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Master Thesis

Cartographie de la prise en charge du nouveau-né dans les maternités de l’Assistance Publique des Hôpitaux de Paris et de la place de la sage-femme dans cette prise en charge

Abstract : Background: comprehensive care is more and more popular in the nursing of mother-child couples. However, we can notice a multiplication of protagonists with this couple in the postpartum. Midwives are health professionals with skills in taking care of healthy infants and the mother. In this way, the midwife is at the center of this overall nursing. Objective: the objective of this study is to track the care of the healthy newborns in the maternities of the Assistance Publique Hôpitaux de Paris (APHP) and to show how the midwife in an integral part of this care. Population and method: this is about a descriptive multicenter observational study. To achieve this, we carried out two questionnaires: the first one to the coordinators of childbirth and the second to the midwives of the 13 maternities of the APHP. In these questionnaires, we inquire them regarding the organization of cares provided to the newborns in their maternity unit. We also asked the midwives about their competence and legitimacy feelings with newborns. Results: we obtained 181 responses from midwives in 13 APHP maternities (being 24.69% of APHP midwives) and 11 responses from coordinators (84.61%). According to the different questionnaires, the midwife is the professional who, for the most part, guides the newborns in feeding. Midwives are rarely named in the management of systematic screenings and pathologies. These results vary according to the different maternities, and we can notice a real disparity in the skills used. Midwives evaluate themselves positively regarding their abilities with newborns with an average of 13.84 / 20. Regarding their legitimacy, the self-assessment is 14.95 / 20. Disincentives to investment in newborns are variable. However, the main impediment quoted by 60.77% of the midwives is due to a lack of time.
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Submitted on : Friday, February 19, 2021 - 5:59:28 PM
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Marion Mallet. Cartographie de la prise en charge du nouveau-né dans les maternités de l’Assistance Publique des Hôpitaux de Paris et de la place de la sage-femme dans cette prise en charge. Gynécologie et obstétrique. 2020. ⟨dumas-03107311⟩

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