Department of Family Medicine, University of Montpellier, Montpellier, France.
Department of EA 4556 Epsylon laboratory, University of Montpellier, Montpellier, France.
Eur J Gen Pract. 2020 Dec;26(1):61-69. doi: 10.1080/13814788.2020.1760243.
French general practitioners (GP) and gynaecologists can make use of recommendations when performing a patient's first pelvic examination. The indications and techniques for this examination are clear. The relational aspects and experience of the patients have been dealt with little. To analyse and understand the experience of French women during their first pelvic examination to propose practice recommendations based on their experiences. Qualitative semi-structured interviews was conducted with 13 French women aged 18-30 years recruited from the surgery of a general practitioner using the snowball method. The data were analysed using an inductive method. The first pelvic examination was considered an indispensable rite of passage into adulthood and the life of a woman. They wanted a preparation for a consultation devoted to the first pelvic examination, with a time that is adapted to each woman. A patient-centred practitioner was more important than the pelvic examination itself. Women requested for a general practitioner or a gynaecologist with a deeper understanding of a woman's experience to perform their first pelvic examination. We propose practical recommendations: the following 3 phases for the consultation: before the pelvic examination where the women and the practitioners may get to know one another; during the examination, which would involve the technical aspects and the associated procedures; and after the examination, where the patients and the practitioners review the experience and discuss prevention.
法国的全科医生和妇科医生在为患者进行首次盆腔检查时可以参考这些建议。该检查的适应证和技术明确，但患者的相关情况和体验却很少涉及。本研究旨在分析和理解法国女性在首次盆腔检查时的体验，根据她们的经历提出实践建议。采用滚雪球法，从一名全科医生的手术中招募了 13 名年龄在 18-30 岁的法国女性，对其进行了定性半结构式访谈。使用归纳法对数据进行分析。首次盆腔检查被认为是成年和女性生活中不可或缺的仪式。她们希望有一个专门用于首次盆腔检查的咨询准备，时间适应每个女性。以患者为中心的医生比盆腔检查本身更重要。女性要求由更了解女性体验的全科医生或妇科医生为其进行首次盆腔检查。我们提出了以下实际建议：咨询分为三个阶段：盆腔检查前，医患双方相互了解；检查期间，包括技术方面和相关程序；检查后，医患双方回顾体验并讨论预防措施。
