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Résumé Enfanter sur une terre, qui n’est pas sienne peutêtre particulièrement éprouvant. Barrière de la langue, techniques médicales parfois en opposition aux façons de faire traditionnelles, représentations différentes de la maladie et solitude constituent autant de facteurs de vulnérabilité chez ces jeunes mères migrantes. Une situation clinique d’une dyade suivie en maternité par l’équipe de pédopsychiatrie de liaison est rapportée dans cet article, mettant à jour la difficile rencontre entre psychiatrie périnatale et souffrance du post-partum culturellement codée. Une orientation clinique et thérapeutique est discutée. Un nécessaire décentrage et l’acceptation d’une temporalité partagée permettra la naissance d’une riche expérience clinique et humaine. Giving birth in a foreign land can be particularly difficult. The language barrier, medical techniques sometimes opposed to traditional customs, different representations of illness and solitude represent some of the vulnerability factors in young immigrant mothers. This article presents the clinical situation of a dyad under observation in the maternity ward by the pedopsychiatry team. Emphasis is put on the difficult encounter between perinatal psychiatry and culturally encoded postpartum depression. A clinical and therapeutic orientation is discussed. Acquiring more perspective while sharing the experience can lead to a rich clinical and human encounter at the same time. [ABSTRACT FROM AUTHOR]

Abstract: Sickle cell disease (SCD) is an autosomal recessive hemoglobinopathy affecting young infants during early childhood. So far, the only cure for SCD involves hematopoietic stem cell transplantation (HCT). Recovery from this treatment represents a major change for the child and the child''s family. How do they deal with it? What are the consequences for the development of the young adolescent? To address these issues, we conducted a retrospective and multicentric research approach. Our study included 16 teenagers or young adults out of 28 patients. Two semi-structured interviews of either patients or patient''s families were carried out one year after HCT. Recovery is a complex process raising many questions and, therefore, requires an in-depth analysis. During patient''s adolescence, some questions related to recovery (disease transmission, identity issues) seem to reveal themselves. A psychiatric assessment should be recommended if psychological suffering appears or in the case of adolescent''s development delay or perturbation. [Copyright &y& Elsevier]