Recherche

Meyer Yvonne

Professeure honoraire HES

Compétences principales

Professeure honoraire HES

Bureau: CR19 20-02

HESAV - Haute Ecole de Santé Vaud
Avenue de Beaumont 21, 1011 Lausanne, CH

Bureau: CR19 20-02

HESAV - Haute Ecole de Santé Vaud
Avenue de Beaumont 21, 1011 Lausanne, CH

Domaine
Santé

Filière principale
Sage-femme

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2022

Women’s views on moderate and low alcohol consumption :

Article scientifique ArODES

stages of the subjective transition from pregnancy to postpartum

Jessica Pehlke-Milde, Irina Radu, Solène Gouilhers, Raphaël Hammer, Yvonne Meyer

BMC Pregnancy and Childbirth, 2022, vol. 22, art. 902

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Résumé:

Alcohol consumption during pregnancy and breastfeeding is associated with a risk for the child’s healthy development. Nevertheless, about 16 to 25% of all women in the European region, including Switzerland, consume alcohol during pregnancy and probably even more during breastfeeding. Little is known about how women perceive this risk and how risk perception changes during the transition to motherhood. The present study aims to explore the subjective transition from the woman’s perspective, focusing on perceptions of alcohol as a risk, changes in alcohol consumption in daily life and experienced support from health professionals in this period.

Uncertainty, manageability and individuation :

Article scientifique ArODES

a longitudinal qualitative study of women's conceptualisations of risk from pregnancy to breastfeeding : the case of alcohol consumption

Raphaël Hammer, Solène Gouilhers, Irina Radu, Jessica Pehlke-Milde, Yvonne Meyer

SSM - Qualitative research in health, December 2022, vol. 2, art. 100152

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Résumé:

Alcohol use during pregnancy and breastfeeding is associated with diverse risks to infant health. As there is no known safe threshold of alcohol consumption, official guidelines advocate a precautionary approach and advise pregnant and breastfeeding women to abstain. Sociological research has shown that women's occasional drinking during pregnancy involves complex responses to risk messages and health recommendations. However, research on women's views on alcohol consumption during breastfeeding is mostly non-existent. Moreover, how and whether women's understandings of the risk change from one period to the next has not been investigated. Based on longitudinal qualitative interviews, this article aims to understand how women make sense of the risk of alcohol consumption from pregnancy to breastfeeding. Using thematic data analysis, we identify three key conceptualisations of alcohol use as a risk. The first one relates to risk discourses emphasising scientific uncertainty about low alcohol consumption, strict abstinence as shaped by discourse on “good motherhood” and representation of the pregnant body as permeable. The second conceptualisation focuses on the risk as manageable and refers to strategies for controlling consequences of occasional drinking and to representation of woman's body as a filter. The third conceptualisation highlights individuation as the way women regard their foetus or infant as a vulnerable and concrete being. By examining the continuity and change of women's views of the issue of alcohol consumption, this article addresses the transition to motherhood through the lens of the risk issue and contributes to the understanding of risk perception over time.

L’expérience et l’implication paternelles avant, pendant et après la naissance :

Article scientifique ArODES

quel impact pour la promotion de la santé ? étude qualitative auprès de pères en Suisse romande

Yvonne Meyer, Gilles Crettenand, Agnès Alvard, Laurène Vouilloz, Magali Bonzon

Revue francophone internationale de recherche infirmière, 2022, vol. 8, no 1, art. 100268.

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French-speaking Africa and translation :

Article scientifique ArODES

from midwifery to maïeutique?

