological follow-up. Since the HPST law of 2009 and the law of 2016 the field of competences of midwifery has been expended and they have an important role in the reproductive and sexual health. Material and methods : This is a descriptive observational study involving midwives in Auvergne who works in hospital, in a liberal cabinet, in child and maternal protection centre, in perinatal centre or in family planning centre. The aims of this research was to identify obstacles and motivations to their gynaecological practice and to evaluate this practice. Results: 63.1% of midwives declared they practised genecology, especially in the liberal sector. This activity is not that much expanded in the hospital sector, posts are not created and contraception consultations are not opened to midwives. Other obstacle raised was an inadequate initial practical training for 98% of the midwives and they are many to follow an additional training to fill these gaps. For 25% of midwives, mainly from the liberal sector, networking could be difficult, so as the lack of visibility towards women. Conclusion : This study showed midwives increasingly include the gynaecological skills to their exercise, but improvements are still needed,especially in the hospital sector.
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https://dumas.ccsd.cnrs.fr/dumas-01993158
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Submitted on : Thursday, January 24, 2019 - 6:05:43 PM
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Alice Villemont. La prévention gynécologique par les sages-femmes : freins et motivations à leur pratique médicale : étude réalisée sur le territoire auvergnat auprès de 209 sages-femmes. Médecine humaine et pathologie. 2018. ⟨dumas-01993158⟩

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