| Peer-Reviewed

Psychology in Pregnancy: Cases of 50 Primigravidae Followed up in Prenatal Consultation at the South Abobo General Hospital (Abidjan)

Received: 23 February 2021    Accepted: 5 March 2021    Published: 26 March 2021
Views:       Downloads:
Abstract

Pregnancy is a time of fragility and maturation, and always involves important psychological adjustments. The primigravidae, who are women carrying their first pregnancy, are not left out of these problems. As a study in Togo has shown, psychological disorders were more frequent in young pregnant women and in primigravidae. In view of this reality, which is observed in all women during their first pregnancy, we felt the need to undertake a study whose general objective was to describe the psychological experience of primigravidae followed in prenatal consultation at the Abobo-Sud General Hospital. This was a cross-sectional prospective study with a descriptive aim. It involved a sample of 50 consenting primigravidae selected according to the technique of accidental or convenience sampling. The results showed that 44% of the primigravidae were under 20 years old and 54% of them did not live in a couple. When the pregnancy was announced, the main reactions observed were: discouragement / sadness (66%), joy (60%) and crying (44%). In 40% of the cases, the pregnancy was unwanted and was negatively perceived by 54% of the primigravidae. The reasons for this negative perception were: parental anger (32%), not being ready to become a mother (28%) and financial difficulties (26%). The desire for an abortion was expressed by 40% of those who did not wish to have a child. Regarding the act of childbirth, 84% of primigravidae were afraid, because of their inexperience and the pain they would experience. The difficulties they encountered were sleep disturbances (80%) and financial difficulties (72%). Although the results of this study already take into account the physical parameters, the results of this study plead in favour of including psychological aspects in the follow-up of primigravidae during prenatal consultations. Hence the importance of training midwives in the care of primigravidae.

Published in American Journal of Psychiatry and Neuroscience (Volume 9, Issue 1)
DOI 10.11648/j.ajpn.20210901.14
Page(s) 19-24
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Psychological Experience, Primigravidae, Prenatal Consultation

References
[1] Wendland J. The psychological experience of twin pregnancies: From the desire for a child to the mother-foetus relationship. Eres "Enfances & Psy" 2007/1 no 34. Page 10-25.
[2] Witt WP, De-Leire T, Hagen EW, Wichmann MA, Wisk LE, Spear HA et al. The prevalence and determinants of antepartum mental health problems among women in the USA: a nationally representative population-based study. Arch Womens Ment Health 2010; 13: 425-437.
[3] Ibanez G. Mental health of pregnant women and child development. PhD thesis in public health. Pierre and Marie Curie University; Paris: 2014. 220 pages.
[4] Chang SR. Transformation in self-identity amongst Taiwanese women in late pregnancy: a qualitative study. Int J Nurs Stud. 2009, 47, 60-6.
[5] Lagadec N. Quality of life and well-being of pregnant women: Literature review. Thesis in medecine, Paris, 2015, N° 2015 PA 06 6063. 104 pages.
[6] YENKEY K. Pregnancy and psycholopathological disorders: pre-partum depression and associated factors. Master's degree in psychology. University of Lomé, Togo: 2008.
[7] World Health Organization (WHO), 2012, WHO Guidelines on the Prevention of Early Pregnancy and Poor Reproductive Outcomes in Adolescent Girls in Developing Countries. Report, Rome, 2012. WHO/FWC/MCA, 195 pages.
[8] National Institute of Statistics (INS), ICF International, 2012, Ivory Coast Demographic and Health Survey and Multiple Indicator Cluster Survey 2011-2012, Calverton, Maryland, USA, INS and ICF International.
[9] COHEN J, MADELENAT P. Levy-Toledano R. The demand for care, menopause. CNGOF (French National College of Gynecologists and Obstetricians). Published on May 30, 2000 on Internet site: www.cngof.asso.fr. and consulted on January 04, 2021.
[10] UNFPA Senegal. Study on early pregnancies in schools in Senegal. Final report. November 2015. Retrieved 12/28/2020 from https://senegal.unfpa.org ' default ' files ' pub-pdf.
[11] Iloki LH, Koubaka R, Itoua C; Mbemba Moutounou GM. Pregnancy and childbirth among adolescents in Congo; about 276 cases in Brazzaville University Hospital. Journal of Gyneco-Obstetrics and Reproductive Biology (2004). 33 (cahier1) 37-42.
[12] Coulibaly A, Ake-Tano O, Vroh BBJ, Traoré Y, Dagnan NS. Socio-professional factors and practice of exclusive breastfeeding by primiparas in Abidjan (Ivory Coast). S. F. S. P. | "public health". 2014/4 Vol. 26. pages 555-562.
[13] Munan R, Kakudji Y, Nsambi J, Mukuku O, Maleya A, Kinenkinda X, Kakudji P. Childbirth in primiparous women in Lubumbashi: maternal and perinatal pronostic. Pan Afr Med J. 2017; 28: 77.
[14] Daumas M, Marriage in love, history of the conjugal bond under the Old Regime, Paris, Armand Colin, 2004.
[15] Berthiaud E. Desired pregnancy, imposed pregnancy: The experience of pregnancy in 18th - 19th century France in private feminine writings. Armand Colin, History, economy & society. 2009/4 - 28th year, pages 35 to 49.
[16] Abessolo H. Situational analysis of care for pregnant women at the PMI of the INSP of Adjamé. Medical thesis, Abidjan: 2006; 114 pages.
[17] Papiernik E, Cabrol D, Pons JL. Psychiatric disorders and pregnancy. Obstetrics, medical-surgical encyclopaedia, medical-sciences. Editions flammarion. Paris: 1995, p 1-5.
[18] Triki A,, Trablessi S, Essid I, Maunim H, Gara MF. Teenage pregnancy: materno-fetal prognosis. La Tunisie médicale, volume n°11. 2000.
[19] Geissbuehler V, Eberhard J. (2002). Fear of chilbirth during pregnancy: a study of more 8000 pregnant women. Journal of psychosomatic obstetrics and gynaecology. 2002, 23 (4), p229-235.
[20] Fisher C, Hauck Y, Fenwick J. (2006). How social context impacts on women's fears of childbirth: a Western Australian example. Social science & Medicine. 2006, 63 (1), 64-75.
[21] Guastalla A, Monziès C. State of knowledge with regard to the fears of childbirth and professional prospects. Bachelor of sciences HES-SO in Midwifery. Lausanne: 2011. 77 pages.
[22] Lee K, Zaffke M, McEnany G. Parity and Sleep Patterns During and After Pregnancy. 2000; 14–8. 8.
[23] Mindell JA, Cook RA, Nikolovski J. Sleep patterns and sleep disturbances across pregnancy. Sleep Med [Internet]. [Accessed on January 08, 2021]; Available on: http://www.sciencedirect.com/science/article/pii/S1389945714004997.
[24] Karst J. Pregnant women and body changes: how women experience this pivotal period. End of study dissertation, University of Health, Geneva, October 2006, 50 P. Website: _COPY16˃x_data˃heft_pdf.
Cite This Article
  • APA Style

