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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.

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