%0 Journal Article
%T Cognition, emotion, and behaviour in women undergoing pregnancy termination for foetal anomaly: A grounded theory analysis.
%A Qin C
%A Chen WT
%A Deng Y
%A Li Y
%A Mi C
%A Sun L
%A Tang S
%J Midwifery
%V 68
%N 0
%D Jan 2019
%M 30396002
%F 2.64
%R 10.1016/j.midw.2018.10.006
%X <B>OBJECTIVE: </B>To understand the cognition, emotions, and behaviour of women who had recently undergone termination due to a foetal anomaly. In this study, we developed and tested a theoretical model to describe how women went through the process after termination.<BR><B>METHODS: </B>A grounded theory study.<BR><B>METHODS: </B>Three general hospitals and one special hospital in Changsha, Hunan, China.<BR><B>METHODS: </B>41 women who had recently undergone a pregnancy termination.<BR><B>METHODS: </B>In-depth interviews were conducted from May to September 2017. A combination of convenience sampling and theoretical sampling was used, and conceptual depth criteria were used to measure the progress of the theoretical sampling.<BR><B>RESULTS: </B>This study developed a cognitive-behavioural experience framework of women undergoing pregnancy termination due to a foetal anomaly. The model included 4 phases: 1. Denial Phase, 2. Confirmation Phase, 3. Decision-making Phase and 4. Recovery Phase. Different cognitive appraisal, emotional, and behavioural reactions were included in each phase, and the different reactions influenced one another.<BR><B>UNASSIGNED: </B>We built and tested a theoretical framework by interviewing women who had gone through a pregnancy termination. The framework describes their experiences more clearly from three dimensions, including cognitive appraisal, emotional reaction, and behavioural response in the different phases. This framework provides a basic understanding of the women's emotional process and, therefore, provides baseline data for developing an effective intervention to help women cope with termination stresses.