    Konan Koffi Paulin, Ahounou Etobo Innocent, Traore Brahim Samuel, Toure Petiori Laurence, Mbra Amenan Gisele, et al. (2021). Psychology in Pregnancy: Cases of 50 Primigravidae Followed up in Prenatal Consultation at the South Abobo General Hospital (Abidjan). American Journal of Psychiatry and Neuroscience, 9(1), 19-24. https://doi.org/10.11648/j.ajpn.20210901.14

    Copy | Download

    ACS Style

    Konan Koffi Paulin; Ahounou Etobo Innocent; Traore Brahim Samuel; Toure Petiori Laurence; Mbra Amenan Gisele, et al. Psychology in Pregnancy: Cases of 50 Primigravidae Followed up in Prenatal Consultation at the South Abobo General Hospital (Abidjan). Am. J. Psychiatry Neurosci. 2021, 9(1), 19-24. doi: 10.11648/j.ajpn.20210901.14

    Copy | Download

    AMA Style

    Konan Koffi Paulin, Ahounou Etobo Innocent, Traore Brahim Samuel, Toure Petiori Laurence, Mbra Amenan Gisele, et al. Psychology in Pregnancy: Cases of 50 Primigravidae Followed up in Prenatal Consultation at the South Abobo General Hospital (Abidjan). Am J Psychiatry Neurosci. 2021;9(1):19-24. doi: 10.11648/j.ajpn.20210901.14

