L’efficacité d’une brève intervention de soutien sur l’anxiété, la dépression, et le stress après une fausse couche

Séjourné, Natalène; Callahan, Stacey; Chabrol, Henri

doi:10.1016/j.jgyn.2011.01.015

Cited by 4 publications

(2 citation statements)

References 20 publications

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“…The study by Séjourné et al has shown the utility of early intervention after SM to provide support and education, and to screen for potential psychological complications that may require appropriate management and follow-up. 24 …”

Section: Discussionmentioning

confidence: 99%

“… 10 , 11 Indeed, it has been shown that psychological repercussions, such as anxiety or depression, have been observed after SM. 23 , 24 Tailored support could be envisaged for women with high levels of stress or anxiety during the first trimester of pregnancy or for those with depression. Dedicated early pregnancy units (EPUs) are currently being developed in several countries around the world (for example, the US, the UK, Canada, Ireland, and Australia) to provide optimal medical and psychological management and continued support.…”

Section: Discussionmentioning

confidence: 99%

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Exploring the impact of prior spontaneous miscarriage on stress among pregnant women during the first trimester: an observational study

et al. 2022

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BackgroundSpontaneous miscarriage is the most common complication of pregnancy. Its psychological repercussions are widely documented but few studies have investigated its effect on the woman’s experience of a subsequent pregnancy.AimTo evaluate the impact of prior spontaneous miscarriage on the level of stress experienced by pregnant women during the first trimester of pregnancy.Design and settingCross-sectional, observational study between June and October 2021 in France.MethodA self-report questionnaire was distributed to women in the first trimester of pregnancy. Stress was assessed using the Antenatal Perceived Stress Inventory, to yield an overall score, and a score for three dimensions (medical and obstetric risks/fetal health; psychosocial changes; and the prospect of childbirth). Women with a history of prior spontaneous miscarriage and those without were compared.Results93 women were included ; 63 without and 30 with a history of prior spontaneous miscarriage. Prior spontaneous miscarriage was not associated with the overall score. The score for the dimension “medical and obstetric risks/fetal health” was significantly higher in women with prior spontaneous miscarriage (3.00±0.86 vs 2.34±0.80 ;β=0.61 (0.25–0.96) ;P=0.001). Prior spontaneous miscarriage was significantly associated with the items “the baby’s health” (P=0.048) and “the echography” (P=0.002).ConclusionThis study shows a significant impact of prior spontaneous miscarriage on the level of stress of pregnant women during the first trimester, particularly relating to the medical and obstetric risks/fetal health, underlining the need for appropriate psychological support to be provided to women who experience spontaneous miscarriage.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Exploring the impact of prior spontaneous miscarriage on stress among pregnant women during the first trimester: an observational study

et al. 2022

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Psychologie et perte de grossesse

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Gicquel

Lejeune³

et al. 2014

Journal de Gynécologie Obstétrique et Biologie de la Reproducti

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Psychological and support interventions to reduce levels of stress, anxiety or depression on women’s subsequent pregnancy with a history of miscarriage: an empty systematic review

et al. 2017

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ObjectiveThe aim of this systematic review was to assess the effect of interventions to reduce stress in pregnant women with a history of miscarriage.DesignA systematic review of randomised controlled trials (RCTs).Data sourceA total of 13 medical, psychological and social electronic databases were searched from January 1995 to April 2016 including PUBMED, CENTRAL, Web of Science and EMBASE.Eligibility criteriaThis review focused on women in their subsequent pregnancy following miscarriage. All published RCTs which assessed the effect of non-medical interventions such as counselling or support interventions on psychological and mental health outcomes such as stress, anxiety or depression when compared with a control group were included. Stress, anxiety or depression had to be measured at least preintervention and postintervention.ResultsThis systematic review found no RCT which met our initial inclusion criteria. Of the 4140 titles screened, 17 RCTs were identified. All of them were excluded. One RCT, which implemented a caring-based intervention, included pregnant women in their subsequent pregnancy; however, miscarriage was analysed as a composite variable among other pregnancy losses such as stillbirth and neonatal death. Levels of perceived stress were measured by four RCTs. Different types of non-medical interventions, time of follow-up and small sample sizes were found.ConclusionCohort studies and RCTs in non-pregnant women suggest that support and psychological interventions may improve pregnant women’s psychological well-being after miscarriage. This improvement may reduce adverse pregnancy-related outcomes in subsequent pregnancies. However, this review found no RCTs which met our criteria. There is a need for targeted RCTs that can provide reliable and conclusive results to determine effective interventions for this vulnerable group.

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L’efficacité d’une brève intervention de soutien sur l’anxiété, la dépression, et le stress après une fausse couche

Cited by 4 publications

References 20 publications

Exploring the impact of prior spontaneous miscarriage on stress among pregnant women during the first trimester: an observational study

Exploring the impact of prior spontaneous miscarriage on stress among pregnant women during the first trimester: an observational study

Psychologie et perte de grossesse

Psychological and support interventions to reduce levels of stress, anxiety or depression on women’s subsequent pregnancy with a history of miscarriage: an empty systematic review

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