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Master Thesis

Attitude médicale face à l’annonce d’une suspicion d’anomalie fœtale

Abstract : Apprehension regarding the announcement of suspected foetal abnormality seen in ultrasound scans varies amongst healthcare professionals, who are aware of the technical and ethical repercussions on parental decisions.This study’s primary objective was to analyse the personal experience of different ultrasonographers during the announcement of warning signs or suspected foetal abnormalities, seen either in screening or diagnostic ultrasound.The secondary objectives aimed to explore the ultrasonographers’ personal experiences in greater detail. These included factors influencing the announcement of the foetal abnormality, whether they complicated or facilitated the consultation. These also comprised the analysis of the knowledge, practice and attitudes of the healthcare professionals as well as the different techniques used during the consultation. Finally, this study aimed to analyse the various tools and skills used by ultrasonographers to improve the quality of their announcement of the diagnosis.This qualitative study was based on both the observation of consultations and the results of semi-structured interviews with twenty ultrasonographers, comprised of doctors and midwives. The results highlight feelings of great discomfort for the ultrasonographers on discovering an abnormality on the scan, and feelings of stress for some. The different perceptions and practices regarding the announcement of a diagnosis vary between screening ultrasonographers and specialist doctors. The uncertainty of foetal prognosis seemed to complicate the announcement for most healthcare professionals. Qualities that made the communication of the diagnosis easier included the ultrasonographer’s availability, their attitude, gestures and use of silence during the consultation. Although professional experience is considered a very powerful skill, training for the communication of a diagnosis accelerates the development of good medical practice and improves healthcare professionals’ knowledge.In conclusion, a trust-based relationship between the patient and the healthcare professional is built gradually during the first consultation. It is reinforced by the quality of the announcement and follow-up, as well as the healthcare professional’s thoroughness and humanity.
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https://dumas.ccsd.cnrs.fr/dumas-03048215
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Submitted on : Wednesday, February 17, 2021 - 3:12:56 PM
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  • HAL Id : dumas-03048215, version 1

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Eugénie Blanchet. Attitude médicale face à l’annonce d’une suspicion d’anomalie fœtale. Gynécologie et obstétrique. 2020. ⟨dumas-03048215⟩

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