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Master Thesis

Consentement et épisiotomie : points de vue des sages-femmes

Abstract : Introduction – Objective: since obstetric violence debate, women started to talk about episiotomy performed without informed consent. The 4th march 2002 law provides that for all medical or surgical act, informed consent must be collected. Our main objective was to study midwive’s opinion about informed consent and episiotomy. The secondary objective was to initiate a reflexion about this topic. Methods: we built a descriptive qualitative study in wich we conducted semi-directive interviews. 15 midwives of Notre-Dame de Bon Secours were interviewed between october 2018 and january 2019. Results: midwives have a good knowledge of the definition of informed consent. They think informed consent is necessary to perform episiotomy because of its intimate location. Midwives think it’s difficult to gather consent, due to lack of time. They also think the informed consent does not apply in the circumstances of a fetal vital emergency. Midwives admit it would be ideal to inform women about episiotomy during pregnancy and to collect their consent during labour. Conclusion: it would be interesting to inform every pregnant woman about episiotomy during pregnancy and to make sure of its correct understanding at the begining of labour. Episiotomy’s informed consent may be collected during labour and asked once again at the ultimate moment upon the patient’s agreement.
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Submitted on : Thursday, September 12, 2019 - 1:59:31 PM
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  • HAL Id : dumas-02285021, version 1


Elise Faure. Consentement et épisiotomie : points de vue des sages-femmes. Gynécologie et obstétrique. 2019. ⟨dumas-02285021⟩



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