Women's voices reflecting changed expectations for pregnancy after perinatal loss
Women's voices reflecting changed expectations for pregnancy after perinatal loss
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DOI：
10.1111/j.1547-5069.2001.00239.x
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发表时间：
2001-01-01
影响因子：
3.4
通讯作者：
Morrison-Beedy, D
中科院分区：
文献类型：
--
作者：
Côté-Arsenault, D;Morrison-Beedy, D
用途：描述妇女的经验，怀孕后的损失和围产期loss.Design的长期影响：Phenomenology.Methods：三个焦点小组进行了1996年秋季，共有21名妇女。这些妇女的产科史和流产史各不相同。他们亏损的时间从34年前到前一年不等。数据分析指导Colaizzi的程序steps.Findings：妇女的故事描绘围产期损失作为一个改变生活的事件。女性在失去孩子后的怀孕中没有情感上的安全感，担心这些婴儿也会死亡。尽管他们的产科和损失的历史和时间，因为损失的差异，在他们的反应怀孕的相似之处远远超过他们的差异。这些共同点包含在六个主题中：（a）处理不确定性，（B）想知道婴儿是否健康，（c）等待失去婴儿，（d）抑制情绪，（e）承认失去发生过，也可能再次发生，（f）改变自我。变异与丢失的数量或胎龄无关。保健提供者应承认妇女过去的损失，解决他们的关注，在目前的怀孕，并认识到潜在的终身影响围产期损失可能对这些妇女。
Purpose: To describe women's experiences of pregnancy after loss and their long-term effects of perinatal loss.Design: Phenomenology.Methods: Three focus groups were conducted in fall 1996 with a total of 21 women. These women varied in their obstetrical and loss histories. The time since their losses ranged from 34 years ago to the previous year. Data analysis was guided by Colaizzi's procedural steps.Findings: Women's stories portrayed perinatal loss as a life-altering event. Women did not feel emotionally safe in their pregnancies after loss and were afraid that those babies too would die. Despite the differences in their obstetrical and loss histories and time since loss, similarities in their responses to Pregnancy far outweighed their differences. These commonalities contained in six themes: (a) dealing with uncertainty, (b) wondering if the baby is healthy, (c) waiting to lose the baby, (d) holding back their emotions, (e) acknowledging that loss happened and that it can happen again, and (fi changing selfConclusions: This study indicated many common concerns and experiences among women in response to perinatal loss and subsequent pregnancies. Variations were not linked to the number or gestational age of the losses. Care providers should acknowledge women's past losses, address their concerns during a current pregnancy, and recognize the Potentially lifelong effect perinatal loss may have on these women.