    Copy | Download

  • @article{10.11648/j.ajpn.20210901.14,
      author = {Konan Koffi Paulin and Ahounou Etobo Innocent and Traore Brahim Samuel and Toure Petiori Laurence and Mbra Amenan Gisele and Yeo-Tenena Yessonguilana Jean-Marie},
      title = {Psychology in Pregnancy: Cases of 50 Primigravidae Followed up in Prenatal Consultation at the South Abobo General Hospital (Abidjan)},
      journal = {American Journal of Psychiatry and Neuroscience},
      volume = {9},
      number = {1},
      pages = {19-24},
      doi = {10.11648/j.ajpn.20210901.14},
      url = {https://doi.org/10.11648/j.ajpn.20210901.14},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajpn.20210901.14},
      abstract = {Pregnancy is a time of fragility and maturation, and always involves important psychological adjustments. The primigravidae, who are women carrying their first pregnancy, are not left out of these problems. As a study in Togo has shown, psychological disorders were more frequent in young pregnant women and in primigravidae. In view of this reality, which is observed in all women during their first pregnancy, we felt the need to undertake a study whose general objective was to describe the psychological experience of primigravidae followed in prenatal consultation at the Abobo-Sud General Hospital. This was a cross-sectional prospective study with a descriptive aim. It involved a sample of 50 consenting primigravidae selected according to the technique of accidental or convenience sampling. The results showed that 44% of the primigravidae were under 20 years old and 54% of them did not live in a couple. When the pregnancy was announced, the main reactions observed were: discouragement / sadness (66%), joy (60%) and crying (44%). In 40% of the cases, the pregnancy was unwanted and was negatively perceived by 54% of the primigravidae. The reasons for this negative perception were: parental anger (32%), not being ready to become a mother (28%) and financial difficulties (26%). The desire for an abortion was expressed by 40% of those who did not wish to have a child. Regarding the act of childbirth, 84% of primigravidae were afraid, because of their inexperience and the pain they would experience. The difficulties they encountered were sleep disturbances (80%) and financial difficulties (72%). Although the results of this study already take into account the physical parameters, the results of this study plead in favour of including psychological aspects in the follow-up of primigravidae during prenatal consultations. Hence the importance of training midwives in the care of primigravidae.},
     year = {2021}
    }
    

    Copy | Download

  • TY  - JOUR
    T1  - Psychology in Pregnancy: Cases of 50 Primigravidae Followed up in Prenatal Consultation at the South Abobo General Hospital (Abidjan)
    AU  - Konan Koffi Paulin
    AU  - Ahounou Etobo Innocent
    AU  - Traore Brahim Samuel
    AU  - Toure Petiori Laurence
    AU  - Mbra Amenan Gisele
    AU  - Yeo-Tenena Yessonguilana Jean-Marie
    Y1  - 2021/03/26
    PY  - 2021
    N1  - https://doi.org/10.11648/j.ajpn.20210901.14
    DO  - 10.11648/j.ajpn.20210901.14
    T2  - American Journal of Psychiatry and Neuroscience
    JF  - American Journal of Psychiatry and Neuroscience
    JO  - American Journal of Psychiatry and Neuroscience
    SP  - 19
    EP  - 24
    PB  - Science Publishing Group
    SN  - 2330-426X
    UR  - https://doi.org/10.11648/j.ajpn.20210901.14
    AB  - Pregnancy is a time of fragility and maturation, and always involves important psychological adjustments. The primigravidae, who are women carrying their first pregnancy, are not left out of these problems. As a study in Togo has shown, psychological disorders were more frequent in young pregnant women and in primigravidae. In view of this reality, which is observed in all women during their first pregnancy, we felt the need to undertake a study whose general objective was to describe the psychological experience of primigravidae followed in prenatal consultation at the Abobo-Sud General Hospital. This was a cross-sectional prospective study with a descriptive aim. It involved a sample of 50 consenting primigravidae selected according to the technique of accidental or convenience sampling. The results showed that 44% of the primigravidae were under 20 years old and 54% of them did not live in a couple. When the pregnancy was announced, the main reactions observed were: discouragement / sadness (66%), joy (60%) and crying (44%). In 40% of the cases, the pregnancy was unwanted and was negatively perceived by 54% of the primigravidae. The reasons for this negative perception were: parental anger (32%), not being ready to become a mother (28%) and financial difficulties (26%). The desire for an abortion was expressed by 40% of those who did not wish to have a child. Regarding the act of childbirth, 84% of primigravidae were afraid, because of their inexperience and the pain they would experience. The difficulties they encountered were sleep disturbances (80%) and financial difficulties (72%). Although the results of this study already take into account the physical parameters, the results of this study plead in favour of including psychological aspects in the follow-up of primigravidae during prenatal consultations. Hence the importance of training midwives in the care of primigravidae.
    VL  - 9
    IS  - 1
    ER  - 

    Copy | Download

Author Information
  • Institute of Anthropological Development Sciences, Felix Houphouet-Boigny University of Abidjan, Abidjan, Ivory Coast

  • Medical Sciences Training and Research Unit, Felix Houphouet-Boigny University of Abidjan, Abidjan, Ivory Coast

  • Medical Sciences Training and Research Unit, Felix Houphouet-Boigny University of Abidjan, Abidjan, Ivory Coast

  • Medical Sciences Training and Research Unit, Felix Houphouet-Boigny University of Abidjan, Abidjan, Ivory Coast

  • School of specialisation in psychiatry, National Institute for the Training of Health Workers, Abidjan, Ivory Coast

  • Medical Sciences Training and Research Unit, Felix Houphouet-Boigny University of Abidjan, Abidjan, Ivory Coast

  • Sections