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Master Thesis

Évaluation du stress postnatal à la consultation postnatale chez les mères ayant accouché au Gynépôle de Marseille

Abstract : Introduction: The postpartum is expected between 6 to 8 weeks after birth. It is a critical period of transition for the mother with physiological, emotional and social modifications that can cause a significant stress. During the postnatal consultation, the postnatal factors of stress were appreciated in mothers who gave birth in the Gynépôle of Marseille. Then an observation between the perception of postnatal stress and that of post-childbirth stress, assessed first at the maternity ward, have been conducted. Aims: The main objective was to appreciate the perception of the stress level at the postnatal consultation and secondary to identify the evolution between the stress factors of the early postpartum (Bernard, 2016) and those of the postnatal consultation. Materials and method: A descriptive study of mothers (n=133), then comparative between primiparous (n=56) and multiparous (n=77) was conducted. The postnatal psychometric scale perceived Stress Inventory (PNPSI) was used to collect the data. The correlation of the various items in the PNPSI has been investigated. Results: The primiparous perceive significantly more stressed (p<0.05) on the factor of the relationship with their infants while the multipares are significantly more stressed (p<0.05) on the father's place with the child. The sudden infant death syndrome is the most stressful thing for the mothers and especially primiparous (46%). This stress is significantly correlated (p<0.05) with that perceived by mothers about their tiredness, lack of sleep, feeling overwhelmed and not knowing if their infants are eating enough. The perception of stress on the rhythms and the health of the infant is significantly related (p<0.001) to that of sudden infant death syndrome. Differently mothers are not stressed at all (71%) by the care to give their child. At the postnatal consultation the mothers seem less stressed by breastfeeding unlike the early postpartum period during the maternity stay. Conclusion: These findings suggest to develop early postnatal interview. It represents a mean to support mothers and couples in the adaptation of their parenting roles and exchange with them on the sudden infant death syndrome after the maternity leaving.
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https://dumas.ccsd.cnrs.fr/dumas-02380876
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Submitted on : Tuesday, November 26, 2019 - 2:11:36 PM
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Élodie Hinsinger. Évaluation du stress postnatal à la consultation postnatale chez les mères ayant accouché au Gynépôle de Marseille. Gynécologie et obstétrique. 2019. ⟨dumas-02380876⟩

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