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Master Thesis

Enquête qualitative auprès de femmes ayant fait un déni de grossesse sur leur prise en charge par les médecins généralistes

Abstract : Introduction: Denial of pregnancy is not uncommon, with an estimated frequency of 1 in 400 to 500 births. Their role of first resort to care and long-term follow-up leads general practitioners to take care of these women or their children. However, they are little trained on this subject. This study gave a voice to women who denied pregnancy to collect their experiences and their expectations regarding their overall care by general practitioners. Method: Qualitative, inductive and interpretive study with phenomenological analysis, in a grounded theory approach. Survey carried out among adult women who have had a denial of pregnancy (pregnancies discovered after 20 weeks of amenorrhea), recruited through perinatal care professionals in Haute-Savoie and social networks. Data collected during semi-structured individual interviews using an interview guide. Results: Twelve individual interviews were carried out across August and September 2020. Interrogated women had experienced general practitioners with very different behavior, from accompanying support to total absence. Developing knowledge among doctors and the overall population is essential to better recognize and detect denial of pregnancy. The general practitioner participates in monitoring the development of the child and supporting the mother-child relationship. City-hospital communication would allow setting up a better, more adapted follow-up to each woman, as outpatients. Women who had a denial of pregnancy should receive psychological care as soon as the denial is lifted and keep receiving it on the long term according to their needs. The general practitioner is responsible for coordinating care and referring the woman to other health professionals to receive holistic care. Conclusion: The general practitioner has a central role in the overall care of the patient woman. Networking with other professionals or patient associations could be an asset in providing caring and global support to these women.
Document type :
Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-03200392
Contributor : Jean-Hugues Morneau Connect in order to contact the contributor
Submitted on : Friday, April 16, 2021 - 2:56:39 PM
Last modification on : Sunday, April 18, 2021 - 3:15:21 AM
Long-term archiving on: : Saturday, July 17, 2021 - 6:51:44 PM

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  • HAL Id : dumas-03200392, version 1

Citation

Marie Brun, Céline Petit. Enquête qualitative auprès de femmes ayant fait un déni de grossesse sur leur prise en charge par les médecins généralistes. Médecine humaine et pathologie. 2021. ⟨dumas-03200392⟩

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