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.

Research has shown that application of emotional freedom technique and music ensures psychological growth, increases well-being, and decreases cortisol level.
In the study, it was aimed to determine the effect of EFT and music applied to pregnant women who had experienced prenatal loss on their psychological growth, well-being, and cortisol level.
The study was conducted as a randomized controlled trial in a city hospital in eastern Türkiye with 159 pregnant women, 53 of whom were in the EFT, 53 in the music group, and 53 in the control group. The study data were collected through Subjective Units of Disturbance Scale (SUDS), Subjective Units of Experience (SUE) Scale, Post Traumatic Growth Inventory (PTGI), and WHO-5 Well-Being Index, and saliva samples were taken for cortisol evaluation. EFT was applied to the women two times every other week; the women in the music group listened to music two times every other week. Throughout the week following the first intervention, the women continued the interventions at home.
It was determined that EFT and music significantly decreased the participants\' subjective anxiety and salivary cortisol median scores, the lowest anxiety was in the EFT group, and PTGI and WHO-5 Well-Being Index mean scores increased (p < 0.005). Further analyses showed that EFT was more effective in terms of increasing well-being than music (p < 0.001; a > b > c). It was determined that the anxiety levels and salivary cortisol median values of the control group were statistically significantly higher compared to the EFT and music groups (p < 0.001).
It was found that EFT and music applied to the women who had experienced prenatal loss decreased anxiety, ensured psychological growth, improved well-being, and decreased salivary cortisol level.

UNASSIGNED: Pregnancy is considered a complex period in a woman\'s life due to the changes that occur at different levels, which increase her vulnerability to developing psychological symptoms. A woman\'s temperament and perceived social support may play important roles in the development of such symptomatology. The main objective of the present work was to evaluate whether social support is an effective coping resource against the development of symptoms of depression and anxiety, especially among women with certain personality types, while also considering previous prenatal losses.
UNASSIGNED: The participants were 534 pregnant women in their 26th week of gestation. They completed measures related to social support, temperament (i.e. neuroticism and extraversion) and symptoms of depression and anxiety and informed us of any previous prenatal losses.
UNASSIGNED: The association between social support and depression was negative only for women who scored high on neuroticism. Extraversion did not interact with social support to predict depression or anxiety. Additionally, temperament interacted with previous prenatal losses, playing a relevant role in the development of anxiety symptoms. Previous losses had a greater effect on women who scored low in extraversion or high in neuroticism. Finally, a triple interaction between temperament, social support and previous prenatal loss emerged, indicating that previous prenatal loss was related to anxiety in women with low social support and low extraversion.
UNASSIGNED: Pregnant women, especially those who have suffered a previous prenatal loss and score high in neuroticism or low in extraversion, may benefit from interventions that enhance social support.

Prenatal loss which occurs in approximately 20% of pregnancies represents a well-established risk factor for anxiety and affective disorders. In the current study, we examined whether a history of prenatal loss is associated with a subsequent pregnancy with maternal psychological state using ecological momentary assessment (EMA)-based measures of pregnancy-specific distress and mood in everyday life.
This study was conducted in a cohort of N = 155 healthy pregnant women, of which N = 40 had a history of prenatal loss. An EMA protocol was used in early and late pregnancy to collect repeated measures of maternal stress and mood, on average eight times per day over a consecutive 4-day period. The association between a history of prenatal loss and psychological state was estimated using linear mixed models.
Compared to women who had not experienced a prior prenatal loss, women with a history of prenatal loss reported higher levels of pregnancy-specific distress in early as well as late pregnancy and also were more nervous and tired. Furthermore, in the comparison group pregnancy-specific distress decreased and mood improved from early to late pregnancy, whereas these changes across pregnancy were not evident in women in the prenatal loss group.
Our findings suggest that prenatal loss in a prior pregnancy is associated with a subsequent pregnancy with significantly higher stress and impaired mood levels in everyday life across gestation. These findings have important implications for designing EMA-based ambulatory, personalized interventions to reduce stress during pregnancy in this high-risk group.

The loss of a child comes with trauma, which affects parents and the entire family. Yet, there is limited support for parents who lose their child and little empirical research has been devoted to the experiences of parents who lose a child in the Ghanaian context. Based on interviews with 20 participants purposively sampled from the Accra Metropolis, this study explored parents\' psychosocial experiences of child loss using a qualitative approach. The study\'s findings indicated that bereaved parents showed signs of complicated grief and experienced spousal neglect, self-blame, and emotional pain. Bereaved parents may become sensitive to child comments years after child loss. The quality of interaction after child loss influences how parents experience the loss. Findings underscore the need for a joint effort by government and other stakeholders in the health sector to address issues related to child loss and provide improved services to those who suffer child loss.

The loss of an infant through stillbirth, miscarriage, or neonatal death is recognized as a traumatic life event. Predictors of development of complicated grief after prenatal loss include lack of social support, pre-existing relationship difficulties, or absence of surviving children, as well as ambivalent attitudes or heightened perception of the reality of the pregnancy. Risk of complicated grief was found to be especially high after termination of a pregnancy due to fetal abnormality. Studies have revealed that men and women show different patterns of grief, potentially exacerbating decline in a relationship. Although it is clear that prenatal loss has a large psychological impact, it is concluded that there is a substantial lack of randomized controlled studies in this field of research.