Le misoprostol dans le traitement curatif des hémorragies du post-partum

PARIS-BIUP (751062107) / SudocSudocFranceF

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Infrastructures de transports, territoire et opérationnalités : enjeux méthodologiques et positionnements de recherche

Les articles présentés dans ce hors-série de [VertigO] rendent compte des approches et réflexions méthodologiques visant la création d'outils d’aide à la décision élaborés afin d’appréhender les effets des infrastructures ou de leurs interfaces sur les territoires. Les interactions entre territoires et infrastructures sont analysées, selon les échelles spatiales et temporelles retenues, sous quatre angles complémentaires : écologiques, sociaux-économiques, paysagers ou patrimoniaux. Les recherches portant ceux-ci ont menées dans le cadre du programme Infrastructures de transports terrestres, écosystèmes et paysages (ITTECOP) ont pour objectif principal de confronter les enjeux scientifiques et techniques des infrastructures de transport et de leurs emprises, qu’elles soient routières, ferrées, fluviales ou énergétiques ou leurs interfaces avec les territoires (gares, ports, aéroports). Le programme de recherche ITTECOP est soutenu par le Ministère français de l'Environnement, de l’énergie et de la mer (MEEM) et l'Agence française de l’environnement et de la maîtrise de l'énergie (ADEME)

Women and health professionals’ perspectives on a conditional cash transfer programme to improve pregnancy follow-up: a qualitative analysis of the NAITRE randomised controlled study

Objectives Women of low socioeconomic status have been described as having suboptimal prenatal care, which in turn has been associated with poor pregnancy outcomes. Many types of conditional cash transfer (CCT) programmes have been developed, including programmes to improve prenatal care or smoking cessation during pregnancy, and their effects demonstrated. However, ethical critiques have included paternalism and lack of informed choice. Our objective was to determine if women and healthcare professionals (HPs) shared these concerns.Design Prospective qualitative research.Setting We included economically disadvantaged women, as defined by health insurance data, who participated in the French NAITRE randomised trial assessing a CCT programme during prenatal follow-up to improve pregnancy outcomes. The HP worked in some maternities participating in this trial.Participants 26 women, 14 who received CCT and 12 who did not, mostly unemployed (20/26), and - 7 HPs.Interventions We conducted a multicentre cross-sectional qualitative study among women and HPs who participated in the NAITRE Study to assess their views on CCT. The women were interviewed after childbirth.Results Women did not perceive CCT negatively. They did not mention feeling stigmatised. They described CCT as a significant source of aid for women with limited financial resources. HP described the CCT in less positive terms, for example, expressing concern about discussing cash transfer at their first medical consultation with women. Though they emphasised ethical concerns about the basis of the trial, they recognised the importance of evaluating CCT.Conclusions In France, a high-income country where prenatal follow-up is free, HPs were concerned that the CCT programme would change their relationship with patients and wondered if it was the best use of funding. However, women who received a cash incentive said they did not feel stigmatised and indicated that these payments helped them prepare for their baby’s birth.Trial registration number NCT0240285