{"id":13253,"date":"2021-10-15T17:38:31","date_gmt":"2021-10-15T22:38:31","guid":{"rendered":"https:\/\/naturalwomanhood.org\/?p=13253"},"modified":"2024-05-26T16:58:39","modified_gmt":"2024-05-26T21:58:39","slug":"fam-au-royaume-uni-obstacles-a-la-sensibilisation-a-la-fertilite-et-a-lassistance-medicale-a-la-procreation-restauratrice","status":"publish","type":"post","link":"https:\/\/naturalwomanhood.org\/fr\/fam-in-the-uk-obstacles-to-fertility-awareness-education-and-restorative-reproductive-medical-care\/","title":{"rendered":"La GPA au Royaume-Uni : Obstacles \u00e0 la sensibilisation \u00e0 la fertilit\u00e9 et aux soins m\u00e9dicaux reproductifs r\u00e9parateurs"},"content":{"rendered":"

En tant que M\u00e9decin bas\u00e9 au Royaume-Uni et form\u00e9 au syst\u00e8me Creighton Model FertilityCare<\/a> et familiaris\u00e9e avec NaProTechnology, je connais bien les obstacles auxquels se heurtent les instructeurs des m\u00e9thodes bas\u00e9es sur la connaissance de la fertilit\u00e9 (FABM) et les prestataires de services de m\u00e9decine reproductive r\u00e9paratrice (MRR), ainsi que leurs clients et leurs patients, au Royaume-Uni.  <\/p>\n\n\n\n

Pour prendre un exemple r\u00e9cent, je viens de recevoir un courriel de certains de mes clients, un couple \u00e0 qui j'enseigne la m\u00e9thode Creighton, dont l'objet est : \"Bienvenue au nouveau membre de notre \u00e9quipe\" : \"Bienvenue au nouveau membre de notre \u00e9quipe !\" L'e-mail contenait une photographie d'une centrifugeuse - une machine con\u00e7ue pour s\u00e9parer les globules rouges du plasma dans un \u00e9chantillon de sang. Le couple avait r\u00e9cemment emprunt\u00e9 la machine pour centrifuger ses propres \u00e9chantillons de sang (obtenus dans une clinique priv\u00e9e) \u00e0 la maison. Pourquoi, me direz-vous, avaient-ils besoin de faire tourner leurs propres \u00e9chantillons de sang \u00e0 la maison ? Parce qu'ils devaient envoyer ces \u00e9chantillons \u00e0 un laboratoire priv\u00e9 pour \u00e9valuation et que ce dernier n'acceptait pas d'\u00e9chantillons envoy\u00e9s par la poste qui n'\u00e9taient pas pass\u00e9s par une centrifugeuse. Le couple, qui travaille avec un fournisseur de NaPro pour rechercher la cause de son infertilit\u00e9, a accept\u00e9 cet obstacle avec bonne humeur, surnommant la machine emprunt\u00e9e \"Gianna\", en r\u00e9f\u00e9rence \u00e0 Sainte Gianna Molla, le m\u00e9decin qui a donn\u00e9 sa vie dans les ann\u00e9es 1960 pour sauver la vie de son enfant \u00e0 na\u00eetre. <\/p>\n\n\n\n

Cette anecdote est un exemple extr\u00eame des obstacles qui se dressent souvent lors de la mise en place (et de l'acc\u00e8s) aux services FABM et aux soins RRM au Royaume-Uni. Bien que nous disposions d'un service national de sant\u00e9 (NHS) - notre principal fournisseur de soins de sant\u00e9 qui offre des soins gratuits \u00e0 tous ceux qui y ont acc\u00e8s - il peut \u00eatre probl\u00e9matique lorsqu'une femme ou un couple souhaite obtenir quelque chose en dehors des protocoles standard pour les soins gyn\u00e9cologiques et d'infertilit\u00e9. Voici quelques-uns des obstacles rencontr\u00e9s par les praticiens qui tentent de mettre en place une pratique FABM ou RRM au Royaume-Uni, et par les patients qui recherchent des soins de m\u00e9decine reproductive r\u00e9paratrice pour des probl\u00e8mes tels que l'infertilit\u00e9 ou les irr\u00e9gularit\u00e9s du cycle menstruel.   <\/p>\n\n\n\n

