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Master Thesis

Positionnement des sages-femmes face à l’accouchement sous le secret à l’Assistance Publique des Hôpitaux de Marseille Étude quantitative, descriptive et prospective

Abstract : Introduction: Secret childbirth is indeed a form of maternity, however particular it may be, where the midwife’s support within a multidisciplinary team is essential, even if this approach may seem paradoxical in view of the midwives usual mission in establishing the mother-child bond. Midwives are the main interlocutors in the care, with a role of both information and support for these patients. Objectives of the study: • Identify the difficulties reported by the midwives during the global care of a patient wishing to give birth under secrecy in the Public Hospitals of Marseille (APHM). • Identify the origin of these difficulties and assess the usefulness of a complementary institutional tool designed to facilitate their management. Material and method: This is a quantitative, descriptive and prospective study carried out among the midwives of the APHM, involving sixty midwives in the public hospital sector. Data were collected through a questionnaire. Results: This study showed that the midwives expressed difficulties at various levels, mainly administrative side, then by the legislative one, and finally by the psychological support. However, they expressed fewer difficulties at the lever of medical and neonatal care. Indeed, they mostly explained it by a lack of training. This study shows in particular that the majority of midwives who have not been confronted with this situation do not feel comfortable in this care.Conclusion: Thus, almost all of the midwives questioned enter into a process of personal knowledge development by asking for a complementary institutional tool to facilitate their care. Proposals where therefor made in attempt to meet the expectations of midwives.
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https://dumas.ccsd.cnrs.fr/dumas-03001997
Contributor : École Universitaire de Maïeutique Marseille Méditerranée (eu3m) <>
Submitted on : Thursday, November 12, 2020 - 4:04:03 PM
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Youssra Hannouf. Positionnement des sages-femmes face à l’accouchement sous le secret à l’Assistance Publique des Hôpitaux de Marseille Étude quantitative, descriptive et prospective. Gynécologie et obstétrique. 2020. ⟨dumas-03001997⟩

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