Meaney S, Corcoran P, Spillane N, O'Donoghue K
National Perinatal Epidemiology Centre, University College Cork, Ireland.
Pregnancy Loss Research Group, Dept. of Obstetrics and Gynaecology, University College Cork, Ireland.
BMJ Open. 2017 Mar 27;7(3):e011382. doi: 10.1136/bmjopen-2016-011382.
The objective of the study was to explore the experiences of those who have experienced miscarriage, focusing on men's and women's accounts of miscarriage.
This was a qualitative study using a phenomenological framework. Following in-depth semistructured interviews, analysis was undertaken in order to identify superordinate themes relating to their experience of miscarriage.
A large tertiary-level maternity hospital in Ireland.
A purposive sample of 16 participants, comprising 10 women and 6 men, was recruited.
6 superordinate themes in relation to the participant's experience of miscarriage were identified: (1) acknowledgement of miscarriage as a valid loss; (2) misperceptions of miscarriage; (3) the hospital environment, management of miscarriage; (4) support and coping; (5) reproductive history; and (6) implications for future pregnancies.
One of the key findings illustrates a need for increased awareness in relation to miscarriage. The study also indicates that the experience of miscarriage has a considerable impact on men and women. This study highlights that a thorough investigation of the underlying causes of miscarriage and continuity of care in subsequent pregnancies are priorities for those who experience miscarriage. Consideration should be given to the manner in which women who have not experienced recurrent miscarriage but have other potential risk factors for miscarriage could be followed up in clinical practice.
本研究的目的是探讨经历过流产者的经历，重点关注男性和女性对流产的描述。
这是一项采用现象学框架的定性研究。在进行深入的半结构化访谈后，进行分析以确定与他们流产经历相关的上位主题。
爱尔兰一家大型三级妇产医院。
招募了16名有目的的参与者样本，包括10名女性和6名男性。
确定了与参与者流产经历相关的6个上位主题：（1）承认流产是一种有效的损失；（2）对流产的误解；（3）医院环境、流产的管理；（4）支持与应对；（5）生殖史；以及（6）对未来怀孕的影响。
一项关键发现表明需要提高对流产的认识。该研究还表明，流产经历对男性和女性有相当大的影响。本研究强调，对流产的根本原因进行彻底调查以及后续怀孕时的连续护理是经历流产者的优先事项。应考虑在临床实践中对未经历复发性流产但有其他流产潜在风险因素的女性进行随访的方式。
