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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...

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Autores principales: Kukulskienė, Milda, Žemaitienė, Nida
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
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.
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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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