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Master Thesis

Prévention primaire de l'alcoolisation fœtale et de l'ensemble des troubles causés par l'alcoolisation fœtale chez les femmes en âge de procréer entre 18 et 45 ans

Abstract : Introduction: Today, the dangers of alcohol consumption during pregnancy are well known ; from foetal alcohol syndrome to all foetal alcohol spectrum disorders screened later in childhood. More than 30% pregnant women continue to drink. The main objective of the study is to mesure the knowledge of the impact on the unborn child of the alcohol consumption during pregnancy in women of childbearing age in Marseille and Aubagne. Secondary’s objectives are to assess their knowledge of the message "Zero alcohol during pregnancy", to evaluate the changes in the consumption of alcohol considered during a pregnancy project and to identify changes in alcohol consumption during past pregnancies. Method: A quantitative descriptive cross-sectional study based on a questionnaire survey in french, english and arabic is conducted among 200 women aged 18 to 45 years in waiting rooms for general practitioners, from march 8 to april 6, 2019, after consultation of the computer science and liberties advisor. The answers to the questionnaire are collected on tablet in offline, self-service, after oral consent. Collection, exploitation of data and graphic representations are carried out at using the Sphinx Declic software. Results: 20 responses were obtained per site for 200 responses in total. 18 women refused to participate. 69.5 % of women think that there is no alcohol consumption that is safe for the baby. The physical consequences (foetal growth retardation, prematurity and physical abnormalities of the baby) are better known as intellectual consequences (lack of concentration in school for young child, memory problems and poor eyesight in children). The message "Zero alcohol during pregnancy " is quite well known, but two out of five women not yet aware that alcohol consumption by pregnant women risks for the baby from the first drink. Regarding a pregnancy project, about three in five women intend to change their alcohol intake as soon as the desire to become pregnant or at least to stop the contraceptive method, while for past pregnancies, they were two women out of five. Conclusion: Knowledge of the consequences of foetal alcohol appears to be slight decline in this study, despite the current prevention policy. It seems essential to strengthen primary prevention in these women of childbearing age, also thinking about health professionals, the entourage and all stakeholders influence their alcohol consumption, so that efforts can be shared and thus strengthened.
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Submitted on : Thursday, November 28, 2019 - 3:57:20 PM
Last modification on : Friday, October 23, 2020 - 4:58:58 PM
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Pauline Maillochon. Prévention primaire de l'alcoolisation fœtale et de l'ensemble des troubles causés par l'alcoolisation fœtale chez les femmes en âge de procréer entre 18 et 45 ans. Sciences du Vivant [q-bio]. 2019. ⟨dumas-02384995⟩



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