Abstract：
OBJECTIVE: 15-20% of identified pregnancies result in miscarriage, which may lead to persistent symptoms of psychological morbidities in some women. Healthcare satisfaction is among the factors believed to influence such negative psychological responses. Here, we present the results of a study conducted in Portugal that analyzes the relationship between healthcare satisfaction, information and support provision and perinatal grief symptoms.
METHODS: In a cross-sectional study, symptoms of perinatal grief, degree of satisfaction with healthcare received, and information and support provision data were collected through an online survey aimed at women in Portugal who suffered a miscarriage. 873 were considered eligible. Correlations were performed between perinatal grief scores and healthcare satisfaction rates. Finally, the proportions of information and support received were compared after distributing the sample in groups according to their perinatal grief levels.
RESULTS: Healthcare satisfaction correlated significantly with perinatal grief scores, the latter increasing as satisfaction levels decreased. 61.1% of our sample received information about the physical consequences of miscarriage and showed a significantly lower rate of above-threshold perinatal grief symptoms in this group. 18.2% received information about its mental health consequences, with no significant differences in above-threshold symptom rates. 11.7% were offered or recommended mental health support, but no significant differences in above-threshold symptom rates were found.
CONCLUSIONS: Healthcare satisfaction and information on after-miscarriage physical changes correlated significantly with reduced perinatal grief rates after miscarriage. However, any effects of mental health information and psychological support provision need further studies. Training for healthcare providers dealing with pregnancy loss, implementing national guidelines that include follow-up on the parents\' physical and psychological health, and including a specialized area in medical structures are advised.
METHODS: In a cross-sectional study, symptoms of perinatal grief, degree of satisfaction with healthcare received, and information and support provision data were collected through an online survey aimed at women in Portugal who suffered a miscarriage. 873 were considered eligible. Correlations were performed between perinatal grief scores and healthcare satisfaction rates. Finally, the proportions of information and support received were compared after distributing the sample in groups according to their perinatal grief levels.
RESULTS: Healthcare satisfaction correlated significantly with perinatal grief scores, the latter increasing as satisfaction levels decreased. 61.1% of our sample received information about the physical consequences of miscarriage and showed a significantly lower rate of above-threshold perinatal grief symptoms in this group. 18.2% received information about its mental health consequences, with no significant differences in above-threshold symptom rates. 11.7% were offered or recommended mental health support, but no significant differences in above-threshold symptom rates were found.
CONCLUSIONS: Healthcare satisfaction and information on after-miscarriage physical changes correlated significantly with reduced perinatal grief rates after miscarriage. However, any effects of mental health information and psychological support provision need further studies. Training for healthcare providers dealing with pregnancy loss, implementing national guidelines that include follow-up on the parents\' physical and psychological health, and including a specialized area in medical structures are advised.
摘要：
目的：15-20%的已确认妊娠导致流产，这可能会导致一些女性持续的心理疾病症状。医疗保健满意度是被认为会影响这种负面心理反应的因素之一。这里,我们介绍了在葡萄牙进行的一项研究的结果，该研究分析了医疗保健满意度之间的关系，信息和支持提供和围产期悲伤症状。
方法：在一项横断面研究中，围产期悲伤的症状，对医疗保健的满意度，通过一项针对葡萄牙流产妇女的在线调查收集了信息和支助数据。873被认为是合格的。围产期悲伤评分与医疗保健满意度之间存在相关性。最后,根据围产期悲伤程度分组后，比较了获得的信息和支持的比例。
结果：医疗保健满意度与围产期悲伤评分显着相关，后者随着满意度的下降而增加。我们的样本中有61.1％收到了有关流产的身体后果的信息，并且在该组中显示出高于阈值的围产期悲伤症状的比率显着降低。18.2%的人收到了关于其心理健康后果的信息，阈值以上症状发生率无显著差异。11.7%的人被提供或推荐心理健康支持，但高于阈值的症状发生率没有显著差异。
结论：医疗保健满意度和流产后身体变化信息与流产后围产期悲伤率降低显著相关。然而,心理健康信息和心理支持提供的任何影响都需要进一步研究。为处理怀孕损失的医疗保健提供者提供培训，实施国家指导方针，包括对父母的身心健康采取后续行动，建议在医疗结构中包括一个专门的领域。
方法：在一项横断面研究中，围产期悲伤的症状，对医疗保健的满意度，通过一项针对葡萄牙流产妇女的在线调查收集了信息和支助数据。873被认为是合格的。围产期悲伤评分与医疗保健满意度之间存在相关性。最后,根据围产期悲伤程度分组后，比较了获得的信息和支持的比例。
结果：医疗保健满意度与围产期悲伤评分显着相关，后者随着满意度的下降而增加。我们的样本中有61.1％收到了有关流产的身体后果的信息，并且在该组中显示出高于阈值的围产期悲伤症状的比率显着降低。18.2%的人收到了关于其心理健康后果的信息，阈值以上症状发生率无显著差异。11.7%的人被提供或推荐心理健康支持，但高于阈值的症状发生率没有显著差异。
结论：医疗保健满意度和流产后身体变化信息与流产后围产期悲伤率降低显著相关。然而,心理健康信息和心理支持提供的任何影响都需要进一步研究。为处理怀孕损失的医疗保健提供者提供培训，实施国家指导方针，包括对父母的身心健康采取后续行动，建议在医疗结构中包括一个专门的领域。
