Human Development Research Foundation, Gujar Khan, Pakistan.
Department of International Health, Johns Hopkins University Bloomberg School of Public Health, Baltimore, MD, United States; Department of Psychiatry, Harbor-UCLA Medical Center, Los Angeles, CA, United States; Programme in Islamic Psychology, Cambridge Muslim College, Cambridge, United Kingdom.
Midwifery. 2024 Oct;137:104087. doi: 10.1016/j.midw.2024.104087. Epub 2024 Jun 28.
Pregnancy loss that includes both miscarriage and stillbirth cause significant psychological distress for women including anxiety, depression, and grief that persist long after physical recovery. This study focuses on the experiences of women in Pakistan, where pregnancy loss rates are high.
To explore how pregnant women with anxiety symptoms and a history of pregnancy loss perceive their past experiences with the loss and how it affects overall well-being in their current pregnancy.
Qualitative methods were used to explore the impact of previous pregnancy loss on the well-being of pregnant women.
This qualitative research was embedded within a randomized control trial conducted in a tertiary care facility in Rawalpindi, Pakistan.
Data were collected through in-depth interviews with 18 pregnant women who had experienced pregnancy loss. Data was analyzed using Framework Analysis.
The findings revealed several factors influencing participants' well-being during pregnancies that resulted in a loss, such as unsupportive and abusive environments, unintended pregnancies, certain superstitious beliefs, poor health, and lack of access to quality healthcare. The study also highlighted the adverse impact of previous pregnancy loss on the ongoing pregnancy, including deterioration of physical and mental health and aversion of healthcare services. However, some participants reported positive changes in medical and self-care practices and an enhanced faith and reliance on destiny in their subsequent pregnancies.
Our study highlights the lasting impact of past pregnancy loss on subsequent pregnancies, affecting overall wellbeing and leading to healthcare avoidance. We identified persistent anxiety along with positive outcomes like enhanced medical practices and strengthened faith. Results suggest the need for culturally responsive interventions to support the overall well-being of anxious pregnant women with a history of pregnancy loss in resource-constrained settings.
包括流产和死胎在内的妊娠丢失会给女性带来严重的心理困扰，包括焦虑、抑郁和悲伤，这些困扰会在身体恢复后很长时间持续存在。本研究关注的是巴基斯坦妊娠丢失率较高的女性的经历。
探讨有焦虑症状和妊娠丢失史的孕妇如何看待她们过去的丢失经历，以及这如何影响她们当前妊娠的整体幸福感。
采用定性方法探讨既往妊娠丢失对孕妇幸福感的影响。
这项定性研究嵌入在巴基斯坦拉瓦尔品第的一家三级保健机构进行的随机对照试验中。
数据来自 18 名经历过妊娠丢失的孕妇的深度访谈。使用框架分析进行数据分析。
研究结果揭示了一些影响参与者在导致妊娠丢失的妊娠期间幸福感的因素，例如支持不足和虐待环境、意外怀孕、某些迷信信仰、健康状况不佳以及无法获得高质量的医疗保健。研究还强调了既往妊娠丢失对正在进行的妊娠的不利影响，包括身心健康恶化以及对医疗服务的回避。然而，一些参与者报告说，他们在随后的妊娠中改变了医疗和自我保健的做法，增强了对命运的信仰和依赖。
我们的研究强调了既往妊娠丢失对后续妊娠的持久影响，影响整体幸福感并导致医疗保健回避。我们发现持续存在的焦虑以及积极的结果，如增强的医疗实践和加强的信仰。研究结果表明，需要在资源有限的环境中针对文化背景进行干预，以支持有既往妊娠丢失史的焦虑孕妇的整体幸福感。
