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Master Thesis

Satisfaction des femmes concernant la prise en charge de leur déclenchement artificiel du travail par prostaglandines E2

Abstract : Introduction : In France, prostaglandins E2 are the first recommanded method when an induction of labour is needed, while it seems to negatively influence the experience of birth. Objectives : To evaluate the satisfaction of women about the management of their induction of labour by prostaglandins E2, and to deduce items that can positively influence it, in order to improve satisfaction. Population and method : A descriptive transversal survey was realized thanks to questionnaires given to 105 women who experienced an induction of labour by prostaglandins E2 in a type III maternity. Results : The general satisfaction score was 4,0 [4,0 - 5,0]. The information and the support they received had a significant moderate impact on their general satisfaction, whereas the link between general satisfaction and the satisfaction with the management of the pain was poor. An information adapted to reality, the involvment of women such as midwives’ availability looked like being key items on general satisfaction. Discussion :.To improve this satisfaction, it is necessary to evaluate the information given to women according to medical caregivers and to adjust it to evidence based medicine and midwiferythe ; such as to study the efficience of alternatives with the intention of improving women’s feeling of involvement. Knowing the vision of midwives about that management should allow to develop ideas in order to improve women’s satisfaction. Conclusion : Women were satisfied about the management of their induction of labour, but further studies should help to improve the experience of birth in a context of induction, where the psychological management by midwives seems to take precedence over physical management.
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Master Thesis
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Alicia Chavarot. Satisfaction des femmes concernant la prise en charge de leur déclenchement artificiel du travail par prostaglandines E2. Médecine humaine et pathologie. 2019. ⟨dumas-02469603⟩

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