Attitudes pratiques et vécu des médecins généralistes en cas d'insuffisance de prise pondérale chez un nourrisson allaité

Attitudes pratiques et vécu des médecins généralistes en cas d'insuffisance de prise pondérale chez un nourrisson allaité PDF Author: Sandra Deloule
Publisher:
ISBN:
Category :
Languages : fr
Pages : 134

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Book Description
Introduction : l'OMS recommande l'allaitement maternel exclusif durant les six premiers mois de vie. En France, en 2015, alors que 74% des femmes essaient d'allaiter à la maternité, la durée médiane de l'allaitement maternel exclusif est seulement de trois semaines. L'insuffisance de prise pondérale serait une des difficultés les plus fréquemment rencontrées en médecine générale. Objectifs : Explorer les attitudes pratiques et les ressentis des médecins généralistes en cas d'insuffisance de prise pondérale chez un nourrisson allaité. Explorer l'influence de l'expérience personnelle sur la prise en charge. Methode : étude qualitative re ́alise ́e par 15 entretiens semi-dirige ́s aupre`s de médecins généralistes en Midi-Pyrénées. Resultats : la perte de transmission des savoir-faire sur l'allaitement liée à l'émancipation féminine est à l'origine d'un nouveau rôle social du médecin généraliste dans la prise en charge de l'allaitement. On retrouve une grande variabilité de la prise en charge d'une insuffisance pondérale chez un enfant allaité. La formation spécifique et l'expérience personnelle d'allaitement maternel auraient une influence sur l'attitude pratique. Le genre du médecin, son niveau de formation ainsi que son expérience personnelle influenceraient ses ressentis. Conclusion : nous concluons à l'intérêt d'une formation spécifique des médecins généralistes afin de les accompagner en fonction de leur genre et de leur expérience personnelle dans leur nouveau rôle social en matière d'allaitement maternel. Nous proposons une plaquette de recommandations pour la prise en charge en médecine générale d'une insuffisance pondérale chez un nourrisson allaité.

Attitudes pratiques et vécu des médecins généralistes en cas d'insuffisance de prise pondérale chez un nourrisson allaité

Attitudes pratiques et vécu des médecins généralistes en cas d'insuffisance de prise pondérale chez un nourrisson allaité PDF Author: Sandra Deloule
Publisher:
ISBN:
Category :
Languages : fr
Pages : 134

Get Book Here

Book Description
Introduction : l'OMS recommande l'allaitement maternel exclusif durant les six premiers mois de vie. En France, en 2015, alors que 74% des femmes essaient d'allaiter à la maternité, la durée médiane de l'allaitement maternel exclusif est seulement de trois semaines. L'insuffisance de prise pondérale serait une des difficultés les plus fréquemment rencontrées en médecine générale. Objectifs : Explorer les attitudes pratiques et les ressentis des médecins généralistes en cas d'insuffisance de prise pondérale chez un nourrisson allaité. Explorer l'influence de l'expérience personnelle sur la prise en charge. Methode : étude qualitative re ́alise ́e par 15 entretiens semi-dirige ́s aupre`s de médecins généralistes en Midi-Pyrénées. Resultats : la perte de transmission des savoir-faire sur l'allaitement liée à l'émancipation féminine est à l'origine d'un nouveau rôle social du médecin généraliste dans la prise en charge de l'allaitement. On retrouve une grande variabilité de la prise en charge d'une insuffisance pondérale chez un enfant allaité. La formation spécifique et l'expérience personnelle d'allaitement maternel auraient une influence sur l'attitude pratique. Le genre du médecin, son niveau de formation ainsi que son expérience personnelle influenceraient ses ressentis. Conclusion : nous concluons à l'intérêt d'une formation spécifique des médecins généralistes afin de les accompagner en fonction de leur genre et de leur expérience personnelle dans leur nouveau rôle social en matière d'allaitement maternel. Nous proposons une plaquette de recommandations pour la prise en charge en médecine générale d'une insuffisance pondérale chez un nourrisson allaité.

Comprehensive Cervical Cancer Control

Comprehensive Cervical Cancer Control PDF Author: World Health Organization
Publisher: World Health Organization
ISBN: 9241547006
Category : Health & Fitness
Languages : en
Pages : 284

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Book Description
Most women who die from cervical cancer, particularly in developing countries, are in the prime of their life. They may be raising children, caring for their family, and contributing to the social and economic life of their town or village. Their death is both a personal tragedy, and a sad and unnecessary loss to their family and their community. Unnecessary, because there is compelling evidence, as this Guide makes clear, that cervical cancer is one of the most preventable and treatable forms of cancer, as long as it is detected early and managed effectively. Unfortunately, the majority of women in developing countries still do not have access to cervical cancer prevention programmes. The consequence is that, often, cervical cancer is not detected until it is too late to be cured. An urgent effort is required if this situation is to be corrected. This Guide is intended to help those responsible for providing services aimed at reducing the burden posed by cervical cancer for women, communities and health systems. It focuses on the knowledge and skills needed by health care providers, at different levels of care.

