“If it has happened once, it can happen again”. The impact of previous pregnancy loss on anxious women's ongoing pregnancies: A qualitative study from Pakistan
Hadia Maryam , Rakhshanda Liaqat , Armaan A Rowther , Maria Atiq , Huma Nazir , Abid Malik , Atif Rahman , Pamela J Surkan , Najia Atif
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引用次数: 0
Abstract
Background
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.
Objective
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.
Design
Qualitative methods were used to explore the impact of previous pregnancy loss on the well-being of pregnant women.
Setting
This qualitative research was embedded within a randomized control trial conducted in a tertiary care facility in Rawalpindi, Pakistan.
Participants
Data were collected through in-depth interviews with 18 pregnant women who had experienced pregnancy loss. Data was analyzed using Framework Analysis.
Findings
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.
Conclusion
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.
背景包括流产和死胎在内的妊娠损失会给妇女造成严重的心理困扰,包括焦虑、抑郁和悲伤,这些情绪在身体恢复后仍会长期存在。本研究关注的是巴基斯坦妇女的经历,那里的妊娠损失率很高.Objective 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.DesignQualitative methods were used to explore the impact of previous pregnancy loss on the well-being of pregnant women.SettingThis qualitative research was embedded within a randomized control trial conducted in a tertiary care facility in Rawalpindi, Pakistan.Participants数据是通过对 18 名经历过妊娠损失的孕妇进行深入访谈收集的。研究结果研究结果表明,在导致流产的妊娠期间,有几个因素影响着参与者的健康,如不支持和虐待性的环境、意外怀孕、某些迷信信仰、健康状况差以及无法获得高质量的医疗保健服务。研究还强调了之前的妊娠失败对正在进行的妊娠的不利影响,包括身心健康恶化和厌恶医疗保健服务。然而,一些参与者报告说,她们在医疗和自我护理方面发生了积极的变化,并在随后的怀孕过程中增强了对命运的信心和依赖。我们在发现持续焦虑的同时,也发现了一些积极的结果,如加强了医疗实践和增强了信仰。研究结果表明,在资源有限的环境中,需要采取符合文化特点的干预措施,以支持有过失孕史的焦虑孕妇的整体健康。