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Master Thesis

État des lieux et optimisation du dépistage et de l’accompagnement des femmes présentant un trouble psychique dans le post-partum par les sages-femmes libérales du Val d’Oise.

Abstract : Screening and support for women presenting with a post-partum psychological disorder is a major public health issue today. Liberal midwives are front-line professionals in the identification and support of these women. The main objective of the study is to identify the means, resources and limits encountered by liberal midwives in the Val d'Oise in the screening and support of women with post-partum psychological disorders. The secondary objective is to identify the tools that liberal midwives in the Val d'Oise have at their disposal and would need in order to optimize support for these women. A qualitative study was carried out, based on interviews with 15 liberal midwives practicing in the Val d'Oise and providing post-natal care for women. The results show that the screening practices of women presenting a post-partum mental disorder by liberal midwives in the Val d'Oise are not systematic and are not based on the use of formalized protocols and/or tools. To support these women, the liberal midwives interviewed make referrals to different types of professionals. At the same time, they offer these women specific support based on a reinforced presence, a benevolent and supportive attitude, possibly using complementary support methods (hypnosis, acupuncture, parenting workshop). The liberal midwives interviewed identified significant limitations to their screening and support practices. For them, optimizing the screening and support of women presenting a psychological disorder in the post-partum period requires the integration of independent midwives in the Val d'Oise into multi-professional health networks and formalized guidance tools. In conclusion, the prevention of the appearance of mental disorders in postpartum women by liberal midwives is essential, both prenatally and postnatally.
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https://dumas.ccsd.cnrs.fr/dumas-03349791
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Submitted on : Monday, September 20, 2021 - 5:33:10 PM
Last modification on : Wednesday, December 22, 2021 - 3:08:44 AM
Long-term archiving on: : Tuesday, December 21, 2021 - 7:24:23 PM

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Marjorie Speranza. État des lieux et optimisation du dépistage et de l’accompagnement des femmes présentant un trouble psychique dans le post-partum par les sages-femmes libérales du Val d’Oise.. Gynécologie et obstétrique. 2021. ⟨dumas-03349791⟩

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