Scott Lisa F, Shieh Carol, Umoren Rachel A, Conard Teri
J Obstet Gynecol Neonatal Nurs. 2017 Nov-Dec;46(6):846-856. doi: 10.1016/j.jogn.2017.08.006. Epub 2017 Sep 23.
To explore care experiences of women who used prescription or illicit opioids and experienced fetal or infant loss.
A qualitative, descriptive design with secondary data analysis.
The Fetal and Infant Mortality Review program in an urban Midwestern county in the United States.
Eleven women with histories of prescription or illicit opioid use who experienced fetal or infant loss participated in the semistructured telephone or in-person interview portion of the mortality case review.
We used thematic analysis to analyze interview data.
Five themes were identified related to the care experiences of participants throughout pregnancy and fetal/infant loss: Frustration and anger related to not being heard, feeling minimalized; Being overwhelmed with attempts to process and understand medical complications and outcomes; Profound sense of grief and coping with loss; Need to understand why and make difficult decisions; and Placing blame and guilt over death.
Our findings suggest that women who use opioids and experience fetal or infant loss have complex care, educational, and emotional needs. In the development of interventions for these women, it is important to address their unique and complex circumstances.
探讨使用处方或非法阿片类药物且经历胎儿或婴儿死亡的女性的护理经历。
采用定性描述性设计并进行二次数据分析。
美国中西部一个城市县的胎儿和婴儿死亡率审查项目。
11名有处方或非法阿片类药物使用史且经历胎儿或婴儿死亡的女性参与了死亡率病例审查的半结构化电话或面对面访谈部分。
我们采用主题分析法分析访谈数据。
确定了与参与者在整个孕期及胎儿/婴儿死亡期间的护理经历相关的五个主题：因未被倾听、感觉被轻视而产生的沮丧和愤怒；因试图处理和理解医疗并发症及结果而不堪重负；深刻的悲伤感及应对损失；需要了解原因并做出艰难决定；以及对死亡的自责和内疚。
我们的研究结果表明，使用阿片类药物且经历胎儿或婴儿死亡的女性有复杂的护理、教育和情感需求。在为这些女性制定干预措施时，重要的是要考虑到她们独特而复杂的情况。
