1. Objectifs

Intentions :
«The objectives of [this] study were to evaluate whether the prenatal consultation for preterm labour worries or reassures women, and to identify factors contributing to these feelings.» (p. F36)

2. Méthode

Échantillon/Matériau :
«Women admitted to high-risk obstetrics wards with preterm labour who had sufficient time to meet with the neonatologist before delivery were invited to complete a survey, within 72 hours of this antenatal consultation. Inclusion criteria were adult women with pregnancies between 26 and 32 weeks’ gestational age (GA), French-speaking or English-speaking and no previously known fetal anomaly.» (p. F36-F37) The final sample consists of 226 pregnant women recruited from three university-affiliated, tertiary care, high-risk obstetrics inpatient units in Quebec.

Instruments :
Questionnaire

Type de traitement des données :
Analyse statistique

3. Résumé

«In this study, women were often worried by the prenatal consultation, and this was associated with a lower GA. However, in contrast to previous data, reassurance was not associated with GA.» (p. F39) «Women were reassured by neonatologists’ abilities to develop a trusting relationship and to offer clear explanations. Indeed, key features of the neonatologist–patient relationship were statistically associated with women’s feelings of reassurance or worry. […] Women who were reassured/not worried felt better informed about prematurity and also better prepared as mothers. This echoes previous research in which women reported that information about prematurity was stressful, but nonetheless helpful. Providing information about prematurity’s complications is an essential step in preparing women, but there are several others. Parents have expressed the need to understand how to fulfil their parental roles for their premature babies, and clinicians are responsible for making the necessary information known to them. [Moreover], most women who were worried reported the data regarding potential outcomes of prematurity as worrisome. Similarly, women who were reassured by the consultation often described optimistic understandings. Most participants reported a positive change in their perception of prematurity after the antenatal consultation, and this was not associated with GA, suggesting that antenatal consultations can lead to a positive understanding of prematurity, independent of potential outcomes.» (p. F41)