Annie-Hortense Atchoumi, Joeri Vermeulen, Etienne Tsou, Céline Lemay, Claire De Labrusse, Christine Morin, Yvonne Meyer

European journal of midwifery, 2022, vol. 6, art. 26

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Résumé:

INTRODUCTION : In the French version of The Lancet Series (2014) midwifery has been translated as maïeutique. Likewise, the term maïeuticien has recently been introduced in some countries to name (male) midwives. This change of terminology has not been the subject of broad stakeholder consultation. The aim of this study is to explore the opinion of African midwives on the use of the terminologies pratique de sage-femme/maïeutique (midwifery) and sage-femme/maïeuticien (midwife). METHODS : A quantitative study was conducted using an online survey among members of francophone professional midwifery associations in 17 French-speaking African countries. RESULTS : From 140 invited midwives, 82 responses were received. The respondents represented 12 francophone African countries. Respondents obviously prefer the terms pratique de sage-femme and sage-femme above maïeutique and maïeuticien. The sagefemme is acknowledged and deeply rooted in African society. Midwifery is comprehensive, while maïeutique does not describe the full scope of midwifery. Though, some respondents believe that maïeutique has the potential to differentiate sages-femmes from other health professionals, can diminishing role ambiguity, and value midwifery practice. Respondents in favor of the term maïeutique are referring to the modernization of the midwifery profession and its scientific evolution. CONCLUSIONS : Internationally, midwives closely follow the developments on the linguistic subject of maïeutique. The results of this study may support current discussion about the evolution and modernization of terminology in the francophone community worldwide. Midwives need to be actively involved in these discussions. Nevertheless, at all times we need to be cautious not to break away from midwives’ cherished historical, social, and cultural roots.

Giving birth :

Article scientifique ArODES

a hermeneutic study of the expectations and experiences of healthy primigravid women in Switzerland

Valérie Fleming, Franziska Frank, Yvonne Meyer, Jessica Pehlke-Milde, Piroska Zsindely, Harriet Thorn-Cole, Claire De Labrusse

PLOS ONE, 2022, vol. 17 , no. 2 , art. e0261902

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Résumé:

Switzerland experiences one of the highest caesarean section rates in Europe but it is unclear why and when the decision is made to perform a caesarean section. Many studies have examined from a medical and physiological point of view, but research from a women’s standpoint is lacking. Our aim was to develop a model of the emerging expectations of giving birth and the subsequent experiences of healthy primigravid women, across four cantons in Switzerland. This longitudinal study included 30 primigravidae from the German speaking, 14 from the French speaking and 14 from the Italian speaking cantons who were purposively selected. Data were collected by semi-structured interviews taking place around 22 and 36 weeks of pregnancy and six weeks and six months postnatally. Following Gadamer’s hermeneutic, which in this study comprised 5 stages, a model was developed. Four major themes emerged: Decisions, Care, Influences and Emotions. Their meandering paths and evolution demonstrate the complexity of the expectations and experiences of women becoming mothers. In this study, women’s narrated mode of birth expectations did not foretell how they gave birth and their lived experiences. A hermeneutic discontinuity arises at the 6 week postnatal interview mark. This temporary gap illustrates the bridge between women’s expectations of birth and their actual lived experiences, highlighting the importance of informed consent, parent education and ensuring women have a positive birth and immediate postnatal experiences. Other factors than women’s preferences should be considered to explain the increasing caesarean section rates.

2021

Formation des sages-femmes :

Article professionnel ArODES

émancipation ou assujettissement ? : éditorial

Yvonne Meyer

Passé simple, Octobre 2021, no. 68, p. 1

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La naissance d’un père :

Article professionnel ArODES

un film-outil pour l’accompagnement en périnatalité

Yvonne Meyer

Obstetrica, 2021, no. 9, pp. 64-67

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Résumé:

La naissance d’un père est un film documentaire en cinq épisodes qui compile les témoignages de dix-huit (futurs) pères et quatorze professionnel·le·s de la périnatalité. Réalisé par la Haute Ecole de Santé Vaud en collaboration avec l’association männer.ch, il est sorti en janvier 2019. Retours et réactions sur la diffusion de ce document inédit.

