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Master Thesis

La relation soigné-soignant dans le cadre du suivi de grossesse précoce par les sages-femmes

Abstract : Objective: Although in a declining trend adolescent pregnancies have often been analysed from the perspective of the experience of pregnancy, the different motives for pregnancy or their postpartum situation. The role of the carers seems, however, to be underestimated in these studies, and more particularly their trainings or the difficulties that they may have. The patient-carer relationship has a central place in medicine today. In addition, the aim of this study is twofold. First, analysing the diverse relational specificities and the difficulties of the patient-carer relationship with a teenager in pregnancy care. Second, investigating how necessary it is to provide an additional training for midwives on the adolescent pregnancy care. Methods: A qualitative study based on a semi-structured interviews was realised with nine midwives specialized in consultation. Interviews were conducted at the maternity ward of Angélique du Coudray in Saint-Denis and at the maternity ward of Robert Ballanger in Aulnay Sous Bois from December 2016 to February 2017. Results and conclusion: Midwives emphasised many relational specificities in pregnancy care such as empathy, mothering or countertransference. Midwives also mentioned the difficulty to put a right distance in practice. Trust between the carer and the teenager appears as a key determinant of this relationship. For some midwifes communication and the support they can provide to build a parent-child relationship appear as particularly difficult. All midwives who were interviewed told us their willing for additional training with the aim of optimising the patient care.
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https://dumas.ccsd.cnrs.fr/dumas-02104543
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Marie-Charlotte Lorson. La relation soigné-soignant dans le cadre du suivi de grossesse précoce par les sages-femmes. Gynécologie et obstétrique. 2017. ⟨dumas-02104543⟩

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