Faculty of Health Sciences, Department of Nursing, Kütahya Health Sciences University, Kütahya, Turkey.
Faculty of Health Sciences, Department of Nursing, Eskisehir Osmangazi University, Eskisehir, Turkey.
Midwifery. 2024 May;132:103957. doi: 10.1016/j.midw.2024.103957. Epub 2024 Feb 15.
Termination of pregnancy due to fetal anomaly is an unexpected traumatic event for women. It can cause serious complications that can negatively affect both the physical and psychological health of women.
This study aims to examine the experiences of women who underwent medical termination for fetal anomaly in the second trimester.
The study included 12 women whose pregnancies were terminated due to fetal anomaly. Data were collected through in-depth interviews until data sufficiency was reached. Thematic analysis method was used to analyze the data. This study was conducted using an inductive qualitative design. The women's statements were examined and double-coded. By examining the codes, main themes were created after sub-themes.
Women's experiences were analyzed in five themes: difficulty in decision-making (1), emotional impact (2), stigmatization (3), dilemma between hope and anxiety (4), and post-termination care and support needs (5). Participants stated that they experienced many emotions such as indecision, sadness, helplessness, guilt, and remorse during the medical termination process. Hope, anxiety, fear, social pressure and support needs were also frequently experienced in this process.
Termination of pregnancy in the second trimester due to fetal anomaly caused significant psychological symptoms. In order to prevent long-term health complications, it will be important for health professionals to provide interventions designed to meet the demands of women diagnosed with fetal anomaly.
因胎儿畸形而终止妊娠对女性来说是一种意外的创伤性事件。它可能导致严重的并发症，对女性的身心健康产生负面影响。
本研究旨在探讨中期因胎儿畸形而行医学终止妊娠的女性的经历。
本研究纳入了 12 名因胎儿畸形而终止妊娠的女性。通过深入访谈收集数据，直到达到数据充足性。采用主题分析方法对数据进行分析。本研究采用归纳性定性设计进行。对女性的陈述进行了检查和双重编码。通过检查代码，在子主题之后创建了主要主题。
女性的经历可分为五个主题：决策困难（1）、情绪影响（2）、污名化（3）、希望与焦虑之间的困境（4）以及终止后护理和支持需求（5）。参与者表示，在医学终止过程中，她们经历了许多情绪，如犹豫不决、悲伤、无助、内疚和悔恨。在这个过程中，还经常经历希望、焦虑、恐惧、社会压力和支持需求。
因胎儿畸形而在中期终止妊娠会导致明显的心理症状。为了预防长期的健康并发症，卫生专业人员提供旨在满足胎儿畸形诊断女性需求的干预措施将非常重要。
