title: [Evaluation of the psychosocial care in maternity: experience at the Poitiers University Hospital].
abstract: BACKGROUND
  High psychosocial risk pregnancies require specialized multidisciplinary help and follow-up in order to improve the outcome of babies.
  
  
  METHODS
  Thirty pregnancies were selected among 3500 and followed by a multidisciplinary team during 1990 and 1991. Evaluation included risk predictors, neurodevelopmental outcome of children at 9 and 24 months, number and time of judicial notifications. Evaluation of the mother-to-baby relationship by a psychologist as well as the environmental variables were performed.
  
  
  RESULTS
  Four families had one or two, 20 families three or five and six families, six or more of the 15 risk predictors studied. Over the babies followed-up until the age of 24 months, four were placed out of the family, three hospitalizations were medically unjustified and there was no hospitalization for child abuse or neglect. Twelve children had development delay and two developed an environmental-related staturo-ponderal delay. Judicial notifications were realized 18 times during pregnancy or just after delivery and six times during the follow-up for child abuse and neglect.
  
  
  CONCLUSIONS
  Taking care of high psychosocial risk pregnancies could be improved in special hospitalization units for mother and child. A better awareness of this problem could also improve the outcome of children, which remains very alarming.
authors.affiliation: CHU, 350, Poitiers, France.
authors.forename: M
authors.initials: M
authors.lastname: Berthier
authors.forename: C
authors.initials: C
authors.lastname: Baraud
authors.forename: M
authors.initials: M
authors.lastname: Daban
authors.forename: A
authors.initials: A
authors.lastname: Paget
authors.forename: M C
authors.initials: MC
authors.lastname: Hay
authors.forename: A
authors.initials: A
authors.lastname: Charrier
authors.forename: D
authors.initials: D
authors.lastname: Oriot
mesh_terms: D000293:Adolescent; D002675:Child, Preschool; D002658:Developmental Disabilities / Q000451:nursing / Q000523:psychology; D005260:Female; D005500:Follow-Up Studies; D005602:France; D006771:Hospitals, Maternity; D006785:Hospitals, University; D006801:Humans; D007223:Infant; D009034:Mother-Child Relations; D011247:Pregnancy; D012307:Risk Factors; D012944:Social Support
vernacular_title: Evaluation de la prise en charge psychosociale en maternité: expérience du CHU de Poitiers.