Le décès périnatal comme bifurcation temporelle : les parcours de vie de femmes après une fausse couche

Abstract

Les effets d’un décès périnatal ont été largement documentés, mais on a rarement proposé un regard englobant sur le décès périnatal comme point de jonction temporelle à partir duquel bifurquent le parcours de vie des personnes touchées. L’approche processuelle permet de complexifier l’examen de la fausse couche en introduisant une conception « épaisse » de la temporalité, et d’examiner des phénomènes qui ont été jusqu’ici perçus indépendamment les uns des autres. Des entrevues semi-structurées ont été menées auprès de 48 femmes du Québec ayant vécu une fausse couche précoce. Une analyse thématique a permis de dégager quatre sphères touchées par cette bifurcation : 1. (para)professionnelle ; 2. conjugale ; 3. parentale ; 4. existentielle. L’analyse a permis ainsi de dégager les contours de la bifurcation générée par la fausse couche, en termes d’imprévisibilité, d’irréversibilité et de contagion, et de mettre en lumière les différents enchevêtrements qui sous-tendent cette bifurcation.

Exploring the impact of prior spontaneous miscarriage on stress among pregnant women during the first trimester: an observational study

“…6 , 17 Performed at the end of the first trimester, it is eagerly awaited by the future mother, who is keen to see the baby move and hear its heartbeat, the markers of a viable pregnancy. 7 , 9 However, the ultrasound can also reveal malformations or intrauterine death, 18 and is thus a source of stress for women who have a history of SM and who dread experiencing another one. In this regard, the items relating to the baby’s health and the potential medical or obstetrical problems that could be encountered during pregnancy, suggestive of a possible problem with the fetus or fetal development that might lead to SM, attest a state of stress among women who have previously experienced SM.…”

“…In this regard, the items relating to the baby’s health and the potential medical or obstetrical problems that could be encountered during pregnancy, suggestive of a possible problem with the fetus or fetal development that might lead to SM, attest a state of stress among women who have previously experienced SM. 7 …”

“… 17 A study by de Montigny et al showed that SM also has psychological repercussions for the father, particularly sadness, sometimes accompanied by emotional detachment during a subsequent pregnancy for fear of experiencing the same event again. 7 The impact on men is likely underestimated even more than in women. It would thus be interesting to evaluate the impact of prior SM on the father’s level of stress during a subsequent pregnancy.…”

“… 2 Yet, numerous studies have reported the psychological impact of SM, and shown it to be a traumatic event that can be experienced as a form of bereavement, with medium- to long-term consequences including sorrow, depression, anxiety, stress, and post-traumatic stress disorder, consequences which may persist up to 2 years after the event. 7 , 8 However, few studies have investigated the psychological repercussions of SM on the woman’s life experience, specifically their experience of a subsequent pregnancy. The few available qualitative studies, such as the study by de Montigny et al , have reported that the woman’s next pregnancy is likely to be experienced in a climate of apprehension and worry, especially during the first trimester, which is seen as a milestone that they need to pass.…”

“…The few available qualitative studies, such as the study by de Montigny et al , have reported that the woman’s next pregnancy is likely to be experienced in a climate of apprehension and worry, especially during the first trimester, which is seen as a milestone that they need to pass. 7 , 9 …”