PubMed HealthSearch

Biomedical subjects

L Séguin

Publications and source records attributed to L Séguin.

10 recordsLinked to original sources

Chronic stressors, social support, and depression during pregnancy.

OBJECTIVES: To analyze the relationships between stressful life conditions, social support, and depressive symptomatology during pregnancy in women of low socioeconomic status and a comparison group of women of higher socioeconomic status. METHODS: Study participants were recruited from four hospital prenatal care clinics. Low socioeconomic status was defined as no more than 11 years of education and a household income below the poverty level. Higher socioeconomic status was defined as at least 12 years of education and a household income at least one and one-half times the poverty level. All subjects were nulliparous, over 18 years of age, and French-speaking. Questionnaires were administered verbally at the participants' homes during the 30th week of pregnancy, approximately. The Beck Depression Inventory was used to measure depressive symptomatology during the preceding 7 days. RESULTS: Approximately 47% of the low socioeconomic status women and 20% of the higher socioeconomic status women scored 10 or more on the Beck Depression Inventory, indicating a depressive state. Multiple regression analysis demonstrated that chronic stressors (eg, financial and housing problems), negative life events, and inadequate social support were all linked to high depressive symptomatology during pregnancy. CONCLUSION: During pregnancy, depressive symptoms are common, especially in women of low socioeconomic status, and are strongly related to socioenvironmental factors.

Adolescent

[Post natal depression: the socio-environmental factors].

In the weeks and months that follow the birth of a child, between 10 and 20 per cent of mothers experience serious or moderate symptoms of depression. This state of psychological distress affects the mother-infant interaction, and can modify the child's development in the longer term. Recent studies increasingly link these symptoms to environmental and psychosocial stress factors. The setting up of relevant and efficient prevention and promotion programs requires a better understanding of the effect of stress and social support on the mental health of mothers.

Child Development

The components of women's satisfaction with maternity care.

For a better understanding of how women's satisfaction with maternity care is affected, a representative sample of 1790 women from the Montreal area who had delivered four to seven months earlier were mailed a postal questionnaire; 938 (52.4%) completed and returned it. With factor analysis, we determined five dimensions to women's satisfaction: (a) the delivery itself, (b) medical care, (c) nursing care, (d) information received and participation in the decision-making process, and (e) physical aspects of the labor and delivery rooms. Multiple regression analysis was used to determine explicative factors for each of these dimensions of satisfaction. Items relative to the delivery process such as pain intensity, complications, and length of labor were the most important for the delivery experience itself. Participation in the decision-making process was the first component of satisfaction with medical care. Information received appeared to be the major component of their satisfaction with nursing care. The physical environment did not affect women's satisfaction with obstetric care.

Adolescent

[Determinants of satisfaction with medical prenatal care in Quebec women].

This study aims at identifying determinants of satisfaction with medical care during pregnancy, a topic little explored until now. 937 women from the Montreal area answered a mailed questionnaire 4 to 7 months after giving birth. Results show a high level of satisfaction with prenatal care among respondents. Multiple regression analysis reveals that information variables emerge as the main determinants of satisfaction. In fact, not having received desired information appears as the strongest predictor; information pertaining to the delivery process is most often cited by women. The other predictors are events happening during the delivery process. Contrary to findings from other studies, sociodemographic data and characteristics of the physicians do not predict satisfaction. The discussion suggests some guidelines for the measurement of satisfaction with prenatal care as well as implications for practice.

Adolescent