1. Objectifs

Intentions :
«The aim of this study is to better understand the relationships that exist between the organization of emergency room and primary care health services for women presenting with miscarriage, on the one hand, and the positions and experiences of women and men within these services, on the other.» (p. 2) À noter que, puisque cette étude est toujours en cours de réalisation, la section Résumé de cette fiche ne contient que les prévisions des retombés d’une telle étude.

Questions/Hypothèses :
«Two hypotheses will be explored. Hypothesis 1: The quality of the conjugal relationship after a miscarriage is associated with a positive mental health trajectory, the relationship being mediated by two variables: the quality of services and the quality of relationships with health professionals. […] Hypothesis 2: The factors associated with the mental health trajectories of men and women differ according to: a) personal characteristics, e.g. attitude with respect to services, age, education, previous losses, physical and mental health, and the presence of other children; b) contextual characteristics, e.g. perception of social support (formal and informal), income level (low, versus average or high), and immigration status.» (p. 2-3)

2. Méthode

Échantillon/Matériau :
L’étude est basée sur plusieurs échantillons: un sondage réalisé auprès de 200 personnes travaillant dans le domaine de la santé périnatale; des entrevues de groupe avec des personnes travaillant dans le domaine de la santé périnatale et du personnel administratif; un sondage réalisé après de 232 parents ayant vécu la procédure médicale entourant une fausse couche dans un établissement de santé; et, des rencontres individuelles avec 80 parents (choisis parmi les 232). Tous les participants résident au Québec.

Instruments :
- Questionnaires
- Guide d’entretien

Type de traitement des données :
Analyse de contenu
Analyse statistique

3. Résumé

«The originality of the present study lies in adopting a conceptual framework that allows for a complete analysis of institutional perceptions of professional practices with respect to women and their partners experiencing a miscarriage in the emergency room, as well as of men’s and women’s statements regarding their experience of their care and services trajectory. It also comes from the attention given to the experience of men in a context where scientific knowledge and currently implemented interventions mostly focus on women. Moreover, our analysis of the care provided to women and their spouses during a miscarriage in Quebec will be significantly enriched by triangulating the different views on the service trajectories of men and women (views of men, women, and practitioners) and the methodologies (quantitative and qualitative). Finally, our analysis of the care provided for women experiencing a miscarriage and of the physical and mental health trajectory of the couple will take into account the accessibility, efficiency, productivity, continuity, responsiveness, and quality of primary care.» (p. 5-6)