P-412 – Risque de prématurité: impact d'un entretien pédiatrique prénatal

Dekens, Carine Skupien; Fontaine, C.; Carpentier, E; Barcat, Lucile; Gondry, J.; Tourneux, P.

doi:10.1016/s0929-693x(15)30589-3

Cited by 2 publications

(4 citation statements)

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“…Such documents should be preferably personalized and adjusted to parents' needs [26]. A visual support can decrease mothers' anxiety [7]. Indeed, the time between antenatal counseling and the actual day of delivery can be long and mothers' memory of the information delivered may fade.…”

Section: Discussionmentioning

confidence: 99%

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Qualitative analysis of mothers’ perception related to the delivery of information regarding preterm births

Randriamboarison,

Fustec,

Enderlé

et al. 2024

BMC Pregnancy Childbirth

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Background Preterm birth is a major health issue due to its potential outcomes and socioeconomic impact. Prenatal counseling is of major importance for parents because it is believed that the risk of preterm birth is associated with a higher parental mental burden. Nowadays in France, the content and delivery of antenatal counseling is based on personal experience since there is a lack of official guidelines. The goal of the study was to evaluate maternal perception of antenatal information delivered in the setting of preterm births. Methods A qualitative study was performed using semi-structured individual interviews of 15 mothers with a child born > 26–34 GW. Data analysis was based on a constant comparative method. Results Concerning prenatal counseling content, parents wanted to be informed of their role in the care of their preterm child more so than statistics that were not always considered relevant. Parents’ reactions to the announcement of the risk of a preterm birth was dominated by stupefaction, uncertainty and anxiety. When it comes to the setting of prenatal counseling, patients’ room was deemed an appropriate setting by parents and ideally the presence of a coparent was appreciated as it increased patients’ understanding. The physicians’ attitude during the counseling was considered appropriate and described as empathic and optimistic. The importance of support throughout the hospitalization in the form of other parents’ experiences, healthcare professionals and the possibility to preemptively visit the NICU was emphasized by participants. Delivery experience was dominated by a sense of uncertainty, and urgency. Some leads for improvement included additional support of information such as virtual NICU visit; participants also insisted on continuity of care and the multidisciplinary aspect of counseling (obstetrician, neonatologist, midwife, nurse, lactation consultant and psychologist). Conclusion Highlighting parents’ expectations about prenatal counseling could lead to the establishment of overall general guidelines. However, some topics like the use of statistics and mentioning the risk of death underline the importance of a personalized information.

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Section: Discussionmentioning

confidence: 99%

“…This has been shown to be helpful for parents [6]. It contributes to psycho-social support, lowers risk of postpartum depression and mother-infant bonding disorder [7]. However, this new knowledge may also contribute to parents' anxiety [8].…”

Section: Introductionmentioning

confidence: 99%

Qualitative analysis of mothers’ perception related to the delivery of information regarding preterm births

Randriamboarison,

Fustec,

Enderlé

et al. 2024

BMC Pregnancy Childbirth

View full text Add to dashboard Cite

show abstract

“…Such documents should be preferably personalized and adjusted to parents' needs (23). A visual support can decrease mothers' anxiety (7). Indeed, the time between antenatal counseling and the actual day of delivery can be long and mothers' memory of the information delivered may fade.…”

Section: Discussionmentioning

confidence: 99%

“…This has been shown to be helpful for parents (6). It contributes to psycho-social support, lowers risk of postpartum depression and mother-infant bonding disorder (7). However, this new knowledge may also contribute to parents' anxiety (8).…”

Section: Introductionmentioning

confidence: 99%

Qualitative analysis of mothers’ perception related to the delivery of information surrounding premature births

Randriamboarison¹,

Fustec²,

Enderlé³

et al. 2023

Preprint

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Background: Prematurity is a major health issue due to its potential outcomes and socioeconomic impact. Prenatal counseling is of major importance for parents because it is believed that the risk of preterm birth is associated with a higher parental mental burden. Nowadays in France, the content and delivery of antenatal counseling is based on personal experience since there is a lack of official guidelines. The goal of the study was to evaluate maternal perception of antenatal information delivered in the setting of premature births. Methods: A qualitative study was performed using semi-structured individual interviews of 15 mothers with a child born >26-34 GW. Data analysis was based on a constant comparative method. Results: We found that concerning prenatal counselling content, parents wanted to be informed of their role in the care of their premature child more so than statistics that were not always considered relevant. Parents’ reactions to the announcement of the risk of a premature birth was dominated by stupefaction, uncertainty and anxiety. When it comes to the setting of prenatal counselling, patients’ room was deemed an appropriate setting by parents and ideally the presence of a coparent was appreciated as it increased patients’ understanding. The physicians’ behavior during the counselling was considered appropriate and described as empathic and optimistic. The importance of support throughout the hospitalization in the form of other parents’ experiences, healthcare professionals and the possibility to preemptively visit the NICU was emphasized by participants. Delivery experience was dominated by a sense of uncertainty, and urgency. Some leads for improvement included additional support of information such as virtual NICU visit; participants also insisted on continuity of care and the multidisciplinary aspect of counselling (obstetrician, pediatrician, midwive, nurse, lactation consultant and psychologist). Conclusion: Overall general guidelines on prenatal counseling seem necessary, however personalization remains fundamental.

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P-412 – Risque de prématurité: impact d'un entretien pédiatrique prénatal

Cited by 2 publications

References 0 publications

Qualitative analysis of mothers’ perception related to the delivery of information regarding preterm births

Qualitative analysis of mothers’ perception related to the delivery of information regarding preterm births

Qualitative analysis of mothers’ perception related to the delivery of information surrounding premature births

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