A time/space bubble: Expectant parents’ experience of birth after termination of pregnancy due to fetal anomaly in a midwifery-led, obstetric unit for prenatal loss

IF 2.6 3区医学 Q1 NURSING

Midwifery Pub Date : 2024-09-21 DOI:10.1016/j.midw.2024.104189

Maiken F. Damm , Stina Lou , Puk Sandager , Ida Vogel , Christina Prinds , Dorte Hvidtjoern

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引用次数: 0

Abstract

Termination of pregnancy due to a fetal anomaly is a challenging and mentally stressful experience, associated with trauma-related stress, depression and symptoms of complicated grief. It differs from other types of pregnancy loss because of the role of active decision-making. Expectant parents depend on caring and experienced staff to guide them during a time full of ambiguity and contrasting emotions.

This study examines how expectant parents experience the process of birth with termination of pregnancy due to fetal anomaly at a specialised unit for prenatal loss.

Data was generated from semi-structured interviews with 11 women and 9 male partners, one to five months after termination of pregnancy.

Three themes were identified 1) Suspended time/space bubble; the unit for prenatal loss was described as a time-space bubble, that promoted a sense of meaning, a feeling of togetherness and an awareness of parallel worlds, 2) The midwife matters; participants emphasised midwives’ 'invisible', chronological and individualised practice, making it possible to be present and in the process, and 3) Meeting and spending time with the fetus/baby; participants’ responses and relation to the fetus were very different, with most of them embracing the fetus as a baby, grateful for the opportunity to have time together.

The findings from this study suggest a need for specialised midwives dedicated to prenatal loss, in units designed as private and protected spaces to accommodate the requirements of parents undergoing termination of pregnancy due to fetal anomaly.

查看原文本刊更多论文

时空泡沫：准父母在助产士领导的产科病房因胎儿异常而终止妊娠后的分娩经历。

因胎儿异常而终止妊娠是一种具有挑战性和精神压力的经历，与创伤相关的压力、抑郁和复杂的悲伤症状有关。它不同于其他类型的妊娠流产，因为它起着主动决策的作用。准父母们在这段充满不确定性和反差情绪的时间里，要依靠富有爱心和经验的工作人员为他们提供指导。本研究探讨了准父母如何在产前失能专科医院经历因胎儿异常而终止妊娠的分娩过程。数据来源于对 11 名女性和 9 名男性伴侣在终止妊娠后一至五个月的半结构化访谈。访谈确定了三个主题：1）悬浮的时间/空间泡沫；产前流产科室被描述为一个时间-空间泡沫，它促进了意义感、团聚感和对平行世界的认识；2）助产士很重要；2) 助产士很重要；参与者强调助产士的 "无形"、按时间顺序排列和个性化的做法，使其有可能在场并参与这一过程，以及 3) 与胎儿/婴儿见面并共度时光；参与者的反应和与胎儿的关系截然不同，其中大多数人将胎儿视为婴儿，并对有机会共度时光表示感激。这项研究的结果表明，需要有专门的助产士负责产前损失，并在设计为私密和受保护空间的单位中满足因胎儿异常而终止妊娠的父母的要求。

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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来源期刊

Midwifery 医学-护理

CiteScore

4.50

自引率

7.40%

发文量

221

审稿时长

13.4 weeks

期刊介绍： Midwifery publishes the latest peer reviewed international research to inform the safety, quality, outcomes and experiences of pregnancy, birth and maternity care for childbearing women, their babies and families. The journal’s publications support midwives and maternity care providers to explore and develop their knowledge, skills and attitudes informed by best available evidence. Midwifery provides an international, interdisciplinary forum for the publication, dissemination and discussion of advances in evidence, controversies and current research, and promotes continuing education through publication of systematic and other scholarly reviews and updates. Midwifery articles cover the cultural, clinical, psycho-social, sociological, epidemiological, education, managerial, workforce, organizational and technological areas of practice in preconception, maternal and infant care. The journal welcomes the highest quality scholarly research that employs rigorous methodology. Midwifery is a leading international journal in midwifery and maternal health with a current impact factor of 1.861 (© Thomson Reuters Journal Citation Reports 2016) and employs a double-blind peer review process.