[Psychological impact of antenatal diagnosis of increased nuchal translucency a woman's pregnancy experience and early mother-child relationship]. / Impact psychologique du diagnostic anténatal de nuque épaisse sur le vécu de la grossesse et les relations précoces parents-enfant.

The aim of this article is to study the psychological effects of antenatal diagnosis on increased nuchal translucency on a woman's pregnancy experience and early mother-child relationship. The study group was composed of pregnant women whose fetus presented increased nuchal translucency at first trimester ultrasound examinations. These women consulted a pedopsychiatrist during their pregnancy and, for some, during the first years of the life of the child. One of the main risks was disinterest in the fetus, with the possible corollary of therapeutic abortion or a difficult mother-child relationship. We observed cases of attachment disorders, significant separation distress, excessive fear about dealing with the baby's health, sleep disorders and hyperactivity. Postnatal depression was more frequent in these situations. Multidisciplinary work associating psychiatric, obstetric and pediatric units can help in dealing with such uncertainty.

[Towards an early diagnosis of gender identity disorders]. / Vers un diagnostic précoce des troubles de l'identité sexuelle.

This paper deals with children's gender identity disorders on a bibliographical basis. Their etiopathogeny, their scarce but dramatical evolution towards transsexualism and their treatment are described. The record of a personal case illustrates these topics. A consistent basis, made of the various clinical patterns found by different authors is built and enriched, contributing to an earlier assessment of gender identity disorders.