Quand la (non-)consommation d’alcool fait le genre :

Article scientifique ArODES

une enquête sur les récits d’expériences de mères allaitantes

Solène Gouilhers, Irina Radu, Raphaël Hammer, Yvonne Meyer, Jessica Pehlke-Milde

Nouvelles questions féministes, 2021, vol. 40, no. 1, pp. 52-66

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Résumé:

Cet article s’intéresse aux récits d’expériences de (non-)consommation d’alcool de mères allaitantes. En suivant une approche pragmatique et féministe, les auteur·e·s décrivent ce qui importe pour elles et ce dont elles dépendent pour élaborer des « options vivantes » (James, [1897] 2005). Explorant les situations où la question de boire un verre se (re)pose, leur recherche rend compte des problèmes que rencontrent ces mères. L’article montre ainsi que leurs expériences de (non-)consommation d’alcool constituent des options à la fois distribuées, corporées et accountable. Au plus proche des préoccupations des femmes, l’analyse met en évidence l’accomplissement du genre et de la maternité dans leurs élaborations pratiques (West et Zimmerman, 2009) et ouvre la voie à des existences parentales alternatives.

2020

Guide pour l’organisation de rencontres autour du film La naissance d’un père

Rapport ArODES

Remo Ryser, Gilles Crettenand, Yvonne Meyer

2020, Berne : maenner.ch Berne : MenCare Suisse Delémont : HES-SO Lausanne : HESAV, 15 p.

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Leitfaden für die Organisation von Treffen rund um den Film Die Geburt eines Vaters

Rapport ArODES

Remo Ryser, Gilles Crettenand, Yvonne Meyer

2020, Berne : maenner.ch Berne : MenCare Suisse Delémont : HES-SO Lausanne : HESAV, 15 p.

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Midwives’ engagement in smoking- and alcohol-prevention in prenatal care before and after the introduction of practice guidelines in Switzerland :

Article scientifique ArODES

comparison of survey findings from 2008 and 2018

Sakari Lemola, Anna Gkiouleka, Natalie Urfer-Maurer, Alexander Grob, Katharina Tritten Schwarz, Yvonne Meyer

BMC pregnancy and childbirth, January 2020, vol. 20, art. 31

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Résumé:

Background: Evidence suggests that cigarette smoking and alcohol consumption during pregnancy negatively impacts fetal health. Health agencies across countries have developed specific guidelines for health professionals in perinatal care to strengthen their role in smoking and alcohol use prevention. One such example is the “Guideline on Screening and Counselling for prevention of cigarette smoking and alcohol consumption before, during, and after pregnancy” introduced by the Swiss Midwives Association in 2011. The current study assesses the changes in midwives’ engagement in smoking and alcohol use prevention before (2008) and after the introduction of the Guideline (2018). Further, the current study examines differences across regions (German vs. French speaking regions), graduation years (before and after the introduction of the Guideline) and different work settings (hospital vs. self-employed). Methods: Survey data were collected in 2008 (n = 366) and in 2018 (n = 459). Differences in how midwives engaged in smoking and alcohol use prevention between 2008 and 2018 were assessed with chi-square tests, as were differences across German and French speaking regions, graduation years (before and after the introduction of the Guideline) and across different work settings (working in hospitals or as self-employed). Results: An increase in midwives’ awareness of the risks of consuming even small quantities of cigarettes and alcohol for the unborn child between 2008 and 2018 is evident. Explaining the risks to pregnant women who smoke or use alcohol remained the most frequently reported prevention strategy. However, engagement with more extensive smoking and alcohol use preventive strategies across the whole course of pregnancy, such as assisting women in the elaboration of a plan to stop smoking/alcohol use, remained limited. Conclusions: Seven years after its introduction, the effectiveness of the Guideline in increasing midwives’ engagement in smoking and alcohol use prevention appears limited despite midwives’ increased awareness.

