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Master Thesis

Pourquoi l’examen vaginal ? L’expérience du toucher vaginal chez les sages-femmes en accompagnement global

Abstract : Vaginal examination is an obstetrical examination very frequently used in the follow-up of childbirth. It assesses the good progress of dilatation of the cervix and gives the usual signal for labor. However, clinical practice recommendations for its use remain low level of evidence and vary by country. Objective The objective of our study was to study the vaginal examination practices in midwives practicing global support. These midwives work in the area of low-risk obstetrics and "one-to-one" follow-up as part of the new HAS physiological work recommendations. Methods Our study is based on semi-structured interviews with 9 professionals working in Ile-de-France. Results and conclusion The monitoring of labor is based on the midwives questioned on clinical know-how which goes well beyond the vaginal touch technique and is influenced by the experience of the midwife and her place of practice. Far from being a simple technical gesture, the vaginal touch is at the interface between couples and professionals but also professionals between them.
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https://dumas.ccsd.cnrs.fr/dumas-03219123
Contributor : Uvsq Bibliothèques Universitaires <>
Submitted on : Thursday, May 6, 2021 - 1:40:06 PM
Last modification on : Thursday, May 27, 2021 - 9:03:12 AM

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  • HAL Id : dumas-03219123, version 1

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Hortense Armand-Bertrand. Pourquoi l’examen vaginal ? L’expérience du toucher vaginal chez les sages-femmes en accompagnement global. Gynécologie et obstétrique. 2020. ⟨dumas-03219123⟩

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