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Master Thesis

L’analgésie péridurale : comparaison du souhait prénatal avec sa réalisation le jour de l’accouchement et étude du vécu des parturientes

Abstract : Context: nowadays, 8 out of 10 women have an epidural wish. For the others, more and more projects of birth are formulated, with requests more personalized associated often with a refusal of the epidural. The closure of local level I maternity clinics, in connection with the lack of midwifery staff has led to more difficult management, which is out of step with women's expectations and their desire to D-day of delivery. Objective: this study aims to identify the circumstances in which the wish of these women has not been realized and qualify their experience of childbirth. The methodology is a phenomenological qualitative ap-proach. 10 patients were selected to perform semi-structured interviews in maternity layer follow-up services at all levels in the Bouches-du-Rhône (13) and Vaucluse (84) departments. Results: out of 10 patients, 1 primiparous and 8 multiparous wished an epidural that they did not have mainly because of the speed of work concomitant for certain to a rupture of water pocket. The unavailability or the delay of the anesthesiologist in connection with a strong activity in the birth room were the main cause of an epidural-free delivery... A single primiparous patient did not wish for an epidural. Despite the respect of her birth plan by the medical team, she asked it to face the difficulties encountered once the pain installed. These 10 women are still satisfied with this birth, lived as a challenge they have been able to do. The ability to plan for a possible future pregnancy is sometimes compromised for patients whose memory is still traumatic and too recent. Conclusion: the midwife has an indispensable role in maintaining the balance between the idea that the patient has of her delivery, with the unforeseen events of the D-day, such as the circumstances of the work and a busy activity of the obstetrical block, so that her care is as much as possible in keeping with what actually she wanted... In response to the new recommendations of the CNGOF and HAS, birthing centers are the future project to develop so that women's expectations will be more and more respected...
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https://dumas.ccsd.cnrs.fr/dumas-02382947
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Submitted on : Wednesday, November 27, 2019 - 2:33:20 PM
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  • HAL Id : dumas-02382947, version 1

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Marie-Charlotte Ripoll. L’analgésie péridurale : comparaison du souhait prénatal avec sa réalisation le jour de l’accouchement et étude du vécu des parturientes. Gynécologie et obstétrique. 2019. ⟨dumas-02382947⟩

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