Kamranpour Bahareh, Noroozi Mahnaz, Bahrami Masoud
Department of Midwifery, College of Nursing and Midwifery, Rasht Branch, Islamic Azad University, Rasht, Iran.
Department of Midwifery and Reproductive Health, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.
Iran J Nurs Midwifery Res. 2021 Mar 5;26(2):97-103. doi: 10.4103/ijnmr.IJNMR_94_20. eCollection 2021 Mar-Apr.
Diagnosing congenital fetal anomalies before birth is considered an emotionally devastating experience. To facilitate the process of compatibility with this event, healthcare providers should determine various needs of these women. The present study was conducted to explore the informational and educational needs of women who have experienced pregnancy termination because of fetal anomalies.
The present study was a qualitative content analysis. Forty participants (women, their spouses, and healthcare providers) in Rasht city, Iran, were selected using purposive sampling method with maximum variety and their data were gathered using in-depth interviews and field notes. Data were analyzed using conventional qualitative content analysis with Graneheim and Lundman approach.
After analyzing the text of the interviews, the informational and educational needs of women who have experienced pregnancy termination because of fetal anomalies were categorized in three main categories of "receiving information tailored to the client's circumstances," "learning life skills to cope," and "getting prepared for the next pregnancy."
The results, by exploring and magnifying the informational and educational needs of these women, could present an appropriate context for providing principal care and cultural-based interventions with an emphasis on comprehensive education and counseling. Also, proper implementation of the process of obtaining informed consent from the women to terminate the pregnancy is essential. These could facilitate the conditions for their return to normal life and ultimately promote their health.
在出生前诊断出先天性胎儿异常被认为是一种情感上极具毁灭性的经历。为了便于适应这一事件的过程,医疗保健提供者应确定这些女性的各种需求。本研究旨在探讨因胎儿异常而经历过终止妊娠的女性的信息和教育需求。
本研究为定性内容分析。采用目的抽样法,从伊朗拉什特市选取了40名参与者(女性、她们的配偶和医疗保健提供者),样本具有最大多样性,并通过深入访谈和实地记录收集数据。采用Graneheim和Lundman方法的传统定性内容分析法对数据进行分析。
在分析访谈文本后,因胎儿异常而经历过终止妊娠的女性的信息和教育需求被归为三大类:“接收根据客户情况量身定制的信息”、“学习应对生活技能”以及“为下一次怀孕做好准备”。
通过探索和放大这些女性的信息和教育需求,本研究结果可为提供以全面教育和咨询为重点的主要护理及基于文化的干预措施提供适当背景。此外,正确实施从女性那里获得终止妊娠知情同意的过程至关重要。这些措施可为她们回归正常生活创造条件,并最终促进她们的健康。