World Health Organization Guidelines on the Pharmacological Treatment of Persisting Pain in Children with Medical Illnesses

World Health Organization Guidelines on the Pharmacological Treatment of Persisting Pain in Children with Medical Illnesses PDF Author: World Health Organization
Publisher:
ISBN: 9789241548120
Category : Medical
Languages : en
Pages : 166

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Book Description
These guidelines have been developed to support countries to relieve pain in their paediatric populations. These guidelines address persisting pain in children caused by conditions such as cancer, HIV/AIDS, sickle-cell disease, burns, trauma, and phantom limb pain. Recommendations -- developed following a careful and transparent appraisal of available evidence -- are presented for the pharmacological treatment of mild, moderate and severe pain. The guidelines include chapters on the various systems used to classify pain and on the evaluation of pain, which reviews the available tools for routine pain measurement in children. Provision of sustainable pain relief within health care systems is covered in a separate chapter. Since morphine and other opioid analgesics -- required for the relief of moderate-to-severe pain in children -- are listed under the 1961 UN Single Convention on Narcotic Drugs, the new guidelines include an annex explaining the Convention's requirements for the handling and procurement of opioid analgesics for the relief of pain.

Cancer Pain Relief

Cancer Pain Relief PDF Author: World Health Organization
Publisher: World Health Organization
ISBN: 9789241544825
Category : Analgesia
Languages : en
Pages : 74

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Book Description
The second edition of a guide, which introduced a simple, yet highly effective method for the relief of cancer pain. Thoroughly revised and updated, the new edition further refines the WHO method, which advocates the use of a small number of relatively inexpensive drugs, including morphine. Revisions draw on experiences with millions of patients around the world as well as new knowledge about the specific pain syndromes unique to cancer. Completely new are chapters describing the international system by which morphine and other opioids are made available for medical purposes. The book has two parts. Part one provides a practical guide to the relief of cancer pain, concentrating on drug treatment as the mainstay of pain management. The most extensive section sets out detailed guidelines for the selection and prescribing of non-opioid analgesics, opioid analgesics, drugs for neuropathic pain, and adjuvant drugs for the treatment of adverse effects, the enhancement of pain relief and the management of concomitant psychological disturbances. Information ranges from explanations of how specific drugs work, through the precautions to take in the presence of certain disorders, to a list of factors that influence the effectiveness of opioids. Concerning the use of opioids, readers are reminded that psychological dependence does not occur in cancer patients and that the only correct dose of morphine is the one that relieves the pain. Part two provides a guide to opioid availability. A discussion of the reasons why opioids continue to be underprescribed or difficult to obtain is followed by an explanation of the Single Convention on Narcotic Drugs.

Cervical Cancer Screening in Developing Countries

Cervical Cancer Screening in Developing Countries PDF Author: World Health Organization
Publisher: World Health Organization
ISBN: 9241545720
Category : Medical
Languages : en
Pages : 90

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Book Description
Cervical cancer is the second most common cancer among women worldwide, with 80 per cent of deaths occurring in developing countries. It is an important area for cancer control programmes because of the burden of the disease and the potential for effective prevention via screening. This publication is based on a comprehensive consultation undertaken by WHO in 2001, involving leading experts in the field of cancer epidemiology, screening and treatment. It focuses on the current situation in low and middle income countries, discusses the efficacy of screening methods available, and assesses potential future developments.

Cancer Control

Cancer Control PDF Author: World Health Organization
Publisher: World Health Organization
ISBN: 9241547111
Category : Business & Economics
Languages : en
Pages : 57

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Book Description
In 2005, 7.6 million people died of cancer. More than 70% of those deaths occured in low and middle income countries. WHO has developed a series of six modules that provides practical advice for programme managers and policy-makers on how to advocate, plan and implement effective cancer control programmes, particularly in low and middle income countries.The WHO guide is a response to the World Health Assembly resolution on cancer prevention and control (WHA58.22), adopted in May 2005, which calls on Member States to intensify action against cancer by developing and reinforcing cancer control programmes.