M\u00eame des co\u00fbts mod\u00e9r\u00e9s semblent exorbitants lorsque tout le reste est gratuit <\/span><\/h2>\n\n\n\n

Si l'acc\u00e8s 24 heures sur 24 et 7 jours sur 7 \u00e0 des soins de sant\u00e9 gratuits pr\u00e9sente des avantages \u00e9vidents, il peut aussi cr\u00e9er chez l'utilisateur un certain \u00e9tat d'esprit qui le conduit \u00e0 se demander s'il a besoin de soins de sant\u00e9. tous <\/em>les services li\u00e9s aux soins de sant\u00e9 devraient \u00eatre gratuits. M\u00eame lorsque l'on fournit un service de sant\u00e9 en dehors du NHS comme alternative \u00e0 la gestion traditionnelle de la sant\u00e9 reproductive des femmes, ou pour l'infertilit\u00e9 (comme les FABM ou la RRM), les patients peuvent s'attendre \u00e0 ce que ces services soient \u00e9galement gratuits. En outre, les informations sur les co\u00fbts r\u00e9els des traitements approuv\u00e9s par le NHS ne sont pas largement disponibles pour les utilisateurs du syst\u00e8me, de sorte qu'il n'y a pas de mesure \u00e0 laquelle comparer le co\u00fbt de l'enseignement du FABM (ou du RRM, s'il est possible de le trouver) pour juger si ce co\u00fbt est raisonnable. Malheureusement, le fait de devoir payer pour toute forme de soins de sant\u00e9 dans le contexte d'un syst\u00e8me national de sant\u00e9 gratuit constitue un obstacle trop important pour certains clients potentiels.  <\/p>\n\n\n\n

Les m\u00e9decins g\u00e9n\u00e9ralistes sont les gardiens, et ils manquent de compr\u00e9hension lorsqu'il s'agit de FABM et de RRM. <\/h2>\n\n\n\n

Le m\u00e9decin g\u00e9n\u00e9raliste (GP) ou le m\u00e9decin de famille est le premier point de contact habituel pour les questions de sant\u00e9 non urgentes au sein du NHS. Par cons\u00e9quent, si nous rencontrons un probl\u00e8me gyn\u00e9cologique lors de l'enseignement d'un FABM, nous essaierons d'abord d'en r\u00e9f\u00e9rer au m\u00e9decin g\u00e9n\u00e9raliste de la cliente. Il y a deux raisons \u00e0 cela : d'une part, pour que le g\u00e9n\u00e9raliste reste impliqu\u00e9 dans les soins de sa patiente et, d'autre part, parce que si le g\u00e9n\u00e9raliste effectue des examens sur la base de ce que nous avons trouv\u00e9 dans le dossier, c'est gratuit pour la patiente. Malheureusement, tr\u00e8s peu de m\u00e9decins g\u00e9n\u00e9ralistes ont une bonne compr\u00e9hension des FABM et de l'interpr\u00e9tation des dossiers, et ils fondent donc rarement leurs investigations ou leurs soins sur ces r\u00e9sultats.   <\/p>\n\n\n\n

Les patients sont tenus d'effectuer et de payer tous leurs propres tests. <\/h2>\n\n\n\n

Si le m\u00e9decin g\u00e9n\u00e9raliste refuse d'effectuer des examens en raison d'un r\u00e9sultat anormal, c'est au client (ou \u00e0 un autre praticien au nom du client) de se procurer ces examens directement (d'o\u00f9 la n\u00e9cessit\u00e9 de Gianna, la centrifugeuse !). Souvent, cela signifie qu'il faut s'adresser \u00e0 des laboratoires et cliniques priv\u00e9s et n\u00e9gocier les prix des analyses de sang, des scanners et de tout autre examen. L\u00e0 encore, comme les examens font g\u00e9n\u00e9ralement partie des soins gratuits du NHS, le client peut \u00eatre choqu\u00e9 de se voir facturer des prix, m\u00eame mod\u00e9r\u00e9s, pour des analyses de sang, des scanners et d'autres examens, ce qui peut constituer une rupture de contrat, surtout si l'affection diagnostiqu\u00e9e et trait\u00e9e n\u00e9cessite de multiples examens.  <\/p>\n\n\n\n

