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Master Thesis

Représentations et vécus des femmes face à la césarienne en France

Abstract : Introduction / Objective In France the caesarean section rate doubled in twenty years and is stable since 2003 at about 21%. This review aims to understand the French distinctiveness, by exploring the following topics: the perception and the real experience of this way of delivery, and if there is a real a wife demand for the caesarean. Methods 26 semi-leading qualitative interviews have been leaded in the Institut Mutualiste Montsouris in Paris. Among 7 patients close to delivery and 19 who had delivered by caesarean section were interviewed. They have been transcribed and analysed by themes. Results We can resume that caesarean is considered by women as the last issue. Woman esteem feel damaged as they were unable to deliver alone, without medical assistance. Furthermore cesarean may impact the relationship with their child due to the separation, even if it is fully appreciated that father can have special time with the baby. Some of them consider caesarean as a way to avoid pains, others perceive it more painful. Some of patients experience caesarean with serenity when it is prepared. They recognize to be ambivalent knowing the importance of the preparation but considering it stressful and they avoid details during the preparation. Regarding sexuality, it does not seem to influence the idea of women have about caesarian in France. Concerning the choice from women to have caesarian, it is marginal. And not assumed by couples if requested. The patient fears to be judged by the medical profession and finally having negatives consequences in their pregnancy monitoring. Patient’s confidence in medical profession is high and the majority follows doctor’s recommendations: even if it is well appreciated to be involved in the decision, Doctors have the competences to decide. Two elements seem to allow women to have a good caesarian experience: a supportive attitude from the medical profession during the surgery, and the involvement of the future dad. Conclusion In France women prefer in majority a normal delivery than a caesarian. They trust medical profession. It means that the medical profession approach is an answer to the increase of the caesarian demand. To be experienced as a real delivery, and not only as a surgical procedure, it would be helpful that all the perinatal medical professionals think together about how to humanize this surgical procedure.
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Submitted on : Tuesday, June 29, 2021 - 2:56:43 PM
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Anne-Charlotte Pantelias. Représentations et vécus des femmes face à la césarienne en France. Gynécologie et obstétrique. 2018. ⟨dumas-03273713⟩

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