Transforming care for pregnancy loss: A qualitative study on advancing practices and addressing existing needs.

IF 2.1 4区医学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY

Death Studies Pub Date : 2024-08-15 DOI:10.1080/07481187.2024.2390905

Barbara Plagg, Jörg Oschmann, Christa Ladurner, Ingrid Kapeller, Manuela Lechner, Adolf Engl, Giuliano Piccoliori

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Abstract

Recent years have seen significant growth in the body of knowledge and the development of guidelines on pregnancy loss. This qualitative study analyses how these advancements have been implemented with a focus on health literacy, hospital protocols, and societal responses. Thematic analysis of semi-structured interviews from bereaved parents (n = 11) and healthcare professionals (n = 7) in Italy uncovers significant lapses in health literacy and societal reluctance to address pregnancy loss, which obstructs informed parental decision-making. The research indicates a movement toward more sensitive healthcare, yet disparities remain in the treatment of early versus later losses and uneven psychological support provision. The research underscores the need for standardized practices and combined psychological care for both parents and for reform in legal policies regarding bereavement and maternity leave. Despite progress in institutional and societal approaches to managing pregnancy loss, considerable challenges persist.

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改革对妊娠损失的护理：关于推进实践和满足现有需求的定性研究。

近年来，有关妊娠丢失的知识体系和指南的制定有了长足的发展。这项定性研究分析了这些进步是如何实施的，重点关注健康知识普及、医院规程和社会反应。通过对意大利丧子父母（11 人）和医护人员（7 人）的半结构式访谈进行主题分析，发现了在健康知识普及方面存在的重大缺陷，以及社会对解决妊娠损失问题的不情愿，这阻碍了父母在知情的情况下做出决策。研究表明，医疗保健正朝着更加敏感的方向发展，但在治疗早期和晚期妊娠损失方面仍存在差异，心理支持的提供也不均衡。研究强调，需要为父母双方提供标准化的做法和综合心理护理，并改革有关丧亲和产假的法律政策。尽管在处理妊娠损失的机构和社会方法上取得了进展，但仍然存在相当大的挑战。

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来源期刊

Death Studies Multiple-

CiteScore

8.30

自引率

7.90%

发文量

期刊介绍： Now published ten times each year, this acclaimed journal provides refereed papers on significant research, scholarship, and practical approaches in the fast growing areas of bereavement and loss, grief therapy, death attitudes, suicide, and death education. It provides an international interdisciplinary forum in which a variety of professionals share results of research and practice, with the aim of better understanding the human encounter with death and assisting those who work with the dying and their families.