Supporting a cancer patient up until the end of life and then mourning the loss represents a long, and emotionally marking period that is potentially problematic for health professionals. In addition to individual and environmental characteristics-and related to death or to the relationship prior to death-the communication established between the doctor, patient, family members and other health professionals in the team, seems to determine how an individual experiences the loss and mourning process. Acknowledging the suffering of the bereavement without always being able to respond is neither easy nor trivial, requiring modified/appropriate knowledge and skills. The opportunity to share their experiences within a healthcare team and with external health care professionals guarantees an ethical approach, professional enrichment and limits the risk of burnouts. In order to offer guidance and potential solutions, the references specific to cancerology are regularly updated in France by the AFSOS (\"French Association of Supportive Cancer Care\"). This multidisciplinary effort, including professionals from different professional societies (AFSOS, SFFPO, SFAP) and coordinated by the cancerology network of Nouvelle Aquitaine (Onco-Nouvelle-Aquitaine), has resulted in the recent publication of two complementary resources that address bereavement. The first report provides theoretical guidelines, while the second proposes a more clinical approach on how to support a mourning individual. Thus, with regards to the clinical situation and contextualization of the aforementioned references, this article considers the dimensions of separation, bereavement, and supportive care and further discusses tools to help health professionals protect themselves when affronting these situations.

OBJECTIVE: To make clinical practice guidelines for intrapartum care for healthy women and non-pharmacologic approaches for pain management.
METHODS: Review of the literature of articles published between January 2000 and September 2017 in English and French language from the Medline database, the Cochrane Library and recommendations from international institutes.
RESULTS: During the initial examination of a pregnant woman, it is recommended to take note of the pregnancy monitoring file and its possible birth plan; perform an anamnesis, inquire about her wishes and physiological and emotional needs; and perform a clinical examination (Consensus agreement). If the woman seems to be in labor, it is recommended to offer a vaginal examination (Consensus agreement). In case of premature rupture of membranes, it is recommended not to systematically perform a vaginal examination if the woman has no painful contractions (Consensus agreement). During the first stage of labor, the surveillance of the woman includes at least: a surveillance of the haemodynamic parameters every four hours; an evaluation of the frequency of uterine contractions every 30minutes and for 10minutes during the active phase; surveillance of spontaneous urination; the proposition of a vaginal examination every two to four hours or before if the patient asks for it, or in case of sign of call (Consensus agreement). During the second stage, it is recommended to use a partograph; to monitor hemodynamic parameters every hour; to evaluate the frequency of uterine contractions every 30minutes and for ten minutes; to monitor and note spontaneous urination; to offer a vaginal examination every hour (Consensus agreement). Whether on admission or during labor, it is recommended to evaluate the pain and offer the patient different ways to relieve it (Consensus agreement). It is recommended that all women have continuous, individual and personalized support, during labor and delivery (grade A); to implement the necessary human and material resources allowing women to change position regularly (Consensus agreement).
CONCLUSIONS: Routine practices must be abandoned to implement those that are scientifically justified. The management of pain is essential. Every woman should have continuous, individual and personalized support during labor and delivery.

Several measures relating to seclusion and restraint are included in the French public health code. The best practice guidelines of the French National Health Authority, published in 2017, define these two notions and advise on the behaviour to adopt with regard to their implementation and monitoring. Likewise, informing and supporting the patient when these measures are lifted are critical moments which the teams must also be able to manage correctly.