[Maternal anxiety related to how the pediatrician provided prenatal information about preterm birth].

Autor: Dekens C; Service de médecine néonatale, pôle femme-couple-enfant, CHU d'Amiens-Picardie, 80054 Amiens cedex 1, France; Service de néonatologie, centre hospitalier Beauvais, avenue Léon-Blum, 60021 Beauvais cedex, France., Fontaine C; Service de médecine néonatale, pôle femme-couple-enfant, CHU d'Amiens-Picardie, 80054 Amiens cedex 1, France., Carpentier E; Service de médecine néonatale, pôle femme-couple-enfant, CHU d'Amiens-Picardie, 80054 Amiens cedex 1, France; Service de réanimation néonatale, pôle femme-couple-enfant, CHU d'Amiens-Picardie, 80054 Amiens cedex 1, France., Barcat L; Service de réanimation néonatale, pôle femme-couple-enfant, CHU d'Amiens-Picardie, 80054 Amiens cedex 1, France., Gondry J; Service de gynécologie-obstétrique, pôle femme-couple-enfant, CHU d'Amiens-Picardie, 80054 Amiens cedex 1, France., Tourneux P; Service de réanimation néonatale, pôle femme-couple-enfant, CHU d'Amiens-Picardie, 80054 Amiens cedex 1, France; PériTox (UMR-I 01), faculté de médecine, université de Picardie-Jules-Verne, Amiens, France. Electronic address: tourneux.pierre@chu-amiens.fr.
Jazyk: francouzština
Zdroj: Archives de pediatrie : organe officiel de la Societe francaise de pediatrie [Arch Pediatr] 2017 Nov; Vol. 24 (11), pp. 1076-1082. Date of Electronic Publication: 2017 Oct 04.
DOI: 10.1016/j.arcped.2017.08.011
Abstrakt: Introduction: Women hospitalized for preterm labor require clear information about prematurity. This study assessed whether or not specific written information about prematurity delivered at admission to the unit combined with an oral explanation from a pediatrician would decrease women's anxiety compared to an oral explanation alone.
Material and Methods: This was a prospective, single-center observational study. Women were included in the high-risk pregnancies department and distributed into two groups: receiving "only oral" information for a prenatal clinical consultation with a senior pediatrician or receiving "combined" oral information+a booklet about prematurity given to the women at admission. The primary endpoint was the change in anxiety-state (before and after the information procedure) evaluated by the State Trait Anxiety Inventory-Y (STAI-Y).
Results: The anxiety score before receiving information did not differ between the two groups (STAI-Y-A "combined" group: 46.7±3.0 vs. "only oral" group: 42.7±2.74; P=0.55). After consultation with a pediatrician, the acute anxiety-state score STAI-Y-A decreased significantly in the "combined" group (-6.7±1.9) compared to the "only oral" group (-2.5±4.6; P<0.05).
Discussion: A booklet about prematurity combined with oral information from a pediatrician reduced patients' anxiety more than oral information alone. Given that the psychology of the mother interacts with the pregnancy, it is necessary to provide clear and adapted information. Giving a booklet appears to be one of the modalities to improve information. Other modalities such as video documents have to be studied.
(Copyright © 2017 Elsevier Masson SAS. All rights reserved.)
Databáze: MEDLINE
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