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Master Thesis

Perception du débat sur les violences obstétricales par les professionnels, sages femmes et gynécologues-obstétriciens

Abstract : Introduction – goals: almost two years after summer 2017 controversy about obstetrical violence, our study aims at exploring how this debate is perceived by professionals, midwifes and gynecologists-obstetricians. Going beyond official statements from professional organizations, it felt crucial to collect the position and expectations from professionals who are directly involved in child deliveries. Our analysis also aims at spotting the key factors leading to the recognition, or non-recognition, of violence occurring during patient management in obstetrics. Study material and methodology: sixteen semi-directed interviews were conducted with midwifes and gynecologists-obstetricians between September and December 2018. Results: our study has shown that the concept of obstetrical violence was recognized by professionals in obstetrics, conveying legitimacy to it, although the term does not meet unanimous support. Many of the interviewed professionals questioned themselves, leading some of them to change practice in the past few months. The only key driving factor that stood out was the length of the interviewees’ professional experience, as elder practitioners considered that violence was more widespread earlier in their career. A consensus was met regarding the importance to deliver proper information to patients and on the fact that few mitigating factors existed to justify obstetrical violence. On the contrary, obtaining informed consent did not reach consensus. Conclusion: in the end, the patient testimony-driven conversation on obstetrical violence seems to have led to a deeper questioning on the relationship between health care providers and recipients. It appears to us that this debate expresses some new aspirations around child birth management that professionals seem to have accounted for, as demonstrated by the questioning of their practice.
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https://dumas.ccsd.cnrs.fr/dumas-02301776
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Amandine Macias. Perception du débat sur les violences obstétricales par les professionnels, sages femmes et gynécologues-obstétriciens. Gynécologie et obstétrique. 2019. ⟨dumas-02301776⟩

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