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Master Thesis

Douleurs physiques des interruptions volontaires de grossesses médicamenteuses en ville : évaluation et recherche de facteurs prédictifs à La Réunion

Abstract : Background : In France, as in Reunion Island, the proportion of drug-induced abortions performed in private practice has been increasing since 2004. However, the few clinical studies carried out on this subject and the large number of patients lost to follow-up after abortion, lead to a misunderstanding of the perceived pain and the factors influencing them. Method : 134 patients, performing a drug-induced abortion with a general practitioner, were included in a cross-sectional descriptive study, from 09/01/18 to 01/31/19. Data’s collection, carried out by telephone questionnaire between 2 and 4 days after misoprostol’s taking, evaluated pain perceived and analgesics prescribed then consumed by the patients. Risk factors for pain were then investigated by a bi- and multivariate analysis. Results : Three-quarters of the patients reported maximum pain higher than 4/10, and one-third higher than 7/10. They lasted more than one hour in 53.5 % of cases. However, less than half of the patients used analgesic remedies, and only 5 %, analgesics of level II which were only prescribed by only one third of the doctors. Nulliparity and strong algomenorrhoea were risk factors for higher pain. Conclusion : Pain is of high intensity and high duration during medical abortions performed by general practitioners in Reunion Island. The systematic prescription of level II analgesics and preventive analgesia, as well as a special attention paid to the patients most at risk, could allow a better management of those pains.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-02396488
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Submitted on : Friday, December 6, 2019 - 8:57:09 AM
Last modification on : Friday, October 16, 2020 - 3:04:29 AM
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Marie Puel. Douleurs physiques des interruptions volontaires de grossesses médicamenteuses en ville : évaluation et recherche de facteurs prédictifs à La Réunion. Sciences du Vivant [q-bio]. 2019. ⟨dumas-02396488⟩

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