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Master Thesis

Évaluation de l’utilisation d’un outil de dépistage des vulnérabilités des femmes pendant la grossesse à la maternité de Port-Royal

Abstract : Background: pregnancy is a good time to help identify situations of vulnerability. The Groupe d'Etudes Grossesse et Addictions (GEGA) has set up a self-questionnaire in order to identify the different vulnerable situations of pregnant women. This questionnaire has been used for 3 years in Port-Royal but has received little evaluation. Objectives: the main objective of the study was to evaluate the frequency and modalities of use of the GEGA self-questionnaire in Port-Royal. Secondary objectives were to identify the determinants associated with the completion of the self-administered questionnaire, to obtain the consultants' opinions on this tool and to determine whether the screening of vulnerabilities using the self-administered questionnaire led to patient management. Study design: we conducted a double study, quantitative and single-center, in Port-Royal. On the one hand, a descriptive observational study with a collection of 433 files over the period of January, February and March 2019. On the other hand, a study with a questionnaire addressed to 37 consultants carried out between September 2019 and January 2020. Results: there was a 32% attendance rate for the self-questionnaire in the 408 files included of the study. There was a 76% utilization rate according to the consultants interviewed. The number of referrals with vulnerability identification by the self-questionnaire or the obstetrical record was quite low for each vulnerability category. The consultants interviewed offered a proposal for patient management if 70% of the vulnerabilities were identified in a systematic manner. The self-questionnaire helped to identify vulnerabilities for 81% of the consultants and 24% considered it indispensable. A comparison between women with a completed self-questionnaire and women with an empty or absent one did not show any significant difference in the different characteristics of the women. Conclusion: the role of the GEGA self-questionnaire is relative because it is little used by consultants, however health professionals consider it to be an aid in detecting vulnerabilities.
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Submitted on : Wednesday, February 17, 2021 - 3:42:33 PM
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Alizée Louis-Jean. Évaluation de l’utilisation d’un outil de dépistage des vulnérabilités des femmes pendant la grossesse à la maternité de Port-Royal. Gynécologie et obstétrique. 2020. ⟨dumas-03104074⟩

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