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Experience of Late Miscarriage and Practical Implications for Post-Natal Health Care: Qualitative Study
Miscarriage is the most common reason for pregnancy loss, affecting around one in four pregnancies. It is classified as a traumatic event, associated with an increased risk for depression, anxiety, post-traumatic stress, alcohol dependence, somatic symptoms, sexual dysfunction, suicide, and complica...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8775379/ https://www.ncbi.nlm.nih.gov/pubmed/35052243 http://dx.doi.org/10.3390/healthcare10010079 |
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author | Kukulskienė, Milda Žemaitienė, Nida |
author_facet | Kukulskienė, Milda Žemaitienė, Nida |
author_sort | Kukulskienė, Milda |
collection | PubMed |
description | Miscarriage is the most common reason for pregnancy loss, affecting around one in four pregnancies. It is classified as a traumatic event, associated with an increased risk for depression, anxiety, post-traumatic stress, alcohol dependence, somatic symptoms, sexual dysfunction, suicide, and complicated grief. This study aimed to analyse experiences of late miscarriage and to describe practical implications for post-natal health care based on characteristics of pregnancy loss revealed in a qualitative study. Seven women who had late miscarriages participated in in-depth biographical interviews. A phenomenological thematic analysis was applied. Experiential characteristics of late miscarriage were described by four themes and 13 subthemes: the initial splitting state (Dissociation, An Opened Void, An impaired Symbiosis, and The Body is Still Pregnant while the Psyche is Mourning); Betrayal of the body (Symbolic Experience of Internalised Death, Shocking Materiality of the Ongoing Miscarriage, Lost control of the Body, and Confusing Body Signals); Disconnecting (Depersonalising Medical Environment, Guilt Falsifies perception, and Retreat as a means of Self-Preservation); and Reconnecting (Collecting Shatters and Reinterpretation of Maternal Identity). Based on the results of the experiential analysis, another four themes represent practical recommendations for post-natal health care: Informing, Opportunity for Goodbye, Attention to Emotional Wellbeing, and Respectful Hospital Environment. |
format | Online Article Text |
id | pubmed-8775379 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-87753792022-01-21 Experience of Late Miscarriage and Practical Implications for Post-Natal Health Care: Qualitative Study Kukulskienė, Milda Žemaitienė, Nida Healthcare (Basel) Article Miscarriage is the most common reason for pregnancy loss, affecting around one in four pregnancies. It is classified as a traumatic event, associated with an increased risk for depression, anxiety, post-traumatic stress, alcohol dependence, somatic symptoms, sexual dysfunction, suicide, and complicated grief. This study aimed to analyse experiences of late miscarriage and to describe practical implications for post-natal health care based on characteristics of pregnancy loss revealed in a qualitative study. Seven women who had late miscarriages participated in in-depth biographical interviews. A phenomenological thematic analysis was applied. Experiential characteristics of late miscarriage were described by four themes and 13 subthemes: the initial splitting state (Dissociation, An Opened Void, An impaired Symbiosis, and The Body is Still Pregnant while the Psyche is Mourning); Betrayal of the body (Symbolic Experience of Internalised Death, Shocking Materiality of the Ongoing Miscarriage, Lost control of the Body, and Confusing Body Signals); Disconnecting (Depersonalising Medical Environment, Guilt Falsifies perception, and Retreat as a means of Self-Preservation); and Reconnecting (Collecting Shatters and Reinterpretation of Maternal Identity). Based on the results of the experiential analysis, another four themes represent practical recommendations for post-natal health care: Informing, Opportunity for Goodbye, Attention to Emotional Wellbeing, and Respectful Hospital Environment. MDPI 2022-01-01 /pmc/articles/PMC8775379/ /pubmed/35052243 http://dx.doi.org/10.3390/healthcare10010079 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Kukulskienė, Milda Žemaitienė, Nida Experience of Late Miscarriage and Practical Implications for Post-Natal Health Care: Qualitative Study |
title | Experience of Late Miscarriage and Practical Implications for Post-Natal Health Care: Qualitative Study |
title_full | Experience of Late Miscarriage and Practical Implications for Post-Natal Health Care: Qualitative Study |
title_fullStr | Experience of Late Miscarriage and Practical Implications for Post-Natal Health Care: Qualitative Study |
title_full_unstemmed | Experience of Late Miscarriage and Practical Implications for Post-Natal Health Care: Qualitative Study |
title_short | Experience of Late Miscarriage and Practical Implications for Post-Natal Health Care: Qualitative Study |
title_sort | experience of late miscarriage and practical implications for post-natal health care: qualitative study |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8775379/ https://www.ncbi.nlm.nih.gov/pubmed/35052243 http://dx.doi.org/10.3390/healthcare10010079 |
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