Le NHS est r\u00e9gi par des protocoles et, sans l'adh\u00e9sion du NHS aux FABM et au RRM, il sera difficile de changer les perceptions et d'accro\u00eetre l'acc\u00e8s. <\/h2>\n\n\n\n

L'une des principales caract\u00e9ristiques du NHS est qu'il est fortement ax\u00e9 sur les protocoles, ce qui entra\u00eene des difficult\u00e9s lorsqu'on essaie d'utiliser une approche de gestion diff\u00e9rente en dehors des protocoles approuv\u00e9s par le NHS. Les protocoles de gestion typiques du NHS pour les probl\u00e8mes gyn\u00e9cologiques impliquent une contraception hormonale (\u00e0 savoir la pilule contraceptive ou un st\u00e9rilet), et le NHS prend m\u00eame en charge la FIV pour certaines personnes souffrant d'infertilit\u00e9. Les FABM et le RRM ne font pas partie des protocoles du NHS pour traiter les probl\u00e8mes gyn\u00e9cologiques ou l'infertilit\u00e9, et il est donc difficile d'amener les m\u00e9decins g\u00e9n\u00e9ralistes \u00e0 s'engager dans cette approche.  <\/p>\n\n\n\n

Actuellement, aucun praticien bas\u00e9 au Royaume-Uni ne peut se permettre de fournir des services de MRR - c'est pourquoi le prestataire le plus proche se trouve en R\u00e9publique d'Irlande ! <\/h2>\n\n\n\n

M\u00eame si un instructeur FABM peut s'engager avec un client, lui enseigner une m\u00e9thode avec succ\u00e8s et l'aider \u00e0 obtenir les examens n\u00e9cessaires pour confirmer un diagnostic, l'\u00e9tape suivante, \u00e0 savoir l'orientation vers un prestataire de MRR, est souvent le plus grand obstacle. le plus proche pratiquant le NaPro<\/a> et RRM<\/a> se trouvent en R\u00e9publique d'Irlande ! Par cons\u00e9quent, un voyage \u00e0 l'\u00e9tranger est n\u00e9cessaire (avec tous les co\u00fbts associ\u00e9s) en plus du co\u00fbt du traitement. Il existe au Royaume-Uni des m\u00e9decins form\u00e9s \u00e0 la m\u00e9decine douce, mais l\u00e0 encore, en raison de la nature protocolaire du NHS, tout ce qui sort de ces protocoles est consid\u00e9r\u00e9 comme de la m\u00e9decine \"alternative\", et il est donc difficile d'obtenir une indemnisation appropri\u00e9e pour la pratique de la m\u00e9decine douce. L'indemnisation est soit impossible, soit extr\u00eamement co\u00fbteuse, un co\u00fbt qui ne sera probablement pas compens\u00e9 par le nombre relativement faible de clients qui, \u00e0 l'heure actuelle, souhaiteraient pratiquer la RRM. C'est l'une des principales raisons pour lesquelles aucun de nos m\u00e9decins RRM bas\u00e9s au Royaume-Uni ne peut se permettre d'exercer, m\u00eame s'ils sont form\u00e9s et int\u00e9ress\u00e9s par la prestation de ces services.   <\/p>\n\n\n\n

Les prestataires et les praticiens des diff\u00e9rents FABM ne travaillent pas ensemble <\/h2>\n\n\n\n

Un autre obstacle au Royaume-Uni est le manque d'engagement et de partenariat entre les prestataires de FABM - en particulier les prestataires des diff\u00e9rentes m\u00e9thodes de sensibilisation \u00e0 la fertilit\u00e9 ou de planification familiale naturelle. Les raisons de cette situation ne sont pas tout \u00e0 fait claires. En collaborant davantage, les prestataires pourraient se soutenir mutuellement, partager leurs connaissances et les nouvelles recherches, et ainsi renforcer la confiance du public dans les FABM et dans l'approche du MRR. Un d\u00e9sir nouveau et plus r\u00e9pandu du public pour les FABM et la RRM pourrait encourager le NHS \u00e0 d\u00e9velopper des protocoles pour offrir ces approches. <\/p>\n\n\n\n

Malgr\u00e9 ces obstacles, nous gardons espoir pour l'avenir du MRR et de la sensibilisation \u00e0 la fertilit\u00e9 au Royaume-Uni.<\/h2>\n\n\n\n

