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Master Thesis

La mise en place d’une méthode contraceptive par les sages-femmes libérales : quelles sont les difficultés rencontrées ? Étude qualitative

Abstract : Introduction / Objective Since 2009, the midwives’ field of qualification has evolved, especially with the ability to prescribe any types of contraception to healthy women. This new qualifi-cation is part of a context marked by a weakening of the sexual health offer due to the decreased number of gyneacologists, and a change of contraceptive uses linked to the pill crisis. Our study goal was to determine the difficulties encoun-tered by midwives when prescribing a contraceptive method. Methods A qualitative research study by semi-directed interviews was carried out with 13 midwives working in Ile-de-France and practicing contraceptive consultations. These interviews, carried out using an interview guideline leading midwives to talk about the difficulties they encounter. Results The difficulties that midwives encountered were linked to the interaction between the midwife and her patient on one hand, and the practices conditions on the other hand. Women’ “misconceptions” about contraceptive methods as well as communication issues are the main difficulties in the interaction between the midwife and her patient. The difficulties of the practice conditions encountered by midwives are the difference of speeches between health professionals, their lack of knowledge of natural methods and sterilization, and their skills’ limits. Conclusion Promoting continuing education on certain types of contraception such as natural methods and sterilization, as well as the influence of religions on women’ contra-ceptive choices, would allow midwives to assure a better care to their patients. To conclude, midwives have a significant position within the gynecological care of women including a knowledge to pass on against disinformation given to their patients.
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Submitted on : Thursday, June 10, 2021 - 8:15:08 AM
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Carla Jonvel. La mise en place d’une méthode contraceptive par les sages-femmes libérales : quelles sont les difficultés rencontrées ? Étude qualitative. Gynécologie et obstétrique. 2020. ⟨dumas-03256018⟩



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