2019

Pregnancy as a transition :

Article scientifique ArODES

first-time expectant couples' experience with alcohol consumption

Solène Gouilhers, Yvonne Meyer, Sophie Inglin, Stéphanie Pfister Boulenaz, Céline Schnegg, Raphaël Hammer

Drug and alcohol review, November 2019, vol. 38, no. 7, pp. 758-765

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Résumé:

Introduction and Aims Most official healthcare guidelines apply the precautionary principle by recommending that pregnant women abstain from any alcohol consumption. However, a number of women continue drinking alcohol while pregnant. The aim of this study was to investigate couples′ experiences of the issue of alcohol consumption during pregnancy as a transitional process. Design and Methods Thirty semi‐directive joint interviews were conducted with couples expecting their first child in Switzerland. Interviews were analysed thematically with the help of ATLAS.ti. Results Couples endorsed the imperative of changing drinking habits and all the women reduced their alcohol consumption, although some reported difficulties. First, we identified three themes describing how couples experienced the woman′s change of drinking habits as a smooth transition: Internalisation of risk discourses, abstinence as a social norm and embodiment of alcohol aversion. Second, we emphasised four kinds of difficulties that couples encountered in their everyday lives: burden of risk discourses, conflicting advice, social occasions and desire for alcohol. Discussion and Conclusions This paper makes a significant contribution by examining prenatal drinking change as a transition. In this conceptualisation, the change of alcohol consumption is a relational process that is shaped by multiple changes and social norms. Our findings have important implications for practice. First, health professionals should be aware of the difficulties women experience when they abstain from alcohol during pregnancy. Second, our findings suggest the importance of a patient‐centred approach that considers the role of the partner in supporting a pregnant woman′s change of alcohol consumption.

Integrative power in Swiss home-like childbirths :

Article scientifique ArODES

a qualitative multiple case study

Yvonne Meyer, Jessica Pehlke-Milde, Franziska Schläppy Muntwyler, Valerie Fleming

Midwifery, November 2019, vol. 78, pp. 97-103

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Résumé:

Objective : To increase understanding of integrative power in decision-making in home-like childbirth from midwives' and women's perspectives. Design : A qualitative multiple case study. Setting : Two regions of Switzerland, a French and a German-speaking. Participants : Twenty interviews with midwives and 20 with women and some partners who had experienced complications in home-like births. Methods : Data were collected from in-depth interviews relevant for casestudy. Four cases during second stage of labour were carefully selected using literal replication logic. Interview transcripts were analysed in developing case descriptions and in interpreting mechanisms related to perception of power in making decision. Findings : The analysis of each case and a cross-case comparison showed that mechanisms for building integrative power, such as creation of relationships, cooperation, loyalty, legitimacy and respect, were highly visible in midwifery decision-making activities. Key conclusions and implications for practice : The study highlighted the visibility of integrative power mechanisms in decision-making in homelike settings. Until now, mechanisms of positive power in midwifery have been poorly described in literature. Integrative power could be a promising strategy to reinforce decision-making strategies. Therefore, clinical and policy measures explicitly addressing the positive aspects of power should be developed and evaluated.

De midwifery à maïeutique :

Article scientifique ArODES

perte d’une traduction

Yvonne Meyer, Céline Lemay, Claire De Labrusse

Canadian Journal of Midwifery Research and Practice = Revue Canadienne de la recherche et de la pratique sage-femme, 2019, vol. 18, no. 2, pp. 25-39

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Résumé:

Objectif : Comprendre la signification et l’impact de la traduction de midwifery par maïeutique dans la série « Maïeutique » de la revue The Lancet. Méthodologie : Le changement de terminologie a été analysé par la comparaison des traductions de l’anglais au français, une revue de la littérature en français et l’analyse des résultats d’un sondage auprès d’associations de sages-femmes francophones. Résultats : La comparaison des traductions et la revue de la littérature en français montrent que l’utilisation de maïeutique est bien loin de la définition donnée par le Lancet dans sa série « Maïeutique ». Les résultats du sondage effectué par la Fédération suisse des sages-femmes indiquent que les termes maïeuticien et maïeutique n’ont été que très peu reconnus. Conclusion : Il est important que le choix du terme soit significatif pour la population, les sages-femmes et les intervenants francophones. Un tel changement de terminologie mérite une consultation auprès des sages-femmes francophones et une réflexion approfondie sur toutes les répercussions possibles.

