Download or read book Etat des lieux de la prise en charge de la douleur lors de la maturation du col par prostaglandines par les sages femmes written by Coralie Predonzan and published by . This book was released on 2019 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Introduction : en France, 22% des femmes bénéficient d'un déclenchement du travail. Dans la majorité des cas, une maturation du col est effectuée par prostaglandines. Cette méthode peut entrainer des contractions plus douloureuses que lors d'un travail spontané. Cette douleur peut avoir des conséquences sur la santé de la mère et du fœtus. L'objectif était de décrire les moyens utilisés par les sages-femmes lors de la prise en charge de la douleur pendant la maturation du col par prostaglandines. Matériel et Méthode : cette étude était descriptive, quantitative et multicentrique. Elle a été réalisée du 9 janvier 2019 au 1er mars 2019 au centre hospitalier universitaire d'Angers et au centre hospitalier du Mans. Les sages-femmes travaillant en salle de naissance dans ces établissements ont été invitées, par mail, à répondre à un auto-questionnaire en ligne. Résultats : pour un score de douleur inférieur à 3, ce sont les moyens non médicamenteux qui sont le plus proposés : la déambulation, le ballon, la douche/ bain ainsi que l'administration de paracétamol et de phloroglucinol. Pour un score supérieur à 6, ce sont l'injection de nalbuphine et la péridurale. Discussion : la prise en charge de la douleur lors de la maturation du col est variée. Cependant, on remarque que les moyens utilisés restent classiques. Les thérapeutiques alternatives sont peu utilisées malgré une demande plus forte de la part des femmes. Cette étude a permis aux sages-femmes d'exprimer leurs difficultés et les facteurs qui peuvent modifier leur prise en charge. Une marge de progression existe encore. Des outils doivent être mis à disposition des sages-femmes pour les aider.
Download or read book Satisfaction des femmes concernant la prise en charge de leur d clenchement artificiel du travail par prostaglandines E2 written by Alicia Chavarot and published by . This book was released on 2019 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Introduction : En France, lors d'une indication de déclenchement artificiel, les prostaglandines E2 sont recommandées en première intention, pourtant elles semblent influencer négativement le vécu de la naissance. Objectifs : Evaluer la satisfaction des femmes concernant la prise en charge de leur déclenchement par prostaglandines E2 et décrire les paramètres influençant positivement leur satisfaction afin de l'optimiser. Population et méthode : Etude épidémiologique descriptive transversale auprès de 105 femmes déclenchées par prostaglandines E2 dans une maternité de type III, à l'aide de questionnaires. Résultats : Le score de satisfaction général était de 4,0 [4,0 - 5,0]. L'information et l'accompagnement avaient un impact significativement modéré sur la satisfaction générale, alors que celui de la prise en charge de la douleur était significativement faible. L'adaptation de l'information à la réalité et l'implication des femmes, ainsi que la disponibilité des sages-femmes semblaient être les points clefs de cette satisfaction. Discussion : Pour optimiser cette satisfaction, il parait nécessaire d'évaluer l'information donnée aux femmes selon le personnel médical et de l'adapter si besoin aux données scientifiques mais aussi d'étudier l'efficacité d'alternatives afin d'accroitre le sentiment d'implication des femmes. Connaitre la vision des sages-femmes sur cette prise en charge pourrait aussi permettre de dégager des axes d'amélioration. Conclusion : Les femmes étaient satisfaites de la prise en charge de leur déclenchement, mais des études supplémentaires pourraient permettre d'améliorer le vécu de la naissance de leur enfant dans le contexte d'un déclenchement, où la prise en charge psychologique par la sage-femme semble primer sur la prise en charge physique.
Download or read book Primary Pediatric Care written by Robert A. Hoekelman and published by Mosby Incorporated. This book was released on 2000-10-01 with total page 1936 pages. Available in PDF, EPUB and Kindle. Book excerpt: -- An outstanding offer, both the New Hoekelman book & CD! -- Important new information at your fingertips, whether at the office or home.
