The psychosomatic experiences of women who had intrauterine foetal death in rural South Africa.

Martha Kharivhe, Mary Maluleke, Thingahangwi Masutha, Takalani Thabathe, Duppy Manyuma, Ndivhaleni Lavhelani, Muofheni Nemathaga, Muvhango Ramovha, Mutshinyalo Netshikweta, Mulatedzi Mulaudzi
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Abstract

Background:  Intrauterine foetal death (IUFD) is a traumatic event leading to substantial grief reactions with a variety of experiences in an expectant woman. After delivery, these experiences have shown to impact the mother's psychological well-being, where she experiences post-traumatic stress, sadness, anxiety and depression. The psychosomatic experiences before labour commenced are not known.

Objectives:  This study explored the psychosomatic (mind-body connection) experiences of women who had an IUFD before labour commenced in rural areas of Limpopo province, South Africa.

Method:  A qualitative approach with an explorative descriptive design was carried out among all 10 consented participants who were selected using a purposive sampling technique. The sample consisted of women who delivered an IUFD as reflected by the hospital register from the selected hospitals. Data were collected at the participants' homes through in-depth individual interviews guided by one open-ended central question as follows, 'Please share with me your experiences of IUFD before you went into labour', and analysed using Tesch's open coding method.

Results:  Two themes reflecting the psychosomatic (mind-body connection) experiences of women who had an IUFD emerged from the analysis. The themes are danger alerts and emotional responses.

Conclusion:  This qualitative study revealed that women could relate a lack of or decreased foetal movement as the danger alert or warning sign that the baby was in danger before labour commenced. Upon noticing that something was wrong with the baby, a message was sent to the women's minds, which equally affected and activated their emotional dimensions. An investigation regarding the kind of support needed by women after being informed of an IUFD is recommended.

南非农村胎死宫内妇女的心身体验。
背景: 宫内胎儿死亡(IUFD)是一个创伤性事件,会导致孕妇产生强烈的悲痛反应和各种体验。分娩后,这些经历会影响产妇的心理健康,使其经历创伤后应激反应、悲伤、焦虑和抑郁。分娩开始前的心身体验尚不清楚: 本研究探讨了南非林波波省农村地区在临产前经历过 IUFD 的妇女的心身体验(身心联系): 研究采用探索性描述设计的定性方法,通过有目的的抽样技术选出了 10 名同意参与研究的人员。样本由所选医院登记在册的分娩过 IUFD 的妇女组成。数据是在参与者家中通过深入的个别访谈收集的,访谈以一个开放式的中心问题 "请与我分享您在分娩前的宫外孕经历 "为引导,并采用 Tesch 的开放式编码方法进行分析: 结果:分析中出现了两个主题,反映了发生宫外孕妇女的心身体验(身心联系)。这两个主题是危险警报和情绪反应: 这项定性研究表明,在分娩开始前,产妇会将胎动缺乏或胎动减少视为胎儿面临危险的危险警报或警告信号。一旦注意到胎儿出了问题,就会向产妇的大脑发送信息,这同样会影响和激活她们的情绪。建议对产妇在得知胎儿畸形后所需的支持进行调查。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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