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Hope for the best …but expect the worst: a qualitative study to explore how women with recurrent miscarriage experience the early waiting period of a new pregnancy
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| Zeitschriftentitel: | BMJ Open |
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| Personen und Körperschaften: | , , , , , |
| In: | BMJ Open, 9, 2019, 5, S. e029354 |
| Format: | E-Article |
| Sprache: | Englisch |
| veröffentlicht: |
BMJ
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| Schlagwörter: |
| Zusammenfassung: | <jats:sec><jats:title>Objective</jats:title><jats:p>To investigate how women experience the initial period of a new pregnancy after suffering recurrent miscarriage (RM).</jats:p></jats:sec><jats:sec><jats:title>Design</jats:title><jats:p>A qualitative study, nested within a randomised controlled feasibility study of a coping intervention for RM, used semi-structured face-to-face interviews. Interviews were audio-recorded, transcribed verbatim and analysed using a thematic network approach.</jats:p></jats:sec><jats:sec><jats:title>Setting</jats:title><jats:p>Participants were recruited from the Recurrent Miscarriage Clinic and Early Pregnancy Unit in two tertiary referral hospitals in the UK.</jats:p></jats:sec><jats:sec><jats:title>Participants</jats:title><jats:p>14 women with RMs and who had previously participated in the randomised controlled trial (RCT) feasibility component of the study were recruited.</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>Seven organising themes emerged from the data: (1) turmoil of emotions, (2) preparing for the worst, (3) setting of personal milestones, (4) hypervigilance, (5) social isolation, (6) adoption of pragmatic approaches, (7) need for professional affirmation.</jats:p></jats:sec><jats:sec><jats:title>Conclusions</jats:title><jats:p>The study established that for women with a history of RM, the waiting period of a new pregnancy is a traumatic time of great uncertainty and emotional turmoil and one in which they express a need for emotional support. Consideration should be given to the manner in which supportive care is best delivered within the constraints of current health service provision.</jats:p></jats:sec><jats:sec><jats:title>Trial registration number</jats:title><jats:p><jats:ext-link xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="ISRCTN43571276" ext-link-type="isrctn">ISRCTN43571276</jats:ext-link></jats:p></jats:sec> |
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| Umfang: | e029354 |
| ISSN: |
2044-6055
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| DOI: | 10.1136/bmjopen-2019-029354 |