Pub Date : 2024-11-16DOI: 10.1016/j.neurenf.2024.11.001
{"title":"Agenda","authors":"","doi":"10.1016/j.neurenf.2024.11.001","DOIUrl":"10.1016/j.neurenf.2024.11.001","url":null,"abstract":"","PeriodicalId":39666,"journal":{"name":"Neuropsychiatrie de l''Enfance et de l''Adolescence","volume":"72 8","pages":"Pages 402-404"},"PeriodicalIF":0.0,"publicationDate":"2024-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142660632","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-11-01DOI: 10.1016/j.neurenf.2024.07.008
Valentine d’Aspremont Lynden , Cécile Vander Vorst , Anne Wintgens
We herein present the case of a child treated in our outpatient clinic, by a resident physician in child psychiatry. His symptoms of autism were seemingly evident at first glance. However, his medical history, psychosocial background and neurodevelopment led us to question this diagnosis with nuance and caution. In this situation, we observed the intertwining of neurological, developmental and psychological factors, all of which seem to have played a role in the evolution of symptoms presented by the patient. We felt it was essential to allow space for each of these three potential diagnostic readings. Our investment in this situation was particularly marked by the obstacles we encountered in setting up appropriate treatment. These difficulties arose as a result of network overload, administrative difficulties encountered by the parents, cultural and language barriers, as well as familial limitations and resistance to assistance. Despite this, the psychological mobilisation of the parents seemed to play an important role in this child's evolution. Finally, this case led us to consider the importance of prevention, particularly in perinatal care. Identification by a team of child psychiatrists in the immediate postpartum period would probably have prevented, at least in part, this child's deterioration and limited the family's suffering.
{"title":"Une symptomatologie autistique ? À la croisée de trois lectures diagnostiques","authors":"Valentine d’Aspremont Lynden , Cécile Vander Vorst , Anne Wintgens","doi":"10.1016/j.neurenf.2024.07.008","DOIUrl":"10.1016/j.neurenf.2024.07.008","url":null,"abstract":"<div><div>We herein present the case of a child treated in our outpatient clinic, by a resident physician in child psychiatry. His symptoms of autism were seemingly evident at first glance. However, his medical history, psychosocial background and neurodevelopment led us to question this diagnosis with nuance and caution. In this situation, we observed the intertwining of neurological, developmental and psychological factors, all of which seem to have played a role in the evolution of symptoms presented by the patient. We felt it was essential to allow space for each of these three potential diagnostic readings. Our investment in this situation was particularly marked by the obstacles we encountered in setting up appropriate treatment. These difficulties arose as a result of network overload, administrative difficulties encountered by the parents, cultural and language barriers, as well as familial limitations and resistance to assistance. Despite this, the psychological mobilisation of the parents seemed to play an important role in this child's evolution. Finally, this case led us to consider the importance of prevention, particularly in perinatal care. Identification by a team of child psychiatrists in the immediate postpartum period would probably have prevented, at least in part, this child's deterioration and limited the family's suffering.</div></div>","PeriodicalId":39666,"journal":{"name":"Neuropsychiatrie de l''Enfance et de l''Adolescence","volume":"72 7","pages":"Pages 322-326"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142555697","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-11-01DOI: 10.1016/j.neurenf.2024.04.004
This paper initiates a theoretical-clinical reflection on the specificity of child psychiatric support for children of psychotic parents or those suffering from severe personality disorders, at the time of the psychotherapeutic follow-up of a five-year-old child presenting psychomotor agitation. Over and above the multiple biopsychosocial risk factors, these complex situations require child psychiatrists to clarify their support and public health role in order to guarantee coherent care and expertise. Indeed, the various players involved (child welfare, justice, education, adult psychiatry, neuropediatric, etc.) may ignore one another or take on a role that exceeds their field of competence : the result is sometimes a certain confusion of roles, or even confusing measures and contradictory positions. When a child's symptomatology and that of his or her family preclude the use of classic, standardized interviews, it seems to us that narrative work is best carried out as close as possible to the subject's spontaneous enunciation (spoken or acted). We can then attempt to identify the operative stages of care and postulate that it is only when the child names his own impulsivity (his “crazy” part) that he will be able to recognize it in his parent. This opens the possibility of a certain representation of parental psychopathology and of putting it into narrative form. First postulated as a subject, this child is invited to name his psychomotor excitement, then that of his parent: “volcano”. The loss of a concrete object, a “blue pebble”, between two sessions, opens the space for representation and graphic expression. This object of reality becomes an object of mediation between him and his therapist and is presented as the support for a signifier, “blue”: in this way, a process of encryption and symbolization begins, an attempt to put the world in order. The signifier “blue” (which cools and extinguishes fire) is articulated with the signifier “red” (which burns and excites) in complex constructions, but not without effect on the patient's body and symptoms. These clinical elements could be passed on to the various partners and could support their care, educational, rehabilitative and expert missions.
