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RECHERCHE CLINIQUE EN PERINATALITE: Impact du prénatal sur la psychopathologie du bébé et de la dyade mère-enfant

Sylvie Viaux Savelon 1
1 ED 158 - 3C - Ecole doctorale Cerveau Cognition et Comportement [Paris]
ISIR - Institut des Systèmes Intelligents et Robotique
Abstract : This thesis takes place in the study of the link between prenatal stress and relational mother infant disorders and specific question of fetal scan. In order to examine these questions, we first develop an analytic reflexion about fetal scan characteristics and implications on mother's representation. Then, we assessed by a case-control prospective study the impact of soft markers of fetal scan on mother's representations and early mother infant interaction at birth and 2 months postpartum. In other hand, we analysed, by a retrospective study, clinical profiles of infant before one year referred to a 0-3 unit. Results show that soft markers on fetal scan, in contrast to its harmless presentation induces perturbation of mother's representations and interaction disorders. Some factors can be pointed: gap between mother's and sonographist's attempts, announcement problematic, picture characteristics. Mother's representations are suspended during reassuring results waiting time and then keep traces of this perturbation. Mothers show a pattern of investment reduced or disorganized. Perturbations to early mother-infant interactions were observed in the study group and these dyads showed greater dysregulation, lower maternal sensitivity, and higher maternal intrusive behaviour. During interactions, SM infants displayed higher avoidance of their mothers. Multivariate analysis showed that maternal representation and depression at third trimester predicted mother-infant interaction. In specialized zero to three unit, we find a peak of referral before three months. 25% of infants referred before one year have an exclusive Axis II diagnosis (relational disorders). Multiple correspondence analyses showed this axe explains 18% of the third clinical profiles highlighted. These powerful link between pre and post natal emphases the necessity to favoured earlier mother infant health care from prenatal period.
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  • HAL Id : tel-00719467, version 1

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Sylvie Viaux Savelon. RECHERCHE CLINIQUE EN PERINATALITE: Impact du prénatal sur la psychopathologie du bébé et de la dyade mère-enfant. Neurosciences. Université Pierre et Marie Curie - Paris VI, 2011. Français. ⟨tel-00719467⟩

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