Slomian J, Emonts P, Vigneron L, Acconcia A, Glowacz F, Reginster J Y, Oumourgh M, Bruyère O
Department of Public Health, Epidemiology and Health Economics and Support Unit in Epidemiology and Biostatistics, University of Liège, Avenue Hippocrate 13, Bât. B23, 4000, Liège, Belgium.
Department of Obstetrics and Gynaecology, CHU Liège, Avenue Hippocrate 13, Bât. B23, 4000, Liège, Belgium.
BMC Pregnancy Childbirth. 2017 Jul 3;17(1):213. doi: 10.1186/s12884-017-1398-1.
Pregnancy and childbirth are two critical stages in a woman's life. Various studies have suggested that psychological distress is common during the year after childbirth. The objectives of this exploratory study were (1) to explore the needs of mothers in the year following childbirth; (2) to compare these needs between mothers who did not have the feeling of living a psychological disorder or a depression and mothers who lived a psychological disorder or had the impression of living a depression; and (3) to compare the needs expressed by mothers with the perception of professionals and fathers about the mothers' needs.
First, we proceeded to 22 individual qualitative interviews followed by one focus group, with mothers, with and without experience of psychological distress. Then, we conducted 2 focus groups: one with professionals and one with fathers.
Needs of mothers after childbirth have been indexed in four categories: need of information, need of psychological support, need to share experience, and need of practical and material support. Women do not feel sufficiently informed about this difficult period of life. They do not feel sufficiently supported, not only from a psychological point of view but also from a more practical point of view, for example with household chores. They need to share their experience of life, they need to be reassured and they need to feel understood. It seems that some differences exist between mothers' and professionals' experiences but also between mothers' and fathers' experiences.
Young mothers apparently feel a lack of support at different levels in the year following childbirth. This study provides ways to meet women's needs and to try to prevent the risk of postpartum psychological distress during this period of time.
怀孕和分娩是女性生命中的两个关键阶段。多项研究表明，产后一年内心理困扰很常见。这项探索性研究的目的是：（1）探索产后一年内母亲们的需求；（2）比较没有心理障碍或抑郁感受的母亲与有心理障碍或有抑郁感受的母亲之间的这些需求；（3）将母亲表达的需求与专业人员和父亲对母亲需求的认知进行比较。
首先，我们对有和没有心理困扰经历的母亲进行了22次个人定性访谈，随后进行了一次焦点小组访谈。然后，我们开展了2次焦点小组访谈：一次是与专业人员，另一次是与父亲。
产后母亲的需求被归纳为四类：信息需求、心理支持需求、分享经历需求以及实际和物质支持需求。女性觉得自己对这一艰难的人生阶段了解不足。她们觉得自己没有得到足够的支持，不仅在心理方面，在更实际的方面也是如此，比如家务事。她们需要分享自己的生活经历，需要安心，需要被理解。母亲与专业人员的经历之间似乎存在一些差异，母亲与父亲的经历之间也存在差异。
年轻母亲在产后一年显然感到在不同层面缺乏支持。这项研究提供了满足女性需求以及在此期间试图预防产后心理困扰风险的方法。
