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Master Thesis

État des lieux des connaissances et des pratiques des sages-femmes de la région Auvergne-Rhône-Alpes concernant la gestion naturelle de la fertilité

Abstract : Introduction: After the 3rd and 4th generation pills’s scandal, women are wary of hormonal contraception methods, and they turn of methods of natural fertility management (NFM) which are methods of observing physiological variations in the cycle. Midwives are witnesses of these questions. Objectives: The main objective was to assess midwifery knowledge of natural fertility management methods. The secondary objectif was to establish an inventory of the practices of midwives in the Auvergne-Rhône-Alpes region about the methods of NFM. Population and method: This cross-sectional descriptive study was carried out by disseminating a self-questionnaire to midwives in the Auvergne-Rhône-Alpes region. This study inclued 65 midwives, with 55% of midwives in hospital sector, 25% in the liberal sector, 6% territorial, 4% in family planning and 10% liberal and hospital. Results: The participation rate was 8%. Midwives had a certain knowledge about fertility physiologythat remained however poor.Only 15% of them always explained female fertility. Only 6% midwives were addressing natural fertility management methods at every contraception consultation. They underestimated natural fertility management methods effectiveness’s and they didn’t known these methods. Discussion: Despite low representativeness and selection bias, the study shows that midwives do not always have a response in line with data from the NFM literature. Lack of formation and information in this area would affect the confidence of professionals in these methods and their practices.
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Master Thesis
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Elisabeth Giraudon. État des lieux des connaissances et des pratiques des sages-femmes de la région Auvergne-Rhône-Alpes concernant la gestion naturelle de la fertilité. Médecine humaine et pathologie. 2019. ⟨dumas-02634186⟩

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