{"title":"Quels soins pédopsychiatriques proposer aux enfants de parents présentant une pathologie psychiatrique ? Réflexions à partir d’une situation clinique","authors":"","doi":"10.1016/j.neurenf.2024.04.004","DOIUrl":"10.1016/j.neurenf.2024.04.004","url":null,"abstract":"<div><div>This paper initiates a theoretical-clinical reflection on the specificity of child psychiatric support for children of psychotic parents or those suffering from severe personality disorders, at the time of the psychotherapeutic follow-up of a five-year-old child presenting psychomotor agitation. Over and above the multiple biopsychosocial risk factors, these complex situations require child psychiatrists to clarify their support and public health role in order to guarantee coherent care and expertise. Indeed, the various players involved (child welfare, justice, education, adult psychiatry, neuropediatric, etc.) may ignore one another or take on a role that exceeds their field of competence : the result is sometimes a certain confusion of roles, or even confusing measures and contradictory positions. When a child's symptomatology and that of his or her family preclude the use of classic, standardized interviews, it seems to us that narrative work is best carried out as close as possible to the subject's spontaneous enunciation (spoken or acted). We can then attempt to identify the operative stages of care and postulate that it is only when the child names his own impulsivity (his “crazy” part) that he will be able to recognize it in his parent. This opens the possibility of a certain representation of parental psychopathology and of putting it into narrative form. First postulated as a subject, this child is invited to name his psychomotor excitement, then that of his parent: “volcano”. The loss of a concrete object, a “blue pebble”, between two sessions, opens the space for representation and graphic expression. This object of reality becomes an object of mediation between him and his therapist and is presented as the support for a signifier, “blue”: in this way, a process of encryption and symbolization begins, an attempt to put the world in order. The signifier “blue” (which cools and extinguishes fire) is articulated with the signifier “red” (which burns and excites) in complex constructions, but not without effect on the patient's body and symptoms. These clinical elements could be passed on to the various partners and could support their care, educational, rehabilitative and expert missions.</div></div>","PeriodicalId":39666,"journal":{"name":"Neuropsychiatrie de l''Enfance et de l''Adolescence","volume":"72 7","pages":"Pages 341-349"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141043136","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-11-01DOI: 10.1016/j.neurenf.2024.06.002
S. Fierdepied , Y. Motreff , P. Pirard , T. Baubet
Introduction
Santé publique France carried out a web-based epidemiological survey (ESPA 13 Novembre) between 8 and 12 months after the terrorist attacks of the 13 November 2015. This was done in order to explore the post-traumatic psychological impact of the attacks on the directly exposed civilians and responders as well as their use of healthcare services. The survey took the form of a series of closed-ended questions as well as several open-ended questions. We present here an analysis of the responses of civilians to the following specific question: “If you have children, can you tell us whether you think the experience you went through had an effect on them, or on your relationship with them? Can you explain?”.
Objective
To find out about the impact of the attacks on the children of exposed civilians and on parent–child relationships, something that has never been studied in the context of mass attacks.
Method
We carried out a thematic analysis of civilians’ responses to this specific question, building up general themes by data reduction.
Results
The analyses revealed four main themes which relate to the impact of the exposure to terrorist attacks on parent-child relationships, the changes experienced in their role as parents, their children's reactions and, finally, the ways in which they tried to protect their children.
Discussion
The parents highlighted the psychological changes that operated in them, their unease, their fear of the outside world, and their concern for their children's safety. They discussed the consequences of the attacks on their children in terms of stress, insecurity, psychological disturbances, and even of the emergence of real disorders. The parents have tried to fulfil their protective role in a variety of ways, sometimes with a feeling of powerlessness reinforced for some by the difficulty of finding suitable care spaces. Attachment bonds have, for the most part, tightened in these families demonstrating their reassuring function within the group. It seems essential to care for children, and the family as a whole, alongside their parents, in order to re-establish secure attachment bonds which are a factor in resilience.
