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Gynecology: doctors try to restore confidence after accusations of violence

2023-01-25T08:45:01.113Z


Gathered in a professional congress from Wednesday 25 to Friday 27, French gynecologists and obstetricians will look into new...


Gathered in a professional congress from Wednesday 25 to Friday 27, French gynecologists and obstetricians will look into new recommendations intended to restore patient confidence, at a time when protests against medical violence against women are multiplying in Europe.

For the three days of the Pari(s) Santé Femmes congress organized in Lille, “

a special place has been reserved this year for patient-caregiver relations and benevolence

”, indicates the National College of French Gynecologists and Obstetricians (CNGOF).

New recommendations

The CNGOF must present doctors with new recommendations for the clinical practice of pelvic examination as well as a charter of care in the delivery room, aimed at providing a framework and specifying when the medical examination - under a speculum, by vaginal examination or endovaginal ultrasound- is really desirable and when it is possible to do without it.

Read alsoIran: sexual violence to quell the revolt

"

Even if a pelvic examination is recommended, it is only offered to the woman, who accepts it or not

", insists the CNGOF.

The delivery room care charter recommends, for example, that each member of the team "

introduce themselves from the first contact with the woman

", support "

with kindness in a logic of shared decisions

" or even "

the oral consent of the woman before any clinical examination

”.

The stated objective is to “

restore relationships of trust and mutual respect that are essential for the care of women in good conditions

”.

"Ba-ba" of the profession?

The Pari(s) Santé Femmes congress comes at a time of growing reports of gynecological and obstetrical abuse in Europe, with some rights groups claiming that women are routinely denied informed consent, subjected to rude behavior and degrading by medical personnel and, in some cases, to unsafe practices.

In this context, not sure that the recommendations that will be presented are enough to calm people down.

Having learned of these recommendations, "

we were a little perplexed because for some it is the +ba-ba+ of professionals who must take care of women in their intimacy

", is surprised with AFP Caroline Combot, General Secretary of the National Trade Union Organization of Midwives.

For her, part of the problem lies in the initial training of obstetrician-gynecologists, who are insufficiently aware of the human and empathetic dimension of the profession.

"

Some professionals - midwives and many obstetrician-gynecologists - will be in a purely anatomical, pathological logic, where the psychological dimension is absent

", deplores Ms. Combot, stressing however that these practices have not always caused a scandal.

Certain attitudes have been endorsed for a very long time by patients

,” she believes.

200 testimonials per month

"

We receive an average of 200 testimonies of obstetric and gynecological violence per month, throughout France, in particular from young people who are totally traumatized from their first gynecological visits

", told AFP Sonia Bisch, founder of the collective Stop obstetrical violence and gynecological services (StopVOG), created in 2017.

"

Distrust of gynecology is growing, testimonies of obstetric and gynecological violence are accumulating on social networks, cases are coming out

," StopVOG alert.

Too often we have doctors who think they are doing the right thing for you and who infantilize the patient.

When we talk about it around us, we realize that it is generalized.

Consent cannot be considered implicit once you have passed through the door of a medical office,

” insists Sonia Bisch.

At the end of November, a renowned Parisian gynecologist, Emile Daraï, was in particular indicted for intentional violence by a person in charge of a public service mission with regard to 32 complainants who accuse him of having performed vaginal and rectal examinations. brutally and without asking their consent.

Qualify certain practices as “rape”?

StopVOG campaigns for certain practices to be recognized as rape.

Practitioners, however, consider this qualifier inadmissible: "

A gynecological examination can be badly felt, lack benevolence, but it cannot be likened to rape, otherwise gynecologists - already too few in birth rooms - will become even more increasingly rare, as the profession resents this assimilation

,” warns the CNGOF.

Source: lefigaro

All news articles on 2023-01-25

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