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Biomedical subjects

M Garel

Publications and source records attributed to M Garel.

41 records · Page 3Linked to original sources

[Women reactions to ultrasound scanning during pregnancy (author's transl)].

The aim of this survey is to study the reactions of pregnant women to ultrasound examination when used systematically during pregnancy. 54 women have been observed during their first ultrasound examination and their attitude and verbal reactions recorded. In this situation women express not only feelings of relief and pleasure but fears and anxiety. This ambiguousness and the complexity of the reactions observed may be understood when taking into account the woman's situation during the examination and the quality of the relationship between her and the physician. The significance and the consequences for the pregnant woman of the confrontation of the "real" child as shown on the screen, and the child of her fantasies, has also to be pointed out.

Anxiety↗

Relation of early neuromotor and cranial signs with neuropsychological outcome at 4 years.

The persistence and predictive value at 3-5 years of age of three signs detected within the first 18 months of life were investigated: phasic stretch reflex in one or both gastrocnemius muscles, imbalance in passive axial tone with an excess of dorsal extension, and a ridge on the squamous sutures. Phasic stretch reflex and at least one of the other signs were found in 14 children during repeated assessments within the first 18 months. The progress of these children was compared with that of 14 matched controls who had repeatedly normal neurological assessments during the first 18 months in the same clinic in Paris. At the age 3-5 years all the children were then assessed blindly by the second author from a pediatric neurological viewpoint and by two psychologists and two psychomotor therapists as well. The parents of the affected children reported significantly more problems in motor/praxis skills, language development and attention. Abnormal neurological signs were also significantly more frequent than in the controls. Suboptimal cognition did not reach significance. The neurological inclusion criteria were still present at 3-5 years old in 86% (vs. respectively 100% and 93% during the first 18 months of life) of this small group of children, while the cranial suture sign was still present in only 28% (vs. 64%). Findings of these three signs during the first 18 months of life may help in predicting long-term neurobehavioral or long-term neuropsychological problems.

Age Factors↗

[Prenatal prevention and women behaviour (author's transl)].

A psychosociological survey was carried out at the "Maternité Baudelocque", in Paris; 645 women were interviewed during their stay at the hospital after delivery, according to a semi-structured questionnaire. The main purpose of this survey was to study the factors able to improve the quality of prenatal care and women behaviour during pregnancy. The interview was composed of questions on the kind of medical care received during pregnancy, the participation in training for childbirth program, the changes in daily life (rest, nutrition, smoking) and the search for extra-information about pregnancy. On the whole, the interviewed mothers received intensive prenatal care. However, some individual features influenced the quality of this medical care, especially the active role of the women themselves. The data pointed out not only the impact of the involvement in training for childbirth, but also the influence of a personal search for information, which promotes the understanding and acceptance of the medical team requirements.

Activities of Daily Living↗