{"title":"Impact des attentats du 13 novembre 2015 sur les enfants des civils exposés et sur les relations parents–enfants","authors":"S. Fierdepied , Y. Motreff , P. Pirard , T. Baubet","doi":"10.1016/j.neurenf.2024.06.002","DOIUrl":"10.1016/j.neurenf.2024.06.002","url":null,"abstract":"<div><h3>Introduction</h3><div>Santé publique France carried out a web-based epidemiological survey (ESPA 13 Novembre) between 8 and 12 months after the terrorist attacks of the 13 November 2015. This was done in order to explore the post-traumatic psychological impact of the attacks on the directly exposed civilians and responders as well as their use of healthcare services. The survey took the form of a series of closed-ended questions as well as several open-ended questions. We present here an analysis of the responses of civilians to the following specific question: “If you have children, can you tell us whether you think the experience you went through had an effect on them, or on your relationship with them? Can you explain?”.</div></div><div><h3>Objective</h3><div>To find out about the impact of the attacks on the children of exposed civilians and on parent–child relationships, something that has never been studied in the context of mass attacks.</div></div><div><h3>Method</h3><div>We carried out a thematic analysis of civilians’ responses to this specific question, building up general themes by data reduction.</div></div><div><h3>Results</h3><div>The analyses revealed four main themes which relate to the impact of the exposure to terrorist attacks on parent-child relationships, the changes experienced in their role as parents, their children's reactions and, finally, the ways in which they tried to protect their children.</div></div><div><h3>Discussion</h3><div>The parents highlighted the psychological changes that operated in them, their unease, their fear of the outside world, and their concern for their children's safety. They discussed the consequences of the attacks on their children in terms of stress, insecurity, psychological disturbances, and even of the emergence of real disorders. The parents have tried to fulfil their protective role in a variety of ways, sometimes with a feeling of powerlessness reinforced for some by the difficulty of finding suitable care spaces. Attachment bonds have, for the most part, tightened in these families demonstrating their reassuring function within the group. It seems essential to care for children, and the family as a whole, alongside their parents, in order to re-establish secure attachment bonds which are a factor in resilience.</div></div>","PeriodicalId":39666,"journal":{"name":"Neuropsychiatrie de l''Enfance et de l''Adolescence","volume":"72 7","pages":"Pages 334-340"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141851654","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Child and adolescent psychiatrists are increasingly being requested by judicial authorities to examine children and adolescents. This increase is in part attributable to progress in Tunisian legislation on the protection of women and children. Nevertheless, clinicians have encountered several difficulties in conducting these examinations. This study aims to analyse the epidemiological and clinical profiles of children examined in a medico-legal context and to discuss the difficulties in managing these examinations.
Methods
This is a cross-sectional descriptive and analytical study that examined the records of all patients referred to the Child Psychiatry Department in Monastir as part of medico-legal examinations during the years 2021–2022. We therefore filled in a form to investigate the child's socio-demographic data, background and the specifics of the medical-legal examination.
Results
Our study included 454 children and adolescents with a M/F sex ratio equal to 103 and an average age of 11 years. The majority of the population was of low socioeconomic status and lived in a disrupted environment. Child abuse (60.1%), particularly of the sexual type (53.5%), was the most frequent reason for requesting a medico-legal examination, and the diagnoses retained were dominated by acute and post-traumatic stress disorders and adjustment disorders. We also observed a high rate of interruption in medical follow-up and limited availability of information regarding legal outcomes for children in need of psychiatric care.
Conclusion
The current study delves into a significant matter by delineating the socio-demographic and clinical profiles of children undergoing examination in child psychiatry within a medico-legal framework. Collaboration among all stakeholders is thus imperative to ensure improved management and, most importantly, the continuity of care for this specific population.
