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Master Thesis

Le dépistage de l'endométriose par les sages-femmes libérales

Abstract : Objective : Endometriosis is a frequent disease affecting around 10 % of the female population which are in a reproductive age. Despite this, this disease is still detected late due to a difficult diagnosis. Since 2009, midwives have been able to carry out preventive gynaecological consultations. Consequently, they are one of mains actors to detect gynaecological pathologies. Our study goal was on the one hand to estimate methodology use by midwives who are in metropolitan to screen endometriosis and on the other to evaluate training requesting by them on this this pathology. Methods : We conducted a prospective and multicentric study from February to April 2019. To realize this descriptive study, we made an online questionnaire in order to evaluate current practices. Moreover, we have also designed a toolkit allowing us to estimate the needs felt of training and the assistance that a tool could provide. Note that we sent this questionnaire by email or social network to liberal midwives carrying out gynaecological consultations in France. Results : We got 948 questionnaires of which 822 were usable. 86.4 % of midwives systematically looked for dysmenorrhoea during a gynaecological consultation. As soon as a patient informed them of dysmenorrhoea, two-third (61,1 %) based their interview on endometriosis diseases and around three-quarters (71,2 %) performed a gynecological clinical examination. Most of the midwives (93, 1%) confesses to us they were uncomfortable with patients suffering from dysmenorrhoea and more than three-quarters of them (77,1 %) had never gotten any specific training on this pathology. The majority (93.2%) would like to get more information on endometriotic pathology. Thanks to our toolkit, more than half of the midwives (54,1 %) confessed they had learned new skills on endometriosis and they will use them to search more systematically this disease. 82% will use our toolkit in order to screen endometriosis. Conclusion : Midwives have good theoretical knowledge of endometriosis. However, due to delay in diagnosing the screen of this frequent pathology is correct but seems still insufficient. Currently, midwives are among the first professionals involved to screen this pathology. In a consequence, it seems necessary to improve their knowledge thanks to training on this topic in order to accelerate screening and medical care.
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https://dumas.ccsd.cnrs.fr/dumas-03227244
Contributor : Uvsq Bibliothèques Universitaires <>
Submitted on : Monday, May 17, 2021 - 10:12:02 AM
Last modification on : Thursday, May 20, 2021 - 3:33:35 AM

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  • HAL Id : dumas-03227244, version 1

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Lauriane Lamiaux. Le dépistage de l'endométriose par les sages-femmes libérales. Gynécologie et obstétrique. 2019. ⟨dumas-03227244⟩

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