Purandare N, Ryan G, Ciprike V, Trevisan J, Sheehan J, Geary M
Rotunda Hospital, Parnell St, Dublin 1.
Ir Med J. 2012 Nov-Dec;105(10):326-8.
A miscarriage can be very traumatic for a couple and their immediate family. The aim of this study was to assess, using the Perinatal Grief Scale (PGS), whether the type of early pregnancy loss influences the severity of grief and whether the presence of living children influences the severity of grief. Over a period of 6 months in 2008, seventy five patients were recruited for the study, of which 7 (9.3%) had molar pregnancies, 20 (26.7%) had ectopic pregnancies, 43 (573%) had a miscarriage and 5 (6.7%) had recurrent miscarriages. In this study there was no significant difference in severity of grief, between women that had a miscarriage and ectopic pregnancy (p = 0.14) or, between women that had a miscarriage and a molar pregnancy (p = 0.85). Women who had experienced a ectopic pregnancy did not have a higher grief intensity than the women that had a molar pregnancy (p = 0.75). However, for women with a child, the grief intensity significantly increases with the number of miscarriages (p = 0.015). Women with no children with an ectopic pregnancy grieve significantly more than those with a child (p = 0.019). An appointment for the 'Miscarriage Clinic' should be offered to all of these women but special attention should be paid to those in the categories most at risk
流产对夫妻及其直系亲属来说可能是非常痛苦的。本研究的目的是使用围产期悲伤量表（PGS）评估早期妊娠丢失的类型是否会影响悲伤的严重程度，以及存活子女的存在是否会影响悲伤的严重程度。在2008年的6个月期间，招募了75名患者进行研究，其中7例（9.3%）为葡萄胎妊娠，20例（26.7%）为异位妊娠，43例（57.3%）为流产，5例（6.7%）为复发性流产。在本研究中，流产和异位妊娠的女性之间（p = 0.14）或流产和葡萄胎妊娠的女性之间（p = 0.85），悲伤严重程度没有显著差异。经历异位妊娠的女性的悲伤强度并不高于葡萄胎妊娠的女性（p = 0.75）。然而，对于有孩子的女性，悲伤强度会随着流产次数的增加而显著增加（p = 0.015）。没有孩子且发生异位妊娠的女性比有孩子的女性悲伤得多（p = 0.019）。应该为所有这些女性提供“流产诊所”的预约，但应特别关注那些风险最高的类别中的女性。
