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Master Thesis

Exploration des prises en charges des médecins généralistes des grossesses non planifiées

Abstract : Background: the prevention of unplanned pregnancies has been improved in France by better dissemination of contraceptive methods. Yet, even though the rate of unplanned pregnancies (UP) has decreased, a third of pregnancies remain unplanned. The role and impact of the general practitioner (GP) in the care of women with UP required a study to explore the role of GPs in their outcome. Methods: we performed a qualitative study exploring the practices and experiences of GP through individual semi-directed interviews. GPs were recruited in a reasoned and diversified way in the regions of Brittany, Normandy, and Pays de la Loire until saturation of data was reached. The coding was triangulated by two independent researchers. Results: we performed sixteen interviews between October and December 2018. UP care was similar amongst GPs: confirmation of the pregnancy, evaluation of the psychosocial context, evaluation of the desire of the pregnancy, then adapted patient’s orientation according to her decision. In case of indecision, the patient was seen in consultation after a period of reflection. Childbirth "under X" was never offered if the patient was on time for an abortion. The GPs encountered various difficulties in their care. Only some of the GPs thought to be careful not to influence women. Conclusion: GPs’ roles were diverse in patient decision-making and for the follow-up of UP.
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Master Thesis
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Submitted on : Tuesday, October 15, 2019 - 3:35:30 PM
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  • HAL Id : dumas-02316782, version 1


Christine Maloumbi Nzoungou. Exploration des prises en charges des médecins généralistes des grossesses non planifiées. Médecine humaine et pathologie. 2019. ⟨dumas-02316782⟩



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