[Evaluation of the actions increasing health accessibility for deaf pregnant patients].
OBJECTIVE
Deafness concerns about 7% of the French population. In this context, the clinic of obstetrics and gynecology of Grenoble teaching hospital established two adaptation actions in the pregnant signing-deaf patient's management: a partnership with French Sign Language interpreters from the deaf patient reception and care unit, and sign language training for nine professionals. The aim of this study is to evaluate this patient management and to propose some potential improvements.


METHODS
This descriptive study is made through information from both numeric and paper files of 22 deaf pregnant patients.


RESULTS
A significant adaptation of patient management during scheduled consultations and hospitalisation in the clinic is observed, whereas adaptation rate is weak for emergency situations.


CONCLUSIONS
The patient management adaptation turns out to be perfectible, through the anticipation of the entire pregnancy consultation schedule. In emergency situations, the creation of a sign language interpreter on-call duty would greatly improve the health care access of these patients.
Clinique universitaire de gynécologie-obstétrique et médecine de la reproduction, université Joseph-Fourier Grenoble 1, CHU de Grenoble, BP 217, 38043 Grenoble cedex 09, France. VEquy@chu-grenoble.fr
V
V
Equy
A
A
Derore
N
N
Vassort
B
B
Mongourdin
F
F
Sergent
D000328:Adult; D000554:Ambulatory Care Facilities / Q000458:organization & administration; D003256:Community Participation / Q000706:statistics & numerical data; D005260:Female; D058015:Health Communication / Q000379:methods*; D006297:Health Services Accessibility / Q000458:organization & administration*; D006801:Humans; D019986:Persons with Hearing Disabilities; D011247:Pregnancy; D011248:Pregnancy Complications / Q000517:prevention & control / Q000628:therapy; D037841:Pregnant People; D011295:Prenatal Care / Q000379:methods / Q000458:organization & administration; D011369:Professional-Patient Relations; D012017:Referral and Consultation / Q000458:organization & administration; D012189:Retrospective Studies; D012813:Sign Language