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Master Thesis

Suivi gynécologique des femmes atteintes de mucoviscidose : Une étude transversale menée au Centre de Ressources et de Compétences de la Mucoviscidose du Centre Hospitalo-Universitaire de Bordeaux

Abstract : Introduction: more and more women with cystic fibrosis reach their reproductive years. Only few studies exist, but data suggest an insufficient gynecological follow-up in this population. Method: the objective was to describe the quality of the gynecological follow-up of women with cystic fibrosis using several criteria: adherence to gynecological follow-up, contraceptive coverage and compliance with the prevention plan of cervical cancer. We conducted a cross-sectional study based on a self-report questionnaire submitted to adult patients, transplanted or not, followed by the Cystic Fibrosis Center in Bordeaux between April 2019 and February 2020. Results: 63 women were included (27% of whom were transplanted) with a participation rate of 73%. An adequate gynecological follow-up was found for 71.2% of our patients. Cervical screening was suitable for 72.2% of the patients and 56.2% if transplanted. HPV vaccine coverage was consistent for 39.4% of the cohort. Finally, regarding contraceptive coverage, 78% of our patients was using a contraceptive method, and 57.1% of the transplanted patients. Conclusion: our study revealed shortcomings in our cohort’s gynecological follow-up quality, particularly in terms of contraception. Contraception in patients at higher risk in case of an unplanned pregnancy was too often inadequate. Our study suggests the utility of a dedicated gynecological healthcare pathway.
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https://dumas.ccsd.cnrs.fr/dumas-03204226
Contributor : Médecine Ub <>
Submitted on : Wednesday, April 21, 2021 - 1:56:26 PM
Last modification on : Thursday, May 13, 2021 - 3:18:15 AM

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Emmanuelle Begon. Suivi gynécologique des femmes atteintes de mucoviscidose : Une étude transversale menée au Centre de Ressources et de Compétences de la Mucoviscidose du Centre Hospitalo-Universitaire de Bordeaux. Sciences du Vivant [q-bio]. 2021. ⟨dumas-03204226⟩

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