关键词: Fetal anomaly Prenatal loss Termination of pregnancy

Mesh : Humans Female Pregnancy Adult Qualitative Research Turkey Abortion, Induced / psychology Congenital Abnormalities / psychology Pregnant Women / psychology Decision Making Pregnancy Trimester, Second / psychology Interviews as Topic / methods

来  源:   DOI:10.1016/j.midw.2024.103957

Abstract:
BACKGROUND: Termination of pregnancy due to fetal anomaly is an unexpected traumatic event for women. It can cause serious complications that can negatively affect both the physical and psychological health of women.
OBJECTIVE: This study aims to examine the experiences of women who underwent medical termination for fetal anomaly in the second trimester.
METHODS: The study included 12 women whose pregnancies were terminated due to fetal anomaly. Data were collected through in-depth interviews until data sufficiency was reached. Thematic analysis method was used to analyze the data. This study was conducted using an inductive qualitative design. The women\'s statements were examined and double-coded. By examining the codes, main themes were created after sub-themes.
RESULTS: Women\'s experiences were analyzed in five themes: difficulty in decision-making (1), emotional impact (2), stigmatization (3), dilemma between hope and anxiety (4), and post-termination care and support needs (5). Participants stated that they experienced many emotions such as indecision, sadness, helplessness, guilt, and remorse during the medical termination process. Hope, anxiety, fear, social pressure and support needs were also frequently experienced in this process.
CONCLUSIONS: Termination of pregnancy in the second trimester due to fetal anomaly caused significant psychological symptoms. In order to prevent long-term health complications, it will be important for health professionals to provide interventions designed to meet the demands of women diagnosed with fetal anomaly.
摘要:
背景:由于胎儿异常而终止妊娠对女性来说是一种意外的创伤事件。它可能导致严重的并发症,可能对女性的身心健康产生负面影响。
目的:本研究旨在探讨妊娠中期因胎儿畸形而接受医疗终止的妇女的经历。
方法:该研究包括12名因胎儿异常而终止妊娠的妇女。通过深入访谈收集数据,直到数据充足。采用专题分析法对数据进行分析。本研究采用归纳定性设计进行。对妇女的陈述进行了检查和双重编码。通过检查代码,主要主题是在分主题之后创建的。
结果:从五个主题分析了妇女的经历:决策困难(1),情感影响(2),污名化(3),希望和焦虑之间的困境(4),以及终止后的护理和支持需求(5)。参与者表示,他们经历了许多情绪,如优柔寡断,悲伤,无助,内疚,内疚以及在医疗终止过程中的悔恨。希望,焦虑,恐惧,在这个过程中,社会压力和支持需求也经常经历。
结论:妊娠中期因胎儿异常而终止妊娠,引起明显的心理症状。为了防止长期的健康并发症,对于卫生专业人员来说,提供旨在满足诊断为胎儿异常的妇女需求的干预措施非常重要。
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