Cargando…

Hope for the best …but expect the worst: a qualitative study to explore how women with recurrent miscarriage experience the early waiting period of a new pregnancy

OBJECTIVE: To investigate how women experience the initial period of a new pregnancy after suffering recurrent miscarriage (RM). DESIGN: A qualitative study, nested within a randomised controlled feasibility study of a coping intervention for RM, used semi-structured face-to-face interviews. Intervi...

Descripción completa

Detalles Bibliográficos
Autores principales: Bailey, Sarah Louise, Boivin, Jacky, Cheong, Ying C, Kitson-Reynolds, Ellen, Bailey, Christopher, Macklon, Nick
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6549705/
https://www.ncbi.nlm.nih.gov/pubmed/31154315
http://dx.doi.org/10.1136/bmjopen-2019-029354
Descripción
Sumario:OBJECTIVE: To investigate how women experience the initial period of a new pregnancy after suffering recurrent miscarriage (RM). DESIGN: A qualitative study, nested within a randomised controlled feasibility study of a coping intervention for RM, used semi-structured face-to-face interviews. Interviews were audio-recorded, transcribed verbatim and analysed using a thematic network approach. SETTING: Participants were recruited from the Recurrent Miscarriage Clinic and Early Pregnancy Unit in two tertiary referral hospitals in the UK. PARTICIPANTS: 14 women with RMs and who had previously participated in the randomised controlled trial (RCT) feasibility component of the study were recruited. RESULTS: Seven organising themes emerged from the data: (1) turmoil of emotions, (2) preparing for the worst, (3) setting of personal milestones, (4) hypervigilance, (5) social isolation, (6) adoption of pragmatic approaches, (7) need for professional affirmation. CONCLUSIONS: The study established that for women with a history of RM, the waiting period of a new pregnancy is a traumatic time of great uncertainty and emotional turmoil and one in which they express a need for emotional support. Consideration should be given to the manner in which supportive care is best delivered within the constraints of current health service provision. TRIAL REGISTRATION NUMBER: ISRCTN43571276