Improving care in pregnancy after reproductive loss in women with diabetes: an interdisciplinary exploration of patient experiences and health profess

改善糖尿病女性生殖损失后的妊娠护理：对患者经历和健康专业的跨学科探索

• 批准号: 1953718
• 金额: --
• 依托单位: Newcastle University
• 依托单位国家: 英国
• 项目类别: Studentship
• 财政年份: 2017
• 资助国家: 英国
• 起止时间: 2017 至 无数据
• 项目状态: 已结题
• 来源: https://gtr.ukri.org/projects?ref=studentship-1953718
• 关键词: Improving; care; pregnancy; after; reproductive

Background: Women with diabetes have an increased risk of pregnancy ending in miscarriage, stillbirth or infant death, but risks can be reduced with careful pregnancy preparation. There has been a growing awareness and understanding of the bereavement process following reproductive loss, however, specific discussion of planning and preparing for another pregnancy is lacking in existing guidance. There is currently a gap in understanding of how postnatal bereavement support should consider the context of diabetes and link with support for preparation for a subsequent pregnancy. Aim: To investigate, using qualitative methods, experiential perspectives of parents and health professionals on preparing for pregnancy after reproductive loss, in the context of diabetes. The focus will be on the period between the postnatal review following the loss of a baby and the first antenatal appointment in the next pregnancy. Methods: Building on the MSc, the doctoral study will comprise four integrated phases: 1) literature review of research studies and published guidance on inter-pregnancy care after reproductive loss; 2) semi-structured interviews with health professionals; 3) semi-structured interviews with women with diabetes, and their partners, who have experienced reproductive loss and have successfully completed a further pregnancy; 4) Integration of findings and recommendation development. Outputs/Impact: The research will further develop social science understandings of reproductive loss in the context of diabetes. Collaboration with Sands, the stillbirth and neonatal death charity, will enhance knowledge transfer and communication of the findings, to improve support for women with diabetes who have lost a baby during or shortly after pregnancy.

背景：糖尿病妇女妊娠结局为流产、死产或婴儿死亡的风险增加，但仔细的妊娠准备可以降低风险。人们对失去生殖后的丧亲过程有了越来越多的认识和理解，然而，现有的指导意见中缺乏关于计划和准备再次怀孕的具体讨论。目前，对于产后丧亲支持应如何考虑糖尿病的背景，并将其与后续怀孕准备的支持联系起来，存在着理解上的差距。目的：在糖尿病的情况下，用定性的方法调查父母和卫生专业人员对生殖丧失后怀孕准备的经验性观点。重点将放在失去婴儿后的产后检查和下一次怀孕的第一次产前预约之间。方法：在理学硕士的基础上，这项博士研究将包括四个综合阶段：1)研究文献综述和关于失去生殖能力后孕期护理的出版指南；2)与卫生专业人员的半结构化访谈；3)对经历过生殖丧失并成功完成再次怀孕的糖尿病妇女及其伴侣的半结构化访谈；4)整合研究结果和建议发展。产出/影响：这项研究将进一步加深对糖尿病背景下生殖损失的社会科学理解。与死产和新生儿死亡慈善机构Sands的合作将加强知识传授和研究结果的沟通，以改善对怀孕期间或怀孕后不久失去婴儿的糖尿病妇女的支持。