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Master Thesis

Évaluation des pratiques professionnelles des sages-femmes concernant le dépistage du cancer du col par frottis cervico-utérin pendant la grossesse

Abstract : Objective Prenatal care can be the opportunity to increase the coverage of cervical cancer screening by cervical Pap smear in screening the women which are not screened enough, especially because of a lack of regular gynecological follow-up. This is an important issue for the midwives, which are particularly requested to carry out pregnancy follow-up. The first aim of this study was to realize an assessment of professional midwifes practices concerning cervical cancer screening by Pap smear during pregnancy, by using HAS 2013 guidelines as reference. The second aim was to describe current midwives practices and highlight their possible apprehensions and their ease in the practice of screening pregnant women. Methods A descriptive study by online survey distributed to prenatal care midwives, practicing in the hospital or out-patient sectors, was conducted from February to May 2018. This form included two clinical vignettes following by questions about the current midwives screening practices. Two hundred and seventy-three answers were included for analysis. Results In this study, a majority of midwives (69%) didn’t realize the cervical cancer screening by Pap smear for eligible women, according to the guidelines. Only 40% of midwives respected the full screening scheme of HAS guidelines when they performed a Pap test to a pregnant woman: the first at 25, the second at 26 and the following every three years if the first two are normal. Conclusion There are many variations in professional midwives practices regarding cervical cancer screening by Pap test in pregnant women. The screening organized nationally will surely be the opportunity to improve and standardized these practices. This will remind the guidelines and raise awareness among professionals and the population about the problem of cervical cancer and its means of prevention.
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https://dumas.ccsd.cnrs.fr/dumas-03227189
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Submitted on : Monday, May 17, 2021 - 9:41:32 AM
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Léa Kervella. Évaluation des pratiques professionnelles des sages-femmes concernant le dépistage du cancer du col par frottis cervico-utérin pendant la grossesse. Gynécologie et obstétrique. 2018. ⟨dumas-03227189⟩

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