PDF(Pubmed)
Abstract：
BACKGROUND: Pregnancy loss that includes both miscarriage and stillbirth cause significant psychological distress for women including anxiety, depression, and grief that persist long after physical recovery. This study focuses on the experiences of women in Pakistan, where pregnancy loss rates are high.
OBJECTIVE: To explore how pregnant women with anxiety symptoms and a history of pregnancy loss perceive their past experiences with the loss and how it affects overall well-being in their current pregnancy.
METHODS: Qualitative methods were used to explore the impact of previous pregnancy loss on the well-being of pregnant women.
METHODS: This qualitative research was embedded within a randomized control trial conducted in a tertiary care facility in Rawalpindi, Pakistan.
METHODS: Data were collected through in-depth interviews with 18 pregnant women who had experienced pregnancy loss. Data was analyzed using Framework Analysis.
RESULTS: The findings revealed several factors influencing participants\' well-being during pregnancies that resulted in a loss, such as unsupportive and abusive environments, unintended pregnancies, certain superstitious beliefs, poor health, and lack of access to quality healthcare. The study also highlighted the adverse impact of previous pregnancy loss on the ongoing pregnancy, including deterioration of physical and mental health and aversion of healthcare services. However, some participants reported positive changes in medical and self-care practices and an enhanced faith and reliance on destiny in their subsequent pregnancies.
CONCLUSIONS: Our study highlights the lasting impact of past pregnancy loss on subsequent pregnancies, affecting overall wellbeing and leading to healthcare avoidance. We identified persistent anxiety along with positive outcomes like enhanced medical practices and strengthened faith. Results suggest the need for culturally responsive interventions to support the overall well-being of anxious pregnant women with a history of pregnancy loss in resource-constrained settings.
OBJECTIVE: To explore how pregnant women with anxiety symptoms and a history of pregnancy loss perceive their past experiences with the loss and how it affects overall well-being in their current pregnancy.
METHODS: Qualitative methods were used to explore the impact of previous pregnancy loss on the well-being of pregnant women.
METHODS: This qualitative research was embedded within a randomized control trial conducted in a tertiary care facility in Rawalpindi, Pakistan.
METHODS: Data were collected through in-depth interviews with 18 pregnant women who had experienced pregnancy loss. Data was analyzed using Framework Analysis.
RESULTS: The findings revealed several factors influencing participants\' well-being during pregnancies that resulted in a loss, such as unsupportive and abusive environments, unintended pregnancies, certain superstitious beliefs, poor health, and lack of access to quality healthcare. The study also highlighted the adverse impact of previous pregnancy loss on the ongoing pregnancy, including deterioration of physical and mental health and aversion of healthcare services. However, some participants reported positive changes in medical and self-care practices and an enhanced faith and reliance on destiny in their subsequent pregnancies.
CONCLUSIONS: Our study highlights the lasting impact of past pregnancy loss on subsequent pregnancies, affecting overall wellbeing and leading to healthcare avoidance. We identified persistent anxiety along with positive outcomes like enhanced medical practices and strengthened faith. Results suggest the need for culturally responsive interventions to support the overall well-being of anxious pregnant women with a history of pregnancy loss in resource-constrained settings.
摘要：
背景：包括流产和死胎在内的妊娠损失会给女性带来严重的心理困扰，包括焦虑，抑郁症,和悲伤在身体恢复后很久仍然存在。这项研究的重点是巴基斯坦妇女的经历，怀孕损失率很高的地方。
目的：探讨有焦虑症状和有失孕史的孕妇如何看待她们过去的失孕经历，以及它如何影响她们当前怀孕期间的总体幸福感。
方法：使用定性方法来探索先前怀孕失败对孕妇幸福感的影响。
方法：这项定性研究是在拉瓦尔品第三级医疗机构进行的一项随机对照试验中进行的，巴基斯坦。
方法：通过对18名经历过妊娠失败的孕妇的深入访谈收集数据。使用框架分析对数据进行分析。
结果：研究结果揭示了影响参与者怀孕期间幸福感的几个因素，比如不支持和虐待的环境，意外怀孕,某些迷信的信仰,健康状况不佳,缺乏高质量的医疗保健。该研究还强调了先前怀孕失败对持续怀孕的不利影响，包括身心健康恶化和对医疗服务的厌恶。然而,一些参与者报告说，他们在医疗和自我保健方面发生了积极变化，在随后的怀孕中对命运的信心和依赖增强。
结论：我们的研究强调了过去妊娠丢失对后续妊娠的持久影响，影响整体健康，避免医疗保健。我们确定了持续的焦虑以及积极的结果，如加强医疗实践和增强信心。结果表明，在资源有限的环境中，需要对文化敏感的干预措施来支持有妊娠损失史的焦虑孕妇的整体福祉。
目的：探讨有焦虑症状和有失孕史的孕妇如何看待她们过去的失孕经历，以及它如何影响她们当前怀孕期间的总体幸福感。
方法：使用定性方法来探索先前怀孕失败对孕妇幸福感的影响。
方法：这项定性研究是在拉瓦尔品第三级医疗机构进行的一项随机对照试验中进行的，巴基斯坦。
方法：通过对18名经历过妊娠失败的孕妇的深入访谈收集数据。使用框架分析对数据进行分析。
结果：研究结果揭示了影响参与者怀孕期间幸福感的几个因素，比如不支持和虐待的环境，意外怀孕,某些迷信的信仰,健康状况不佳,缺乏高质量的医疗保健。该研究还强调了先前怀孕失败对持续怀孕的不利影响，包括身心健康恶化和对医疗服务的厌恶。然而,一些参与者报告说，他们在医疗和自我保健方面发生了积极变化，在随后的怀孕中对命运的信心和依赖增强。
结论：我们的研究强调了过去妊娠丢失对后续妊娠的持久影响，影响整体健康，避免医疗保健。我们确定了持续的焦虑以及积极的结果，如加强医疗实践和增强信心。结果表明，在资源有限的环境中，需要对文化敏感的干预措施来支持有妊娠损失史的焦虑孕妇的整体福祉。
