La prise en charge perpartum des femmes sourdes à la maternité de La Pitié-Salpêtrière

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Název: La prise en charge perpartum des femmes sourdes à la maternité de La Pitié-Salpêtrière
Autoři: Foeillet, Constance
Přispěvatelé: École de sages-femmes Baudelocque - Université Paris Cité (ESF Baudelocque UPCité), Université Paris Cité (UPCité), Sophie Serreau
Zdroj: https://dumas.ccsd.cnrs.fr/dumas-03896830 ; Gynécologie et obstétrique. 2022.
Informace o vydavateli: CCSD
Rok vydání: 2022
Témata: Midwife, Difficulties, Delivery, Deaf, Communication, Adaptation, Anticipation, Improvement, Training, Sage-femme, Difficultés, Accouchement, Surdité, Amélioration, Formation, MESH: Midwifery, MESH: Delivery, Obstetric, MESH: Deafness, MESH: Communication, MESH: Education, [SDV.MHEP.GEO]Life Sciences [q-bio]/Human health and pathology/Gynecology and obstetrics
Popis: Introduction: with nearly 35 deliveries of women with hearing disabilities per year, the maternity hospital of La Pitié-Salpêtrière is the reference center for deaf patients in Ile-de-France. A midwife practicing sign language receives patients to ensure their gynecological follow-up, their pregnancy consultations and continues to see them postpartum to support them in their role as new mothers. However, this personalized and adapted follow-up is not continuous since this midwife cannot provide on-call duty in the delivery room in parallel with her numerous consultations. The deaf patient and her entourage are therefore taken care of by a random team, having to deal with limited way of communication. The purpose of this paper is to identify the various difficulties encountered by midwives during perpartum care and to highlight the adaptive methods and strategies employed.Method: we have conducted a qualitative study based on semi-structured interviews with 12 midwives working at the delivery room at the La Pitié-Salpêtrière maternity, who regularly meet deaf patients.Findings and discussion: the analysis of the interviews showed that the perpartum care of deaf patients depends on an ability to adapt to each stage of labour and delivery. The difficulties encountered are varied and depend in particular on the time available and the energy of the midwife during the care. While no midwife has received any real training on this subject, all agree that each meeting is a source of learning and improvement. In spite of a contact sometimes more complex to set up, communication manages to establish itself in the vast majority of cases thanks to lip reading and mime.Conclusion: midwives show kindness and open-mindedness to a deaf patient and her entourage. Thanks to the intervention of several actors and an anticipation of potential difficulties, midwives manage to set up effective care although it can be improved by more training. ; Introduction : à raison de 35 accouchements de femmes sourdes par an, la maternité de La ...
Druh dokumentu: master thesis
Jazyk: French
Dostupnost: https://dumas.ccsd.cnrs.fr/dumas-03896830
https://dumas.ccsd.cnrs.fr/dumas-03896830v1/document
https://dumas.ccsd.cnrs.fr/dumas-03896830v1/file/DESF_Baudelocque_FOEILLET_Constance_DUMAS.pdf
Rights: http://creativecommons.org/licenses/by-nc-nd/ ; info:eu-repo/semantics/OpenAccess
Přístupové číslo: edsbas.27FF8A8A
Databáze: BASE
Popis
Abstrakt:Introduction: with nearly 35 deliveries of women with hearing disabilities per year, the maternity hospital of La Pitié-Salpêtrière is the reference center for deaf patients in Ile-de-France. A midwife practicing sign language receives patients to ensure their gynecological follow-up, their pregnancy consultations and continues to see them postpartum to support them in their role as new mothers. However, this personalized and adapted follow-up is not continuous since this midwife cannot provide on-call duty in the delivery room in parallel with her numerous consultations. The deaf patient and her entourage are therefore taken care of by a random team, having to deal with limited way of communication. The purpose of this paper is to identify the various difficulties encountered by midwives during perpartum care and to highlight the adaptive methods and strategies employed.Method: we have conducted a qualitative study based on semi-structured interviews with 12 midwives working at the delivery room at the La Pitié-Salpêtrière maternity, who regularly meet deaf patients.Findings and discussion: the analysis of the interviews showed that the perpartum care of deaf patients depends on an ability to adapt to each stage of labour and delivery. The difficulties encountered are varied and depend in particular on the time available and the energy of the midwife during the care. While no midwife has received any real training on this subject, all agree that each meeting is a source of learning and improvement. In spite of a contact sometimes more complex to set up, communication manages to establish itself in the vast majority of cases thanks to lip reading and mime.Conclusion: midwives show kindness and open-mindedness to a deaf patient and her entourage. Thanks to the intervention of several actors and an anticipation of potential difficulties, midwives manage to set up effective care although it can be improved by more training. ; Introduction : à raison de 35 accouchements de femmes sourdes par an, la maternité de La ...