L’IVG instrumentale, future compétence des sages-femmes ? Positionnement de sages-femmes orthogénistes

Abstract : More than forty years after its legalisation and regulation, challlenges in accessing abortion endure in France, with significant territorial disparities. Among other things, the offer for instrumental abortion is shrinking, thus limiting the choice of method for women. The objective of this study was to analyse the opening of midwives' area of proficiencies to instrumental abortion in response to this public health problem. Sixteen semi-directive interviews were conducted with orthogenist midwives between October 2018 and January 2019. Our analysis shows that most of these midwives were in favour of integrating instrumental abortion into their professional skills. They define themselves as practitioners capable of performing this procedure, with the objective of improving access to abortion for women and providing comprehensive care for women throughout their reproductive lives. However, technical, organisational and personal concerns were raised. Conferring this practice to midwives would increase the offer of instrumental abortion care, which has been steadily decreasing since 2001, and thus broaden the choice of method for women. The introduction of a stakeholder traditionally associated with gestation could consolidate the image of abortion as an integral part of women's lives.
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Alice Bocquentin. L’IVG instrumentale, future compétence des sages-femmes ? Positionnement de sages-femmes orthogénistes. Gynécologie et obstétrique. 2019. ⟨dumas-02186967⟩

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