Responsabilité maternelle et risques durant la grossesse :

Article professionnel ArODES

les couples face aux enjeux de la consommation de tabac et d’alcool en Suisse romande

Raphaël Hammer, Yvonne Meyer, Stéphanie Pfister Boulenaz, Céline Schnegg, Sophie Inglin

GRAAT On-Line, 2019, no. 21, pp. 5-26

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From midwifery to maïeutique :

Article scientifique ArODES

lost in translation

Yvonne Meyer, Céline Lemay, Claire De Labrusse

International journal of childbirth, 2018, vol. 8, no. 3, pp. 177-188

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Résumé:

AIM : To understand the meaning and impact of translating “midwifery” into “maïeutique” as proposed in The Lancet Series on Midwifery. METHODS : Linguistic change in terminology was analyzed by comparing English/French translations, reviewing the French literature, and analyzing the results of a survey among French-speaking midwives' associations. FINDINGS : Translation comparisons and French literature showed that the use of “maïeutique” was far from the definition given in The Lancet Series. Results of the survey conducted by the Swiss Federation of Midwives showed that the terms “maïeuticien” and “maïeutique” gained little acceptance. CONCLUSION : It is important that the chosen term is meaningful to the French-speaking population, midwives, and stakeholders. Such a name change deserves a consultation with the French-speaking midwives and careful consideration of all the possible implications.

2018

Editorial

Article professionnel ArODES

Yvonne Meyer

Obstetrica, Décembre 2018, no. 12, p. 43

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Editorial

Article professionnel ArODES

Yvonne Meyer

Obstetrica, Décembre 2018, no. 12, p. 3

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2017

Decision-making in Swiss home-like childbirth :

Article scientifique ArODES

a grounded theory study

Yvonne Meyer, Franziska Frank, Franziska Schläppy Muntwyler, Valerie Fleming, Jessica Pehlke-Milde

Women and birth, December 2017, vol. 30, issue 6, pp. e272–e280

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Résumé:

Background: Decision-making in midwifery, including a claim for shared decision-making between midwives and women, is of major significance for the health of mother and child. Midwives have little information about how to share decision-making responsibilities with women, especially when complications arise during birth. Aim: To increase understanding of decision-making in complex home-like birth settings by exploring midwives’ and women’s perspectives and to develop a dynamic model integrating participatory processes for making shared decisions. Methods: The study, based on grounded theory methodology, analysed 20 interviews of midwives and 20 women who had experienced complications in home-like births. Findings: The central phenomenon that arose from the data was “defining/redefining decision as a joint commitment to healthy childbirth”. The sub-indicators that make up this phenomenon were safety, responsibility, mutual and personal commitments. These sub-indicators were also identified to influence temporal conditions of decision-making and to apply different strategies for shared decision-making. Women adopted strategies such as delegating a decision, making the midwife’s decision her own, challenging a decision or taking a decision driven by the dynamics of childbirth. Midwives employed strategies such as remaining indecisive, approving a woman’s decision, making an informed decision or taking the necessary decision. Discussion and conclusion: To respond to recommendations for shared responsibility for care, midwives need to strengthen their shared decision-making skills. The visual model of decision-making in childbirth derived from the data provides a framework for transferring clinical reasoning into practice.