Download or read book Fetal Heart Monitoring written by and published by Kendall Hunt. This book was released on 2003 with total page 408 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Ethics in Obstetrics and Gynecology written by Laurence B. McCullough and published by Oxford University Press, USA. This book was released on 1994 with total page 300 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book offers a comprehensive and clinically practical approach to ethics in the everyday practice of obstetrics and gynecology. The topics the authors address include: contraception, abortion, selective termination of multifetal pregnancies, gynecologic cancer, in vitro fertilization, surrogacy, prenatal diagnosis, fetal therapy, cephalocentisis, prematurity, HIV infection, and court ordered cesarean delivery. The issues involved in making decisions in many of these areas are a source of conflict, and lead to crisis between the physician and patient. One of the book's strengths is its emphasis on prevention and, if prevention fails, management, of the conflicts and crises which arise in these areas of medicine. The authors develop their preventative and management strategies on the basis of a framework for bioethics in the clinical setting. This framework is rigorously established and defended. The authors argue that four virtues -- self effacement, self sacrifice, compassion, and integrity -- generate the physician's obligation to protect and promote the patient's interest. They then identify the three types of patient's interests -- social role interests, subjective interests, and deliberative interests -- and they reinterpret the ethical principles of beneficence and respect for autonomy in terms of these. The concept of the fetus as patient, the physician's obligation to third parties, and the moral standing of fathers and family members are also addressed. The implications of their argument sets the stage for the discussions of prevention and management in the remaining sections of the book. Ethics in Obstetrics and Gynecology is a unique addition to the literature in both biomedical ethics and obstetrics and gynecology. It demonstrates that ethics should be regarded as an essential part of obstetrics and gynecology, and that clinical practice is incomplete without i
Download or read book Introduction to Clinical Examination written by Michael J. Ford and published by Elsevier Health Sciences. This book was released on 2005-01-01 with total page 190 pages. Available in PDF, EPUB and Kindle. Book excerpt: The most important core skills for medical students to master are history taking and clinical examination. This extensively revised, eighth edition has been written with the philosophy that the acquisition of clinical skills is most effectively undertaken at the bedside. This pocketbook should be used as a companion, to be taken onto the wards and into consulting rooms where the information is most needed. The book begins with a system of history taking followed by a new chapter on the analysis of key symptoms. The remaining chapters cover physical examination of each of the major systems. Each stage of the examination starts with a detailed, step-by-step description of the examination method complemented by relevant illustrations, diagrams and tables on the facing page. This book is intended primarily for use at the outset of clinical training; once students have achieved proficiency in the basic skills of interviewing and examining, the book should also prove useful for revision. An invaluable starter book concentrating purely on the fundamentals of performing a patient examination. Covers each body system and outlines the principles of: - taking a history - how to conduct a physical examination - specific examination points as appropriate Concentrates only on the main symptoms of disease and then the normal and abnormal physical findings. Mention of specific diseases is confined to those most commonly encountered. Compact and pocket-sized to be carried around easily. · Now in full colour double-page format · Clear simple colour line drawings covering the essentials of a clinical examination. · Published simultaneously with the Eleventh Edition of Macleod's Clinical Examination
Download or read book The Bereaved Child Analysis Education and Treatment written by Gillian S. Mace and published by Springer. This book was released on 1981-06-30 with total page 296 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Bereaved Child: Analysis, Education, and Treatment. An ab stracted bibliography is a comprehensive abstracted bibliography focusing on the reactions and coping mechanisms of children and adolescents to the death of parents, siblings, friends, teachers, pets or even presidents. Publication~ dealing with both normative and pathological stages of bereavement are reviewed. Materials covering childhood concepts/attitudes toward death are included. Citations appear which explore child death education/counseling issues for parents and educators when they involve actual or antic ipated death. Articles are reviewed which deal with the importance of the adult role in the mourning process of the child. For example, decisions such as whether a child should attend a funeral or return to school are examined. Publications are included which explore the short and l'ong term developmental consequences of childhood death experience. It is important to note that the topic of the dying child was excluded. The Bereaved Child contains over 550 citations in author alphabetized and abstracted form. Only English-written books and periodicals are represented. A quick glance will reveal that the bulk of the material is post-1960. This reflects the recency of in terest and study in the area of childhood bereavement. Literature across multiple disciplines was scanned and included. Psychology, medicine, social work, and education are heavily represented, while no theological, literary, or popular sources were examined.
