Opinion sur l'usage et la pose du dispositif intra-utérin, identification des réticences et de leur origine chez le médecin généraliste réunionnais ne posant pas de DIU

Abstract : Introduction : The induced abortion rate is high in France, Reunion island in particular (20,7 for every 1000 in 2017). The problem isn’t accessibility to contraception, rather the daily management of it. The number one contraception method continues to be the pill which observance may be irregular. The IUD is an efficient contraceptive method, with excellent longevity. Generalist doctors are on the frontline for the contraception counseling. Our objective was to identifie the reluctances of generalist to using IUD in Reunion Island and the possibilities of dismantling methods. Method : Qualitative descriptive study, by semi-directive interviews with generalist doctors in the Reunion Island who didn’t insert IUDs. Results and discussion : This study is carried out from August to November 2018 with 13 generalist doctors. The overall opinion of them was positive. The observance was the primary benefit of this. Many stereotypes persist and were similar with others french and international studies, result from doctors, the IUD insertion, patients, and environnemental concerns. Conclusion : There is a probable link between practical training of generalist doctors to the IUD insertion, and a context low demand and good health care facilities.There are some perspectives that exist to overcome those concerns in order to expand IUD access : information and counseling for patients, an easier and quicker access to echography, trainings on other IUD insertion method, screening for sexually transmitted diseases before IUD insertion to prevent pelvic inflammatory diseases.
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Master Thesis
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Sarah Laurent. Opinion sur l'usage et la pose du dispositif intra-utérin, identification des réticences et de leur origine chez le médecin généraliste réunionnais ne posant pas de DIU. Sciences du Vivant [q-bio]. 2019. ⟨dumas-02121055⟩

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