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Master Thesis

Impact psychologique de l’annonce de la grossesse gémellaire

Abstract : Introduction: In 2013, the twin pregnancy represented 17 per 1000 birth in France. The increased of those pregnancies permit an optimal follow-up care of it. Nevertheless, the psychosocial impact surveillance seems to be not that optimal and this as soon as the diagnosis is done. This leads to an increase of multiple’s mother depression compare to singleton’s mother.
Objective: We looked for the psychological impact of the announcement of a twin pregnancy for the future parents and their close family and the existing means in place to support the parents. The second goal was to determine if there is a difference between couples who had a spontaneous pregnancy and those who had an infertility treatment with PMA.
Methods: Semi-structured interview on 4 thematics were made with women followed in type III maternity in Paris. The 2 groups were compared a second time: 11 women in « spontaneous group » and 8 in the « PMA group ».
Results: The majority of parents were happy after the announcement, but the father seems to be taking better this new. The fears were rather about organization than medical issues, because only half of the couple was worried about the babies’ health, and there definitely is a lack of support. Nevertheless, more than half of women would have liked an early prenatal interview and some of them would have like to see a psychologist. Half of women said that they were disappointed by their follow- up care.
Conclusions: It is necessary to have psychological cares of theses pregnancies as optimal as the medical follow-up cares to avoid bad consequences for the woman, her husband and her babies. We have the resources to improve the follow-up of these women, but we need to find a better way to direct the women to these different options.
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  • HAL Id : dumas-01196624, version 1

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Marion Richardet. Impact psychologique de l’annonce de la grossesse gémellaire. Gynécologie et obstétrique. 2015. ⟨dumas-01196624⟩

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