Giving birth :

Article scientifique ArODES

expectations of first time mothers in Switzerland at the mid point of pregnancy

Valerie Fleming, Yvonne Meyer, Franziska Frank, Susanne Van Gogh, Laura Schirinzi, Bénédicte Michoud, Claire De Labrusse

Women and birth, December 2017, vol. 30, no. 6, pp. 443-449

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Résumé:

Problem and background: Despite a generally affluent society, the caesarean section rate in Switzerland has steadily climbed in recent years from 22.9% in 1998 to 33.7% in 2014. Speculation by the media has prompted political questions as to the reasons. However, there is no clear evidence as to why the Swiss rate should be so high especially in comparison with neighbouring countries. Aim: To describe the emerging expectations of giving birth of healthy primigravid women in the early second semester of pregnancy in four Swiss cantons. Methods: Qualitative individual interviews with 58 healthy primigravid women, were audio recorded, transcribed and subjected to thematic analysis. Recruitment took place through public and private hospitals, birth centres, obstetricians and independent midwives. The main ethical issues were informed consent, autonomy, confidentiality and anonymity. Findings: The three main themes identified were taking or avoiding decisions, experiencing a continuum of emotions and planning the care. Discussion Being pregnant was part of a project women had mapped out for their lives. Only three women in our sample expressed a wish for a caesarean section. One of the strongest emotions was that of fear but in contrast some participants expressed faith that their bodies would cope with the experience. Conclusion: Bringing together the three languages and cultures produced a truly “Swiss” study showing contrasts between a matter of fact approach to pregnancy and the concept of fear. Such a contrast is worthy of further and deeper exploration by a multi-disciplinary research team.

2022

La consommation d’alcool durant la grossesse :

Conférence ArODES

la transition vécue par les couples

Yvonne Meyer, Solène Gouilhers, Raphaël Hammer

Présence à l’international des sages-femmes de la francophonie : communications des sages-femmes francophones au congrès ICM 2021

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Résumé:

Cette communication fait suite à une présentation orale dans une session sur les complications de la grossesse. La présentation se fondait sur les résultats d’une étude qualitative menée en Suisse romande, dans les cantons de Vaud et de Genève. Les résultats de l’étude ont été publiés dans une revue internationale multidisciplinaire avec facteur d’impact (Gouilhers et al. 2019).

Réflexions et plaidoyer de Midwifery à Maïeutique :

Conférence ArODES

perte en traduction

Claire De Labrusse, Céline Lemay, Christine Morin, Joeri Vermeulen, Annie Atschumi, Yvonne Meyer

Présence à l’international des sages-femmes de la francophonie : communications des sages-femmes francophones au Congrès ICM 2021

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Résumé:

Ce chapitre reprend le questionnement posé lors du symposium en français From midwifery to maïeutique : lost in translation présentée au congrès de L’ICM en 2021. La première utilisation de grande ampleur de la traduction française de Midwifery à Maïeutique remonte à une publication prestigieuse du Lancet en 2014 (Executive Summary writing team 2014a, 2014b) Critiques vis-à-vis de ce choix non concerté, trois sages femmes se sont lancées dans un travail de recherche de littérature qui conclut que les termes ne semblent pas interchangeables et qu’une perte importante de sens entre Midwifery et Maïeutique est notée (Meyer, Lemay, et Labrusse 2018; Meyer, Lemay, et De Labrusse 2019). Profitant du congrès virtuel ICM de 2021, les auteures ont proposé d'élargir le sujet à des apports contextuels du Québec, de Suisse, de France, de Belgique et d'Afrique, sur l’utilisation des mots Midwifery et Maieütique afin d'informer l'audience sur l’utilisation de ces termes, puis d'échanger avec elle. Le chapitre ouvre sur la littérature produite par des professionnels de la santé sur la Maïeutique. S'ensuivent les éclairages contextualisés et les échanges avec le public. Le résumé d’une recherche faite en Afrique, publié dans l’European Journal of Midwifery, est également présenté. L’article complet est en libre accès sous https://doi.org/10.18332/ejm/146546.

Réalisations

Recherche

Meyer Yvonne

Professeure honoraire HES

Compétences principales

Qualitative research

Promotion de la santé

Healthcare Communication

Professeure honoraire HES