{"title":"Profil sociodémographique et clinique des enfants examinés en pédopsychiatrie dans un cadre médico-légal","authors":"Marwa Boussaid , Asma Guedria , Roua Manaa , Rakia Soiniya , Abir Aissaoui","doi":"10.1016/j.neurenf.2024.07.002","DOIUrl":"10.1016/j.neurenf.2024.07.002","url":null,"abstract":"<div><h3>Background</h3><div>Child and adolescent psychiatrists are increasingly being requested by judicial authorities to examine children and adolescents. This increase is in part attributable to progress in Tunisian legislation on the protection of women and children. Nevertheless, clinicians have encountered several difficulties in conducting these examinations. This study aims to analyse the epidemiological and clinical profiles of children examined in a medico-legal context and to discuss the difficulties in managing these examinations.</div></div><div><h3>Methods</h3><div>This is a cross-sectional descriptive and analytical study that examined the records of all patients referred to the Child Psychiatry Department in Monastir as part of medico-legal examinations during the years 2021–2022. We therefore filled in a form to investigate the child's socio-demographic data, background and the specifics of the medical-legal examination.</div></div><div><h3>Results</h3><div>Our study included 454 children and adolescents with a M/F sex ratio equal to 103 and an average age of 11 years. The majority of the population was of low socioeconomic status and lived in a disrupted environment. Child abuse (60.1%), particularly of the sexual type (53.5%), was the most frequent reason for requesting a medico-legal examination, and the diagnoses retained were dominated by acute and post-traumatic stress disorders and adjustment disorders. We also observed a high rate of interruption in medical follow-up and limited availability of information regarding legal outcomes for children in need of psychiatric care.</div></div><div><h3>Conclusion</h3><div>The current study delves into a significant matter by delineating the socio-demographic and clinical profiles of children undergoing examination in child psychiatry within a medico-legal framework. Collaboration among all stakeholders is thus imperative to ensure improved management and, most importantly, the continuity of care for this specific population.</div></div>","PeriodicalId":39666,"journal":{"name":"Neuropsychiatrie de l''Enfance et de l''Adolescence","volume":"72 7","pages":"Pages 327-333"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142555698","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-11-01DOI: 10.1016/j.neurenf.2024.09.004
J.-M. Coq
{"title":"","authors":"J.-M. Coq","doi":"10.1016/j.neurenf.2024.09.004","DOIUrl":"10.1016/j.neurenf.2024.09.004","url":null,"abstract":"","PeriodicalId":39666,"journal":{"name":"Neuropsychiatrie de l''Enfance et de l''Adolescence","volume":"72 7","pages":"Pages 350-351"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142555699","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-11-01DOI: 10.1016/j.neurenf.2024.10.001
M. Maury
{"title":"Hommage à Jean Pierre Visier (1933–2024)","authors":"M. Maury","doi":"10.1016/j.neurenf.2024.10.001","DOIUrl":"10.1016/j.neurenf.2024.10.001","url":null,"abstract":"","PeriodicalId":39666,"journal":{"name":"Neuropsychiatrie de l''Enfance et de l''Adolescence","volume":"72 7","pages":"Pages 352-353"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142555700","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-11-01DOI: 10.1016/S0222-9617(24)00182-X
{"title":"Agenda","authors":"","doi":"10.1016/S0222-9617(24)00182-X","DOIUrl":"10.1016/S0222-9617(24)00182-X","url":null,"abstract":"","PeriodicalId":39666,"journal":{"name":"Neuropsychiatrie de l''Enfance et de l''Adolescence","volume":"72 7","pages":"Pages 354-356"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142555701","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-11-01DOI: 10.1016/j.neurenf.2024.07.004
Sandra Brouche , Fabienne Cazalis , Natalie Rigal
Sensory processing has been a diagnostic criterion for autism spectrum condition since the fifth version of the DSM. However, there is no consensus regarding assessment methods. This article is a systematic review of methods for assessing sensory processing in children and adolescents with autism aged between 0 and 18 years, with three objectives: (1) to identify and organize, using PRISMA, the different methods used in scientific articles for assessing sensory processing in autism; (2) to discuss their advantages and limitations by using the COSMIN checklist; (3) to suggest possible recommendations. Analysis of the 142 articles selected revealed five types of assessment method: questionnaires, psychophysical measurements, electroencephalography, neuroimaging and observation. Questionnaires were the most frequently cited clinical method, while psychophysical tests were the most represented. Each method has limitations in terms of individual utilization due to non-standardized procedures and varied investigation targets. While this systematic review makes it possible to better identify the methods used in the clinical and research fields for sensory processing specificities in children and adolescents on the spectrum, it also highlights the fact that the lack of consensus on assessments is partly due to a problem of definition of this process. Future research will need to agree on a characterization of sensory processing in order to develop a common assessment.
