Abstract

ABSTRACTBackground:Fetal death causes women to experience negative feelings after the loss. These lived experiences influence the future pregnancies and maternal health of women negatively.Purpose:The aim of this study was to investigate the experiences of women whose pregnancies were terminated because of medical indications.Methods:A “design for definitive status study” type of qualitative research design was used. Ten women who were hospitalized between April and July 2017 at the Akdeniz University Clinic of Obstetrics and Gynecology and had subsequently experienced pregnancy loss during their hospitalization were enrolled as participants. Thematic analysis was used to analyze the data.Results:The pregnancy loss experiences of participants were investigated under the five main themes of (a) lived experiences before the termination of pregnancy, (b) lived experiences after pregnancy termination, (c) willingness to see the baby after termination, (d) posttermination care requirements, and (e) physical condition of hospital rooms during hospitalization. The participants expressed feelings of hope, fear, and worry over being unsuccessful before fetal death and feelings of loneliness, disappointment, blame, and avoidance after fetal death.Conclusions/Implications for Practice:In the aftermath of fetal death, health professionals should use insightful and empathic communication skills to help mothers cope with their loss. In addition, some of the participants wanted to see their babies, and some did not. Thus, individualized care is very important for women who experience pregnancy loss.

Highlights

  • Despite major advancements in medicine and obstetrics, women are still frequently faced with undesired conditions such as aborted fetuses, dead births, and neonatal deaths, which deeply affect the expectant mother and her family (Meredith, Wilson, Branjerdporn, Strong, & Desha, 2017)

  • The aim of this study was to clarify the experiences of women who have lived through pregnancy loss due to terminations resulting from medical indications

  • The experiences of the participants during pregnancy termination were investigated under five main themes: (a) lived experiences before the termination of pregnancy, (b) lived experiences after pregnancy termination, (c) willingness to see the baby after termination, (d) posttermination care requirements, and (e) physical condition of hospital rooms during hospitalization (Table 2)

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Summary

Introduction

Despite major advancements in medicine and obstetrics, women are still frequently faced with undesired conditions such as aborted fetuses, dead births, and neonatal deaths, which deeply affect the expectant mother and her family (Meredith, Wilson, Branjerdporn, Strong, & Desha, 2017). 2.6 million babies die in the last 3 months of pregnancy or during childbirth (stillbirths). According to the Turkey Demographic and Health Survey in 2013, the ratio of missed abortion incidents is 23%, the ratio of stillbirths is 3%, and the neonatal death rate is 0.7% in Turkey C. Ministry of Health, Ankara, Turkey, 2014). Fetal death causes women to experience negative feelings after the loss. These lived experiences influence the future pregnancies and maternal health of women negatively. Purpose: The aim of this study was to investigate the experiences of women whose pregnancies were terminated because of medical indications

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