Department of Psychology, University of Newcastle , Callaghan, Australia.
J Reprod Infant Psychol. 2021 Feb;39(1):16-29. doi: 10.1080/02646838.2020.1792427. Epub 2020 Jul 21.
The present study expands upon reproductive research by examining perinatal grief in couples following a miscarriage and throughout a subsequent pregnancy. The aim of the study was to address the question of whether the outcome of a successful live birth mitigates the negative impact of a previous miscarriage.
Participants were recruited through 20 general practice surgeries that provided antenatal care in the United Kingdom. The study comprised 128 couples; 64 couples who experienced two consecutive miscarriages, and 64 couples who experienced a live birth following a miscarriage. Participants completed the Perinatal Grief Scale across four Time points (T1: Six weeks following the first pregnancy outcome; T2: Six weeks following the second pregnancy outcome; T3: Six months following the second pregnancy outcome and T4: Twelve months following the second pregnancy outcome).
The primary findings of the study demonstrated a significant mitigation effect with a decrease in perinatal grief over time. As predicted, couples who experienced a second miscarriage reported elevated perinatal grief; compared to couples who went on to have a successful live birth.
The present study's findings contribute to our knowledge of the long-term implications of miscarriage and its influence on psychological health in terms of perinatal grief.
本研究通过检查流产后和随后怀孕过程中夫妇的围产期悲伤，扩展了生殖研究。本研究的目的是探讨成功的活产是否减轻了先前流产的负面影响。
参与者通过英国 20 家提供产前护理的普通诊所招募。该研究包括 128 对夫妇；64 对经历了两次连续流产，64 对经历了流产后活产。参与者在四个时间点（T1：第一次妊娠结局后六周；T2：第二次妊娠结局后六周；T3：第二次妊娠结局后六个月；T4：第二次妊娠结局后十二个月）完成围产期悲伤量表。
研究的主要发现表明，随着时间的推移，围产期悲伤呈显著减轻趋势。正如预测的那样，经历第二次流产的夫妇报告说围产期悲伤程度较高；与继续成功活产的夫妇相比。
本研究的结果有助于我们了解流产的长期影响及其对围产期悲伤方面心理健康的影响。