{"title":"Revue systématique des méthodes d’évaluation du traitement sensoriel chez les enfants et adolescents autistes","authors":"Sandra Brouche , Fabienne Cazalis , Natalie Rigal","doi":"10.1016/j.neurenf.2024.07.004","DOIUrl":"10.1016/j.neurenf.2024.07.004","url":null,"abstract":"<div><div>Sensory processing has been a diagnostic criterion for autism spectrum condition since the fifth version of the DSM. However, there is no consensus regarding assessment methods. This article is a systematic review of methods for assessing sensory processing in children and adolescents with autism aged between 0 and 18 years, with three objectives: (1) to identify and organize, using PRISMA, the different methods used in scientific articles for assessing sensory processing in autism; (2) to discuss their advantages and limitations by using the COSMIN checklist; (3) to suggest possible recommendations. Analysis of the 142 articles selected revealed five types of assessment method: questionnaires, psychophysical measurements, electroencephalography, neuroimaging and observation. Questionnaires were the most frequently cited clinical method, while psychophysical tests were the most represented. Each method has limitations in terms of individual utilization due to non-standardized procedures and varied investigation targets. While this systematic review makes it possible to better identify the methods used in the clinical and research fields for sensory processing specificities in children and adolescents on the spectrum, it also highlights the fact that the lack of consensus on assessments is partly due to a problem of definition of this process. Future research will need to agree on a characterization of sensory processing in order to develop a common assessment.</div></div>","PeriodicalId":39666,"journal":{"name":"Neuropsychiatrie de l''Enfance et de l''Adolescence","volume":"72 7","pages":"Pages 305-321"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142552220","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-10-02DOI: 10.1016/j.neurenf.2024.09.002
S. Catsaros , I. Cacho , J. Wendland
Context
High-risk pregnancy constitutes a factor of vulnerability for women. The role of midwives in caring for these women is crucial, but little is known about their views concerning these complex pregnancies.
Objective
This study aims to increase insight on midwives’ outlook on high-risk pregnancies, their self-perceived roles, the challenges encountered, and their guidance for best practice.
Methods
This qualitative study took place in a maternity clinic of a University Hospital in France. Ten midwives were interviewed, and a thematic analysis was performed. The design of the research followed the COREQ checklist guidelines for reporting qualitative research.
Results
Five themes emerged from the analysis: (1) “Like a bolt from the blue” for the psychological impact and the essential reassurance midwives bring, (2) “Helping women get help” to detect alarming signs and the difficulty to address mental health issues (3) “Human Swiss army knives” for their specific expertise and the human part of their work, (4) “Women and their environment” for taking the time to understand women as a whole and consider the impact of/on their environments, and (5) “Clinical and human setting” for consistent teamwork, respectful of each woman's individuality.
Discussion
This study highlights the necessity of a woman-centred care in high-risk pregnancies. Midwives reflected on their roles in this particular care as they contribute to a more human and respectful approach of women while helping to maintain clinical stability and enhance women's well-being. Midwives advocated for normalizing mental health issues, for approaching women in a holistic way, for providing continuity of care, and for being consistent in teamwork.
{"title":"Midwives’ perceptions of high-risk pregnancies and their role with vulnerable pregnant women","authors":"S. Catsaros , I. Cacho , J. Wendland","doi":"10.1016/j.neurenf.2024.09.002","DOIUrl":"10.1016/j.neurenf.2024.09.002","url":null,"abstract":"<div><h3>Context</h3><div>High-risk pregnancy constitutes a factor of vulnerability for women. The role of midwives in caring for these women is crucial, but little is known about their views concerning these complex pregnancies.</div></div><div><h3>Objective</h3><div>This study aims to increase insight on midwives’ outlook on high-risk pregnancies, their self-perceived roles, the challenges encountered, and their guidance for best practice.</div></div><div><h3>Methods</h3><div>This qualitative study took place in a maternity clinic of a University Hospital in France. Ten midwives were interviewed, and a thematic analysis was performed. The design of the research followed the COREQ checklist guidelines for reporting qualitative research.</div></div><div><h3>Results</h3><div>Five themes emerged from the analysis: (1) “Like a bolt from the blue” for the psychological impact and the essential reassurance midwives bring, (2) “Helping women get help” to detect alarming signs and the difficulty to address mental health issues (3) “Human Swiss army knives” for their specific expertise and the human part of their work, (4) “Women and their environment” for taking the time to understand women as a whole and consider the impact of/on their environments, and (5) “Clinical and human setting” for consistent teamwork, respectful of each woman's individuality.</div></div><div><h3>Discussion</h3><div>This study highlights the necessity of a woman-centred care in high-risk pregnancies. Midwives reflected on their roles in this particular care as they contribute to a more human and respectful approach of women while helping to maintain clinical stability and enhance women's well-being. Midwives advocated for normalizing mental health issues, for approaching women in a holistic way, for providing continuity of care, and for being consistent in teamwork.</div></div>","PeriodicalId":39666,"journal":{"name":"Neuropsychiatrie de l''Enfance et de l''Adolescence","volume":"72 8","pages":"Pages 379-388"},"PeriodicalIF":0.0,"publicationDate":"2024-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142660629","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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