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Master Thesis

Analyse des pratiques concernant la contraception post-ivg médicamenteuse par les professionnels de santé du réseau ville-hôpital du CHU de Bordeaux de 2005 à 2018

Abstract : Introduction: since 2005, the orthogénics department of CHU de Bordeaux has set up a city-hospital network to perform medical abortions outside the hospital by collaborating with gynecologists, general practitioners and midwives. Theobjective of this study is to analyze the evolution of contraceptive care after abortum, more precisely the prescription of long-acting reversible contraceptives, acclaimed by the latest recommandation froms learned societies. Material and methods: unicentric observational retrospective study, conducted from January 1, 2005 to December 31, 2018, in women who had a medical abortion outside the hospital. The data were collected using the liaison forms filled out by health professionnals and inventoried in the form of an Excel spreadsheet. Results: pills, prescribed in more than 80% of cases in 2005 is constantly decreasing, even if it still concerns 53% of women in 2018. This change is in favor of LARCs, prescribed in 36% of cases in 2018. IUDs are more prescribed than implants, all populations combined. 20% of underage patients, and 33% of patients aged 40 to 44 received LARCs in 2018. These are the categories in which LARCs have made the least progress. 30% of women whithout child also benefited from LARC in 2018. Conclusion: heathcare professionnals have evolved their practice by adapting it to new HAS recommandations, and are increasingly prescribing LARC. However, oral contraception is still the most precribed contraceptive method, especially for women without child, minors and 40 to 44 years old women.
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Master Thesis
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Submitted on : Sunday, November 8, 2020 - 11:49:22 PM
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Alexia Valteau. Analyse des pratiques concernant la contraception post-ivg médicamenteuse par les professionnels de santé du réseau ville-hôpital du CHU de Bordeaux de 2005 à 2018. Médecine humaine et pathologie. 2020. ⟨dumas-02995073⟩

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