Anoxo-ischemic encephalopathy and therapeutic hypothermia: what are the main psychological impacts on parents and babies with a normal MRI scan upon discharge? (notice n° 461956)

détails MARC
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control field 20250121045305.0
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Language code of text/sound track or separate title fre
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100 10 - MAIN ENTRY--PERSONAL NAME
Personal name Bailly, Marie-Kasane
Relator term author
245 00 - TITLE STATEMENT
Title Anoxo-ischemic encephalopathy and therapeutic hypothermia: what are the main psychological impacts on parents and babies with a normal MRI scan upon discharge?
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Date of publication, distribution, etc. 2020.<br/>
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General note 51
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Summary, etc. Aim: This is the first French preliminary study to evaluate the psychological health of parents with infants treated by therapeutic hypothermia for anoxo-ischemic encephalopathy and discharged from the hospital with regular initial progression (MRI and normal outpatient examinations). Materials and method: Seven children, under age two, treated with therapeutic hypothermia for anoxo-ischemic encephalopathy at birth and their parents were met and examined. All the children were discharged from the maternity ward with a normal MRI and a satisfactory clinical examination. The Brunet-Lézine scale was used to measure the children’s psychomotor development, while the parents’ psychological health was evaluated using two adapted scales – the Edinburgh Postnatal Depression Scale and the Perinatal Post-Traumatic Stress Disorder scale – in addition to a semi-structured interview. Results: With the revised Brunet-Lézine scale, the children did not present significant developmental delay (DQ between 98 and 97). However, eight to eighteen months after the event, 50 % of mothers and 25 % of fathers showed pathological scores of post-traumatic stress. The other half of the mothers and 25 % of fathers showed postnatal depression. Interviews uncovered traumatic experiences of delivery; bonding difficulties for the first minutes and days following childbirth; high exposure of fathers; extreme projections about life and death during the hypothermia treatment; and the importance of MRI results and the stay in kangaroo care for reassurance and growing accustomed to the feeling of parenthood. We also found persistent parental concerns six months to one year later despite the absence of disability for their children. Conclusion: Anoxo-ischemic encephalopathy and therapeutic hypothermia are psychological stressors for parents, even in the absence of complications. This study confirms the need for a trusted therapeutic framework during hospitalization. But it also shows the importance of a preventive multidisciplinary follow-up for all families, regardless of the medical outcome. More research is needed to better understand and help families facing these life experiences.
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Topical term or geographic name as entry element attachment
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Topical term or geographic name as entry element program
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Topical term or geographic name as entry element parenting skills
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Topical term or geographic name as entry element assessment
690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN)
Topical term or geographic name as entry element mental health promotion and prevention
700 10 - ADDED ENTRY--PERSONAL NAME
Personal name Schmoll, Marine
Relator term author
700 10 - ADDED ENTRY--PERSONAL NAME
Personal name Yousef, Nadya
Relator term author
700 10 - ADDED ENTRY--PERSONAL NAME
Personal name Boithias, Claire
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700 10 - ADDED ENTRY--PERSONAL NAME
Personal name Mokhtari, Mostafa
Relator term author
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Note Devenir | 32 | 4 | 2020-10-22 | p. 287-304 | 1015-8154
856 41 - ELECTRONIC LOCATION AND ACCESS
Uniform Resource Identifier <a href="https://shs.cairn.info/journal-devenir-2020-4-page-287?lang=en&redirect-ssocas=7080">https://shs.cairn.info/journal-devenir-2020-4-page-287?lang=en&redirect-ssocas=7080</a>

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