Si les praticiens du FABM et les fournisseurs de MRR au Royaume-Uni se heurtent \u00e0 de nombreux obstacles, ceux-ci ne sont pas insurmontables. Des progr\u00e8s ont \u00e9t\u00e9 r\u00e9alis\u00e9s par rapport \u00e0 la situation qui pr\u00e9valait il y a dix ans, par exemple. De nombreuses personnes au Royaume-Uni et en R\u00e9publique d'Irlande ont r\u00e9ussi \u00e0 apprendre et \u00e0 utiliser un FABM, et \u00e0 recevoir un traitement utilisant une approche de m\u00e9decine reproductive r\u00e9paratrice, m\u00eame dans cet environnement difficile. Il y a encore beaucoup de travail \u00e0 faire, mais il faut esp\u00e9rer qu'\u00e0 mesure que la sensibilisation et l'utilisation des FABM augmentent, il sera plus facile de surmonter certains de ces obstacles.<\/p>\n\n\n\n

Amanda Buadi est un m\u00e9decin bas\u00e9 au Royaume-Uni et une praticienne form\u00e9e au mod\u00e8le Creighton de soins de fertilit\u00e9. Elle est propri\u00e9taire et dirige Fertilit\u00e9 enti\u00e8rement naturelle<\/a>o\u00f9 elle enseigne aux femmes et aux couples du Royaume-Uni la m\u00e9thode Creighton de sensibilisation \u00e0 la fertilit\u00e9 et les aide \u00e0 obtenir des soins m\u00e9dicaux reproductifs r\u00e9parateurs lorsque c'est possible. <\/em><\/p>\n\n\n\n

L'article d'Amanda fait partie de notre nouvelle rubrique \"L'initiative \"Going Global\" de Natural Womanhood, que vous pouvez d\u00e9couvrir ici.<\/a><\/strong><\/em><\/h4>\n\n\n\n

<\/p>\n\n\n\n

Lecture compl\u00e9mentaire :<\/p>\n\n\n\n

Histoires de FIV et de m\u00e9decine reproductive restauratrice : Ce qu'elles ont en commun et ce qui les diff\u00e9rencie<\/a><\/p>\n\n\n\n

Endom\u00e9triose et maladie auto-immune : Quel est le lien ?<\/a><\/p>\n\n\n\n

Pourquoi la sant\u00e9 reproductive masculine est-elle en d\u00e9clin ?<\/a><\/p>\n\n\n\n

La progest\u00e9rone aide \u00e0 pr\u00e9venir les fausses couches : Une bonne nouvelle pour les mamans et les b\u00e9b\u00e9s<\/a><\/p>\n\n\n\n

Lettre ouverte \u00e0 Melinda Gates sur les contraceptifs<\/a><\/p>\n\n\n\n

Les Nations unies pr\u00e9conisent une plus grande d\u00e9pendance \u00e0 l'\u00e9gard des contraceptifs, alors que la pand\u00e9mie met en \u00e9vidence leur caract\u00e8re insoutenable<\/a><\/p>\n\n\n\n

4 points essentiels \u00e0 retenir de \"Target Africa : Les m\u00e9faits des campagnes de contraception financ\u00e9es par les \u00c9tats-Unis\" avec Obianuju Ekeocha<\/a><\/p>","protected":false},"excerpt":{"rendered":"En tant que m\u00e9decin bas\u00e9 au Royaume-Uni, form\u00e9 au syst\u00e8me Creighton Model FertilityCare et familiaris\u00e9 avec la technologie NaPro, je sais...","protected":false},"author":89,"featured_media":13254,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_kad_blocks_custom_css":"","_kad_blocks_head_custom_js":"","_kad_blocks_body_custom_js":"","_kad_blocks_footer_custom_js":"","csco_singular_sidebar":"","csco_page_header_type":"","csco_page_load_nextpost":"","csco_post_video_location":[],"csco_post_video_url":"","csco_post_video_bg_start_time":0,"csco_post_video_bg_end_time":0,"footnotes":""},"categories":[5183,5266],"tags":[5493],"class_list":{"0":"post-13253","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-birth-control-issues","8":"category-in-the-news","9":"tag-fertility-awareness-around-the-world","10":"cs-entry","11":"cs-video-wrap"},"acf":[],"yoast_head":"\nFertility awareness and RRM in the UK - 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