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子宫与坟墓:母亲在双胎妊娠中经历单胎流产的体验

A womb and a tomb: mothers' experiences of single fetal loss in a twin pregnancy.

作者信息

Gershfeld-Litvin Avital, Nur Nathalie Yael

机构信息

School of Behavioral Sciences,The Academic College of Tel Aviv-Yaffo, Rabenu Yeruham 2, Tel Aviv-Yaffo, 6818211, Israel.

Sheba Medical Center, Ramat Gan, Derech Sheba 2, 5262000, Israel.

出版信息

BMC Pregnancy Childbirth. 2025 Jul 29;25(1):796. doi: 10.1186/s12884-025-07922-4.

DOI:10.1186/s12884-025-07922-4
PMID:40731403
Abstract

BACKGROUND

Twin pregnancies carry a higher risk of complications and negative outcomes compared to single fetal pregnancies. The incidence of twin pregnancies has increased over the last three decades due to the use of assisted reproduction technologies and advancing maternal age. While extensive research exists regarding the experiences of women following perinatal loss, research on the experiences of women following single fetal loss in a twin pregnancy is very limited. The purpose of this study was to explore the experiences of women who endured the loss of a single twin in a twin pregnancy.

METHODS

Semi-structured interviews were conducted with 12 Israeli women whose losses had taken place between six months and 11 years prior to their enrollment in the study. Interviews were analyzed using thematic analysis.

RESULTS

Four themes were generated: (1) in the beginning there was joy; (2) a period of tremendous darkness; (3) then they took him away; and (4) the main thing is that you have a living child.

CONCLUSIONS

Addressing both individual and societal aspects of this grief may foster better support for mothers in their dual roles as parents and mourners. Further research is needed to generalize these findings to a wider population and to deepen our understanding of grief experiences among women following twin pregnancies.

摘要

背景

与单胎妊娠相比,双胎妊娠出现并发症和不良后果的风险更高。在过去三十年中,由于辅助生殖技术的应用和产妇年龄的增长,双胎妊娠的发生率有所上升。虽然关于围产期丧亲之痛后女性经历的研究很多,但关于双胎妊娠中单胎丢失后女性经历的研究非常有限。本研究的目的是探讨双胎妊娠中失去一个胎儿的女性的经历。

方法

对12名以色列女性进行了半结构化访谈,她们的流产发生在参加本研究前6个月至11年之间。采用主题分析法对访谈进行分析。

结果

产生了四个主题:(1)起初充满喜悦;(2)一段极度黑暗的时期;(3)然后他们带走了他;(4)重要的是你有一个活着的孩子。

结论

关注这种悲伤的个人和社会层面,可能会更好地支持母亲同时扮演父母和哀悼者的双重角色。需要进一步研究,以便将这些发现推广到更广泛的人群,并加深我们对双胎妊娠后女性悲伤经历的理解。

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本文引用的文献

1
Complicated grief following the perinatal loss: a systematic review.围产期丧失后出现的复杂性悲伤:系统评价。
BMC Pregnancy Childbirth. 2024 Nov 22;24(1):772. doi: 10.1186/s12884-024-06986-y.
2
Perinatal loss: attachment, grief symptoms and women's quality of life.围产期丧亲之痛:依恋、悲伤症状与女性生活质量。
J Reprod Infant Psychol. 2024 Oct 25:1-17. doi: 10.1080/02646838.2024.2419374.
3
Experiences of pregnancy loss in fathers of existing children: A qualitative study.现有子女父亲的流产经历:一项定性研究。
Death Stud. 2025;49(9):1202-1210. doi: 10.1080/07481187.2024.2390894. Epub 2024 Aug 14.
4
Prenatal twin-less twins: The congenital loss experience of individuals who lost a twin sibling in utero.产前失孪生同胞:子宫内失去孪生同胞个体的先天性丧失经历。
Death Stud. 2025;49(3):228-237. doi: 10.1080/07481187.2024.2318591. Epub 2024 Feb 19.
5
Risk factors for adverse outcomes in twin pregnancies: a narrative review.双胎妊娠不良结局的危险因素:叙述性综述。
J Matern Fetal Neonatal Med. 2023 Dec;36(2):2240467. doi: 10.1080/14767058.2023.2240467.
6
The impact of continuing bonds following bereavement: A systematic review.丧亲后继续联系的影响:系统评价。
Death Stud. 2024;48(10):1001-1014. doi: 10.1080/07481187.2023.2223593. Epub 2023 Jun 19.
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Single intrauterine death in twin pregnancy: Evidenced-based counselling and management.双胎妊娠一胎宫内死亡:基于证据的咨询和管理。
Best Pract Res Clin Obstet Gynaecol. 2022 Nov;84:205-217. doi: 10.1016/j.bpobgyn.2022.08.009. Epub 2022 Sep 29.
8
Fetal reduction and twins.减胎术与双胞胎。
Am J Obstet Gynecol MFM. 2022 Mar;4(2S):100521. doi: 10.1016/j.ajogmf.2021.100521. Epub 2021 Oct 23.
9
The Disenfranchisement of Perinatal Grief: How Silence, Silencing and Self-Censorship Complicate Bereavement (a Mixed Methods Study).围产期悲伤的剥夺权利:沉默、压制和自我审查如何使丧亲之痛复杂化(一项混合方法研究)
Omega (Westport). 2023 Dec;88(2):709-731. doi: 10.1177/00302228211050500. Epub 2021 Oct 9.
10
Multifetal Gestations: Twin, Triplet, and Higher-Order Multifetal Pregnancies: ACOG Practice Bulletin, Number 231.多胎妊娠:双胎、三胎及以上多胎妊娠:ACOG 实践通报,第 231 号。
Obstet Gynecol. 2021 Jun 1;137(6):e145-e162. doi: 10.1097/AOG.0000000000004397.