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Master Thesis

Prise en charge des interruptions médicales de grossesse et des morts foetales in utéro en salle de naissance : le ressenti des sages-femmes

Abstract : Introduction: When couples are faced with a Medical Termination of Pregnancy (MTP) or IntraUterine Fœtal Death (IUFD), their involvement is influenced by the support received from the health professionals. Therefore, many studies focus on the experiences of those couples. However, often, the feelings of the health professionals who provide a support for them during these hard times, in particular those of the midwives in the delivery room, have hardly been approached in the literature. Methods: The main objective of the study was to explore the feelings of midwives regarding the care of MTP and IUFD in the delivery room. A qualitative study was conducted in a type-III maternity of Auvergne-Rhône-Alpes. Moreover, semi-structured interviews were conducted with nine midwives. Results: Midwives describe emotionally intense moments. The result is a mixture of feelings and emotions; whose determinants are multifactorial. To face it, they develop more or less effective methods, and express several expectations and needs to help them in this process, such as developing training and providing psychological support. Discussion: Midwives report an intense emotional load, alongside the couple being accompanied. The development of collective and individual defensive strategies seem essential, nonetheless, it must be supported to avoid repercussions on the quality of care and on the couple's experience. Conclusion: Meeting the expectations and needs of midwives by providing them with practical and especially psychological support is essential to enable them to identify, recognize, admit and express their own emotional feelings. This involves improving continuing education and developing psychological support for caregivers.
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https://dumas.ccsd.cnrs.fr/dumas-03435115
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Submitted on : Thursday, November 18, 2021 - 3:36:45 PM
Last modification on : Saturday, November 20, 2021 - 3:50:19 AM

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Lucie Lametery. Prise en charge des interruptions médicales de grossesse et des morts foetales in utéro en salle de naissance : le ressenti des sages-femmes. Gynécologie et obstétrique. 2021. ⟨dumas-03435115⟩

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