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Master Thesis

L’annonce de fausses-couches par les médecins : Étude qualitative dans deux hôpitaux d’Île-de-France

Abstract : Objective The aim of our study was to explore the practice of miscarriage announcement by Ile-de-France doctors and the difficulties then encountered. We were looking to show that the doctors have a different practice depending on their sex, the moment in their carreer and their training. We also wished to expose the lack of time and material ressources needed for this practice. Furthermore, we meant to demonstrate that the professionals delivering these news develop a compassion fatigue and a need for self-protection. Studies have showed that the patients and the professionals are not satisfied by the miscarriage announcements. Our global aim thus was to show that all the exposed difficulties could explain it. Methods The chosen method was a qualitative study. Semi-directive individual interviews were conducted with doctors and interns from the Centre Hospitalier Intercommunal de Poissy-St Germain (CHIPS) et du Centre Hospitalier de Versailles (CHV), with an activity in the gynecological emergency room, men or women, of all ages, at different times in their carreer. The interviews were recorded, transcribed and their content analysed by themes. Results and conclusion The interns are the ones that are alone with the patients when the miscarriage is announced, and that is as soon as their internship starts. They however do not have the seniors’ expertise, which makes their practice vastly different. Moreover, they cannot rely on their theoretical or clinical training since only a part of them have benefitted from it. Thus, they are met with difficulties, such as managing their feelings, elaborating suitable standard sentences and taking a step back on their practice. Being confronted to this situation many times a day in the emergency room, they often develop a compassion fatigue and a need for self-protection. To the extreme, this leads to a gradual erosion of empathy, thus non satisfying announcements for the patients. A standardization of the theoretical and clinical trainings on this subject seems to be a solution. The clinical training would be early and would be repeated in their internship, in the form of roleplaying and accompanied by the psychologists raising awareness about the significance of the miscarriage for the patients.
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Submitted on : Monday, March 28, 2022 - 9:30:42 AM
Last modification on : Tuesday, April 5, 2022 - 3:34:45 AM


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  • HAL Id : dumas-03621199, version 1



Valentine Cornu. L’annonce de fausses-couches par les médecins : Étude qualitative dans deux hôpitaux d’Île-de-France. Gynécologie et obstétrique. 2021. ⟨dumas-03621199⟩



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