Department of Gynecology and Obstetrics, The Fourth Affiliated Hospital of Soochow University, Suzhou, Jiangsu, China.
Department of Women's Health, Suzhou Gusu District Maternal and Child Health Care Institute, Suzhou, Jiangsu, China.
BMJ Open. 2024 Sep 3;14(9):e088079. doi: 10.1136/bmjopen-2024-088079.
We aimed to explore the lived experiences and needs of women after a recent stillbirth event.
Qualitative phenomenological study.
The current study was conducted in a tertiary obstetric hospital in East China between 25 January 2024 and 29 March 2024.
14 women having experienced a stillbirth within the last 6 months.
Researchers agreed on four key themes including individual variations in emotional reaction and recovery, physical recovery and concerns about future pregnancies, the critical role of social support systems and variations in perceptions of stillbirth as the death of a fetus versus a human being, along with related mourning rituals. These themes collectively highlight the multifaceted nature of the stillbirth experience, underscoring the complex interplay between personal, cultural and medical factors that shape women's emotional and physical responses.
Post-stillbirth experiences among Chinese women are deeply individualised and influenced by a complex interplay of personal emotions, cultural contexts and medical interactions. It is imperative for healthcare systems to implement tailored care strategies beyond standard protocols to proactively address their varied emotional landscapes and physical concerns with an enhanced awareness of cultural sensitivities. Specialised training for healthcare providers should be devised to recognise and respond to the unique grief processes. Comprehensive support systems should be established to significantly enhance the recovery journey by providing essential resources and community connections.
探索近期遭遇胎死宫内事件后女性的生活经历和需求。
定性现象学研究。
本研究于 2024 年 1 月 25 日至 3 月 29 日在中国东部的一家三级产科医院进行。
14 名最近 6 个月内遭遇胎死宫内的女性。
研究人员就四个关键主题达成一致，包括情绪反应和恢复的个体差异、身体恢复和对未来妊娠的担忧、社会支持系统的关键作用以及对胎死宫内是胎儿死亡还是人类死亡的看法差异，以及相关的哀悼仪式。这些主题共同强调了胎死宫内经历的多面性，突出了个人、文化和医疗因素之间的复杂相互作用，这些因素塑造了女性的情绪和身体反应。
中国女性的胎死宫内后经历是高度个体化的，受到个人情绪、文化背景和医疗互动的复杂相互作用的影响。医疗系统必须实施定制化的护理策略，超越标准方案，积极应对其多样化的情绪和身体问题，并增强对文化敏感性的认识。应设计专门的医疗提供者培训，以识别和应对独特的悲伤过程。应建立全面的支持系统，通过提供必要的资源和社区联系，显著改善恢复过程。
