STRESS MOTHER EXPERIENCE FOR PREMATURE BIRTH
Authors/Creators
- 1. Equipe de recherche en santé et nutrition du couple mère enfant, Faculté de médecine et de pharmacie de Rabat- Université Mohammed V Souissi, MOROCCO
- 2. 1 Service de médecine et réanimation néonatales, Centre National de Néonatologie et Nutrition, hôpital d’Enfants, centre hospitalier Ibn Sina, bd Ibn Rochd, Souissi 10100, Rabat, MOROCCO 2 Equipe de recherche en santé et nutrition du couple mère enfant, Faculté de médecine et de pharmacie de Rabat- Université Mohammed V Souissi, MOROCCO
- 3. Unité mixte de recherche en Nutrition et alimentation URAC 39, université ibn tofail-CNESTEN; RDC-Nutrition AFRA/AIEA, Kénitra, MOROCCO
- 4. Equipe de recherche en santé et nutrition du couple mère enfant, Faculté de médecine et de pharmacie de Rabat- Université Mohammed V Souissi, MOROCCO, Equipe de recherche en santé publique, Faculté de médecine et de pharmacie de Rabat- Université Mohammed V Souissi, MOROCCO
- 5. Service de médecine et réanimation néonatales, Centre National de Néonatologie et Nutrition, hôpital d’Enfants, centre hospitalier Ibn Sina, bd Ibn Rochd, Souissi 10100, Rabat, MOROCCO, Equipe de recherche en santé et nutrition du couple mère enfant, Faculté de médecine et de pharmacie de Rabat- Université Mohammed V Souissi, MOROCCO
Description
The main objective of this study is to approach the experience of these mothers in our Moroccan context by focusing on the analysis of the socio-cultural impact. The secondary objective is to determine the risk factors associated with feelings of psychological difficulties.
This study was conducted at the Souissi Maternity Hospital in Rabat over the six months. We chose to conduct a survey of Moroccan women who gave birth to premature alive. Preterm birth was defined as any birth prior to 37 weeks of amenorrhea (SA). This is a prospective, descriptive and analytical study. 100 parturients were included in our study.
The collection of information has been on the second day of delivery. Two groups of women were subsequently identified:
- group A with one or two light feelings (absent or mild psychological difficulty)
- group B with 3 or 4 medium or strong feelings (medium to strong psychological difficulty).
We analyzed two groups to determine the risk factors associated with psychological difficulties.
In univariate analysis, we examined the association of each of maternal and neonatal characteristics with both groups A and B.
Nine factors were significantly associated with moderate or intense psychological difficulty.
A high level of instruction, well-monitored pregnancy, presence of a pathological obstetrical history and cesarean delivery, all these factors accentuate the intensity of the feelings experienced.
In parallel, a weight greater than or equal to 1500 g birth of the child, transfer the baby in neonatal medicine lessen these feelings.
In multivariate analysis and after adjusting for factors studied, only the presence of pathological factors obstetrical history and the place of the child in the parental project are significant and therefore correlated with average or intense psychological difficulty.
We have indeed found that prematurity inscribed the child and his mother in a difficult context. This would affect preterm rupture of the mother / child bond. After that other questions have emerged. Given that self-efficacy is rooted in the failures and successes encountered previously, it would have been interesting to consider primiparity of the mother, and the support of the father at birth and after, when returning home because it would play a leading role and would have a positive impact on the mother's psyche.