689 women completed a questionnaire on reproductive history, health care following miscarriage/medical termination/abortion, and current mental health. Descriptive statistics and logistic regression analyses examined: miscarriage/termination/abortion incidence, desires for mental health support following miscarriages/terminations/abortions, and current mental health.
Of 365 women with a pregnancy history, 37% reported ≥1 miscarriage, 9% ≥1 medical termination, 16% ≥1 abortion, and 3% endorsed all three. Current mental health did not differ between women with a history of miscarriage/termination/abortion and those with only live births (p = 0.82). Following miscarriage, 68% of women discussed options for the medical management of pregnancy loss with their provider, 32% discussed grief/loss, and 25% received mental health care recommendations. Engagement in mental health services was reported by 16% of women with a history of miscarriage, 38% after medical termination, and 19% following an abortion. Of women who became pregnant after their most recent miscarriage/termination/abortion and did not receive mental health care, 55% wished they had received services during the subsequent pregnancy.
Women desire mental health care after miscarriages, medical terminations, or abortions, warranting improved access to mental health care for these individuals.
方法:689名妇女填写了关于生育史的问卷,流产/医疗终止/流产后的医疗保健,目前的心理健康。描述性统计和逻辑回归分析:流产/终止/流产发生率,流产/终止/流产后的心理健康支持的愿望,目前的心理健康。
结果:在365名有怀孕史的妇女中,37%报告流产≥1次,9%≥1次医疗终止,16%≥1次流产,3%的人赞同这三者。有流产/终止/流产史的妇女与只有活产的妇女之间目前的心理健康没有差异(p=0.82)。流产后,68%的女性与她们的提供者讨论了妊娠丢失的医疗管理选择,32%的人讨论了悲伤/损失,25%的人接受了精神卫生保健建议。据报道,有流产史的女性中有16%参与了精神卫生服务,医疗终止后38%,19%的人流产后。在最近一次流产/终止/流产后怀孕且未接受精神保健的妇女中,55%的人希望他们在随后的怀孕期间获得服务。
结论:妇女希望在流产后得到精神保健,医疗终止,或堕胎,保证这些人获得更好的精神卫生保健。