School of Medicine, University of California at San Diego, San Diego, CA, USA.
Division of Complex Family Planning, Department of Obstetrics, Gynecology, and Reproductive Sciences, University of California at San Diego, 9300 Campus Point Dr. MC 7433, La Jolla, 92037, San Diego, CA, USA.
BMC Pregnancy Childbirth. 2023 Jul 11;23(1):506. doi: 10.1186/s12884-023-05816-x.
Limited data exist regarding the type of support patients need when experiencing early pregnancy loss (EPL). The objective of this study is to explore how patients emotionally cope with EPL and to assess if there is interest in a peer EPL support program with a self-compassion component.
We conducted semi-structured interviews with patients who experienced EPL in the past two years. We evaluated the kinds of support that patients felt were most helpful, interest in a possible peer EPL support person, and suggestions for the creation of such a program. Content analysis was utilized to analyze the data and identify themes.
Twenty-one individuals participated in the study. Approximately 52.3% (n = 11) of interviewees reported expectant management of their EPL, 23.8% (n = 5) reported medication management, and 23.8% (n = 5) reported undergoing dilation and curettage. We identified five themes: (1) therapy and in-person support groups are helpful when experiencing EPL, but are sometimes inaccessible; (2) social media support groups are initially advantageous for creating a sense of solidarity, but in the long term can be triggering; (3) support from a peer who has also experienced EPL is uniquely valuable; (4) developing self-compassion is important in emotionally coping with EPL; and (5) there is a demand for emotional and informational support following EPL.
Given the unique support participants identified receiving from a peer with shared lived experience, there is interest in a peer EPL support program with a self-compassion component for emotional and informational support following EPL.
关于患者在经历早期妊娠丢失（EPL）时需要何种支持，目前仅有有限的数据。本研究旨在探讨患者如何在情感上应对 EPL，并评估他们对具有自我同情成分的同伴 EPL 支持计划是否感兴趣。
我们对过去两年中经历过 EPL 的患者进行了半结构化访谈。我们评估了患者认为最有帮助的支持类型、对可能的同伴 EPL 支持人员的兴趣，以及创建此类计划的建议。我们利用内容分析法分析数据并确定主题。
21 人参与了研究。大约 52.3%（n=11）的受访者报告对 EPL 进行了期待管理，23.8%（n=5）报告进行了药物管理，23.8%（n=5）报告进行了扩张和刮宫。我们确定了五个主题：（1）在经历 EPL 时，治疗和面对面的支持小组很有帮助，但有时无法获得；（2）社交媒体支持小组最初有利于建立团结感，但长期来看可能会引发情绪；（3）来自也经历过 EPL 的同伴的支持具有独特的价值；（4）培养自我同情对情感上应对 EPL 很重要；（5）EPL 后需要情感和信息支持。
鉴于参与者确定从具有共同生活经历的同伴那里获得的独特支持，他们对具有自我同情成分的同伴 EPL 支持计划感兴趣，该计划可为 EPL 后提供情感和信息支持。
