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Master Thesis

Le travail de deuil après un diagnostic malformatif : quel accompagnement pour les couples ?

Abstract : Introduction : grieving the “wanted child”, after the discovery of a fetal anomaly, seems unavoidable, whatever decision may be taken concerning the future. Indeed, the growing maternal representations about the fetus are defeated and give way to a true narcissistic injury. Method : the study aimed to analyse caregivers’ knowledge concerning the mourning work of the desired child, and to understand their position toward the patient’s support during their time of care. Half-directed interviews with midwives, obstetricians and pediatricians were performed from October until December 2015, in Trousseau’s Prenatal Diagnosis Center. Results and discussion : caregivers are conscious of the bereavement process after a prenatal diagnosis, but these knowledges are very heterogeneous. Midwives show themselves closer to the couple’s experience and feelings, while obstetricians prefer to stay more distant, guarantee of the objectivity. Pediatricians are nearer to midwives’ approach, although they got the same training as obstetricians. Conclusion : a shared reflection work and training is required to align praticians knowledges in this area, and allow them to care for their patient in a global way. True meeting between doctor and patient must take great care of singularity, instead of settling for technical expertise.
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Submitted on : Monday, November 14, 2016 - 10:49:03 AM
Last modification on : Tuesday, May 14, 2019 - 9:30:54 PM
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  • HAL Id : dumas-01396202, version 1


Louise Rose. Le travail de deuil après un diagnostic malformatif : quel accompagnement pour les couples ?. Gynécologie et obstétrique. 2016. ⟨dumas-01396202⟩



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