Kenyatta University, School of Nursing, P.O. Box 43844-00100 Nairobi Kenya.
Midwifery. 2021 Aug;99:103007. doi: 10.1016/j.midw.2021.103007. Epub 2021 Apr 20.
Perinatal mortality affects the health of mothers negatively. Sub-Saharan Africa accounts for 95% of the global statistics of perinatal mortalities. Despite this, studies that investigate the experiences of mothers following a perinatal loss are limited.
The aim of this study was to explore the lived experiences of a perinatal loss among mothers in a rural setting in Kenya.
An interpretative phenomenological study was conducted using eight purposively sampled mothers who had experienced a perinatal loss. Data was collected using semi structured audiotaped interviews, which were transcribed, and analyzed using thematic analysis.
Data analysis led to four main themes and five sub-themes from the theme of emotionally distressing. The main themes included (1) Searching for Answers, (2) Shattered Maternal Roles and Expectations, (3) Altered Relationships, and (4) Emotionally Distressing. Five sub-themes were also identified from the theme of emotionally distress: (1) shock, (2) sadness and pain, (3) confusion, (4) denial and disbelief, (5) anger.
Perinatal loss was a traumatizing experience for mothers in this study. Their social experiences influenced their recovery from the losses. Findings suggest the need for adequate midwife support and continuity in care for mothers affected by perinatal losses.
The results highlight critical issues in mothers' experience of perinatal losses. Specific, adequate and professional interventions are needed to help mothers cope with perinatal losses.
围产期死亡会对母亲的健康产生负面影响。撒哈拉以南非洲地区占全球围产期死亡率统计数据的 95%。尽管如此，调查母亲在围产期丧失后经历的研究仍然有限。
本研究旨在探讨肯尼亚农村地区母亲围产期丧失的生活经历。
采用目的性抽样方法，选取 8 名经历过围产期丧失的母亲进行解释性现象学研究。使用半结构化录音访谈收集数据，转录后采用主题分析进行分析。
数据分析得出 4 个主要主题和 5 个从情感困扰主题中衍生出的子主题。主要主题包括：（1）寻找答案，（2）破碎的母亲角色和期望，（3）关系改变，（4）情感困扰。从情感困扰主题中还确定了 5 个子主题：（1）震惊，（2）悲伤和痛苦，（3）困惑，（4）否认和难以置信，（5）愤怒。
围产期丧失对本研究中的母亲来说是一种创伤性经历。她们的社会经历影响了她们从损失中恢复的情况。研究结果表明，需要为受围产期丧失影响的母亲提供充分的助产士支持和护理连续性。
研究结果突出了母亲在围产期丧失经历中的关键问题。需要采取具体、充分和专业的干预措施，帮助母亲应对围产期丧失。
