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Master Thesis

Prise en charge de la douleur dans le cadre d'une Interruption Volontaire de Grossesse par méthode médicamenteuse : étude des Pratiques Professionnelles en région Auvergne-Rhône-Alpes

Abstract : Background: Medical abortion affects thousands of women in France every year, and is described as a painful technique. Health care providers, especially physicians and midwives, are essential protagonists in women’s support through both physical and psychological pain management. The aim of this study was to describe professional practices in the region of Auvergne-Rhône-Alpes. Method: Physicians and midwives practicing medical abortion in the region of Auvergne-Rhône-Alpes were surveyed about their daily practice with the help of a self-administered internet questionnaire. Results: Findings show very heterogenous techniques to handle pain management. Pain is assessed by half of the respondents. There is no consensus on mifepristone and misoprostol regimens amongst medical guidelines or clinical practices. Although the most common analgesics used are paracetamol, ibuprofen and association of paracetamol and codeine, analgesic prescriptions appear to be very dissimilar. Non pharmacological methods of pain management are moderately developed and psychological support isn’t always part of the abortion care. Discussion: Findings of the study match those found in the literature. It appears to be of interest to conduct more assessments about pain influencing factors. The standardization of both official guidelines and analgesic protocols also seems relevant. Conclusion: Improvement in current pain management methods for medical abortion is possible, especially with more evaluation of women’s needs.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-03186416
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Submitted on : Wednesday, March 31, 2021 - 9:55:59 AM
Last modification on : Tuesday, April 20, 2021 - 3:31:55 AM
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2020-MSF-GOURDET-A.pdf
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  • HAL Id : dumas-03186416, version 1

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Amélie Gourdet. Prise en charge de la douleur dans le cadre d'une Interruption Volontaire de Grossesse par méthode médicamenteuse : étude des Pratiques Professionnelles en région Auvergne-Rhône-Alpes. Médecine humaine et pathologie. 2020. ⟨dumas-03186416⟩

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