1. Objectifs

Intentions :
«Ce projet de thèse [par articles] a pour objectif de proposer un modèle de relation médecin-patient informé de la perspective maternelle de la consultation anténatale, pour développer une approche clinique répondant à leurs besoins.» (p. iii) The objective of the first article is «[t]o explore mothers’ expectations regarding the antenatal consultation for preterm labour and compare their experiences to existing guidelines on antenatal consultations.» (p. 66) The goal of the second article is «to evaluate whether the prenatal consultation for preterm labour worries or reassures women, and to identify factors contributing to these feelings.» (p. 82)

Questions/Hypothèses :
La thèse est basée sur le questionnement suivant: «Quelle est la perspective maternelle de la consultation anténatale par un néonatologiste dans le cadre du travail pré-terme, à plus de 26 semaines d’âge gestationnel?» (p. 51)

2. Méthode

Échantillon/Matériau :
L’échantillon des deux articles est composé de 228 femmes à risque d’un accouchement prématuré consultant l’unité de néonatalogie du Centre hospitalier universitaire Sainte-Justine, à Montréal.

Instruments :
Questionnaires

Type de traitement des données :
Analyse statistique

3. Résumé

Results of the first study show that «[m]ost women (89.9%) reported a positive experience. Policy statements focus on parental informed consent, by encouraging the provision of accurate, consistent and comprehensive data on prematurity’s complications. While it was important for 96.0% of women to discuss prematurity’s outcomes, 39.3% of them felt they received too much information. Further, women wanted their spouse to be present (71.4%) and they wished to discuss parental concerns – such as their roles as mother of a premature baby (82.2%) and the care they can provide their baby (83.4%). They also wanted to better understand the neonatology intensive care unit (NICU), through antenatal visits (68.5%) or written documentation (86.9%).» (p. 66) Data from the second study shows that «[w]omen at risk of preterm labour are in a very stressful situation and they hope the prenatal consultation will not only inform and prepare them, but also reassure them. [...] In this study, women were generally satisfied and reassured by the prenatal consultation, although, contrasting with previous studies, this was not associated with GA. […] Nonetheless, one quarter of participants in our study were worried by the antenatal consultation. Both quantitative and qualitative data in our study suggest three important themes to address during the consultation for preterm labour: (1) establishing a trusting physician-patient relationship, (2) feeling informed and prepared as reassurance, (3) offering reassuring outlooks.» (p. 87)