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Master Thesis

Quand la naissance côtoie la mort : aspects de l’accompagnement et des modalités de rencontre entre la mère et son enfant susceptibles d’influencer le vécu et la santé psychologique maternelle, à partir d’une revue de la littérature

Abstract : Background: Appreciate the effects of contact between the mother and her stillborn child in the delivery room, as well as of her support by the caregivers, on the mother experience and the maternal psychic health (depression, anxiety and post-traumatic symptoms disorder). Methods: Literature review based on critical analysis of nineteen studies, fifteen quantitatives studies and four qualitatives studies. Results: Despite the various biases and limitations found in the analysis of the studies, several concepts relevant to our practice were highlighted. The attitude of caregivers is likely to influence experiences and maternal choices. Seeing the child, spending time with him, having and sharing his memories seem to have a positive impact on the mother's psychic symptoms. However, for anxiety, this effect tends to become reversible during a subsequent pregnancy and may lead to an increase in PTSD to one year postpartum and up to seven years later. During delivery, presenting the stillborn child to the mother without prior choice reduces the fear and symptoms of depression in mothers, compared to those who have had to make a choice or those whose wish has already been known. Not seeing the child and/or not seeing as much as desired by mothers increases the risk of anxiety by up to twice and the risk of maternal depression by up to seven times. Carrying the child is associated with twice as much anxiety and increased post-traumatic stress symptoms. Most of the studies that have looked at maternal experiences report great satisfaction in contact with their child, but also the expression of "missed opportunities", regrets, for mothers who have not had contact with their child. The vision of the dead body of the child is found to be a source of fear and apprehension for some. Several factors such as age, future gestures, time since stillbirth or parity are likely to impact the results on maternal psychic health. Conclusion: No clear evidence of the impact of contact, particularly tactile, with the stillborn child has been found on maternal mental health. Our results are in line with the qualitative studies that highlight the maternal satisfaction at this meeting. Caregiver support, the way the child is introduced to the mother and the body aspect of the child are factors that need to be adequately studied. Further research in this area is needed to provide courses of action and reflection on the accompaniment of this contact by caregivers.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-01945370
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Submitted on : Wednesday, December 5, 2018 - 11:47:34 AM
Last modification on : Monday, July 6, 2020 - 4:04:37 PM
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Inès Cabal. Quand la naissance côtoie la mort : aspects de l’accompagnement et des modalités de rencontre entre la mère et son enfant susceptibles d’influencer le vécu et la santé psychologique maternelle, à partir d’une revue de la littérature. Pédiatrie. 2018. ⟨dumas-01945370⟩

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