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Master Thesis

Obésité et grossesse : l’information délivrée par les professionnels de santé en périnatalité

Abstract : Objective For several years, obesity has become a public health issue due to an increasing occurrence of cases, reaching 12% of pregnant women in France. The aim of this dissertation was to review the current state of professional practices concerning the information on obesity delivered in perinatality, and thus to point the ins and outs that influence the quality of this information. Methods We led a descriptive study through an online survey between June 2017 and January 2018. We questionned a group of midwives and gynecologists obstetricians practicing both in hospitals and outside hospitals in Ile-de-France and in 4 University Hospital located in Nord, Bas-Rhin, Champagne-Ardenne, Haute-Garonne and Maine et Loire. The total sample consisted in 377 responses. Results Perinatal health professionals that we surveyed had "a tendency" to talk about obesity with their obese patients (60.2%). We observed that the youngest and the hospital-based respondents were significantly "less inclined" to tackle this issue. Overall, the information provided was mostly oral and concerned the risks of maternal obesity as well as possible care during pregnancy. The main brakes to this information were linked to organizational factors but also to human factors. This study reveals some obstacles related to the personal position of practitioners regarding the approach of obesity with patients and their lack of knowledge on the subject. Indeed, almost one out of five professionals did not know the definition of obesity (19.4%). Moreover, half the health professionals stated that they were not sufficiently trained and / or aware of maternal obesity (54.4%). This perception was significantly present among professionals who answered that they were "less inclined" to deal with the subject (70.7%). Conclusion The information on maternal obesity is insufficient and fragmented. Approaching this topic is subject to many organizational and human factors, especially related to the lack of information tools, network of care and training for professionals. Training professionals and making them aware of the problem of obesity remain essential. In addition, the creation of information frames and multidisciplinary care networks related to maternity has to be developed in order to improve the quality of the information provided to pregnant patients.
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Submitted on : Thursday, May 20, 2021 - 8:35:06 AM
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Marion Perkowski. Obésité et grossesse : l’information délivrée par les professionnels de santé en périnatalité. Gynécologie et obstétrique. 2018. ⟨dumas-03230514⟩

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