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Master Thesis

État des lieux de la pratique des sages-femmes de l’Assistance Publique des Hôpitaux de Paris concernant l’accouchement du siège

Abstract : Context: the breech delivery is part of the midwife’s skills. This reputed presentation at risk requires the acquisition and maintenance of skills to ensure quality and safety of care. Objective: the objective of this study was to make an inventory of the practice of midwives in the Public Assistance of the Hospitals of Paris (AP-HP) concerning the breech delivery. Material and method: this quantitative, multi-centre study was conducted in a descriptive manner using an anonymous Microsoft Forms questionnaire, between October 2020 and January 2021. Results: the 171 responses allow to analyze the practice of 30.5% of midwives of APHP. At the end of initial training midwives are able to master from a theoretical point of view the physiological breech delivery and the associated maneuvers. Initial clinical training is mostly based on observation. Among the midwives questioned, 52% have never performed this childbirth, including 12.3% who have never had the opportunity to do so, with a difference in practice between type 2 and type 3 maternity hospitals. Although 89% of the population believe that the topic of the breech birth would be relevant to address in continuing education, only 11.7% have followed. Finally, the majority of the study population underlines that the midwife should have a more central place in breech birth while specifying the importance of the practice for all professionals likely to take charge of the breech delivery. Conclusion: our study shows the importance of acquiring and maintaining competence concerning the breech delivery, as well as the importance of clinical practice in initial and continuing education.
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https://dumas.ccsd.cnrs.fr/dumas-03351954
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Submitted on : Wednesday, September 22, 2021 - 5:28:44 PM
Last modification on : Friday, August 5, 2022 - 2:50:25 PM
Long-term archiving on: : Thursday, December 23, 2021 - 7:15:17 PM

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Lya Walpole. État des lieux de la pratique des sages-femmes de l’Assistance Publique des Hôpitaux de Paris concernant l’accouchement du siège. Gynécologie et obstétrique. 2021. ⟨dumas-03351954⟩

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