Tommy's National Centre for Miscarriage Research, University of Birmingham, Birmingham, UK
Institute of Clinical Sciences, University of Birmingham, Birmingham, UK.
BMJ Open. 2020 May 15;10(5):e035967. doi: 10.1136/bmjopen-2019-035967.
Up to 1 in 4 pregnancies and 1 in 20 subsequent pregnancies end in miscarriage. Despite such prevalence the psychosocial effects are often unrecognised and unsupported. In the absence of any biomedical sequelae among men such marginalisation may be intensified. Men living through multiple miscarriages may also find any grief or anxiety intensified by loss of hope for future parenthood, but robust qualitative studies of these experiences are limited. We aim to rectify the deficiency.
Our qualitative study will adopt the sounds of silence framework designed by Serrant-Green to hear the voices of populations possibly marginalised. We will listen and learn from 30 to 50 men with a history of two or more miscarriages. The research participants will be recruited from a recurrent miscarriage clinic at a large tertiary hospital in England, and from advertisements to be disseminated by the project sponsor and miscarriage charities.Individual telephone interviews supported by a semistructured discussion guide will be audio-recorded, transcribed and anonymised. The transcriptions and any field notes will be interpreted by the framework method of Ritchie and Lewis embedded within the sounds of silence framework. Tentative findings will be presented to research participants in face-to-face focus group discussion, to enable member synthesis to enhance authenticity. The focus group discussion will be audio-recorded, transcribed, anonymised and similarly interpreted to contribute to our final synthesis.
The protocol of this project received a favourable opinion from the West Midlands South Birmingham Research Ethics Committee (16/WM/0423). Results will be submitted for publication in peer-reviewed journals and at conferences, and disseminated via newsletters and social media of our clinical collaborators and miscarriage charities. Outputs are anticipated to inform future policy and practice in the management of multiple miscarriages.
ISRCTN 21828561.
多达四分之一的妊娠和五分之一的后续妊娠以流产告终。尽管如此普遍，但这些心理社会影响往往未被认识到，也未得到支持。在男性中没有任何生物医学后遗症的情况下，这种边缘化可能会加剧。经历多次流产的男性也可能会因为对未来成为父母的希望破灭而感到更加悲伤或焦虑，但对这些经历的强有力的定性研究有限。我们旨在纠正这一不足。
我们的定性研究将采用 Serrant-Green 设计的“寂静之声”框架，以倾听可能被边缘化的人群的声音。我们将倾听并向 30 到 50 名有两次或更多次流产史的男性学习。研究参与者将从英国一家大型三级医院的复发性流产诊所招募，也将从项目赞助商和流产慈善机构发布的广告中招募。个人电话访谈将得到半结构化讨论指南的支持，访谈将被录音、转录和匿名化。转录和任何实地笔记将通过 Ritchie 和 Lewis 的框架方法进行解释，该方法嵌入在“寂静之声”框架中。初步发现将在面对面的焦点小组讨论中呈现给研究参与者，以便成员综合增强真实性。焦点小组讨论将被录音、转录、匿名化并进行类似的解释，以有助于我们的最终综合。
该项目的方案得到了西米德兰兹郡南伯明翰研究伦理委员会（16/WM/0423）的赞成意见。研究结果将提交给同行评审期刊和会议发表，并通过我们的临床合作伙伴和流产慈善机构的通讯和社交媒体进行传播。研究结果预计将为未来管理多次流产的政策和实践提供信息。
ISRCTN 21828561。
