Obstetric nurses' attitudes to caring for couples with pregnancy loss
DOI:
https://doi.org/10.29352/mill0217e.40386Keywords:
obstetric nurse; pregnancy; grief; attitudeAbstract
Introduction: Pregnancy loss is a traumatic event that affects many couples, who often report a lack of social and emotional support and need professional support, particularly from obstetric nurses.
Objective: To understand the attitudes of obstetric nurses when caring for couples with pregnancy loss.
Methods: A qualitative, phenomenological-hermeneutic study, based on Max Van Manen's presuppositions, approved by the Ethics Committee. Using snowball sampling, 14 obstetric nurses with experience in the field were selected for semi-structured interviews. The data collected was analyzed phenomenologically using MAXQDA 24 software.
Results: The analysis of the testimonies of the 14 Obstetric Nurses allowed us to uncover the “Attitudes of the Obstetric Nurse at the time the couple receives the news of gestational loss”, where the following subcategories emerged: “Support unconditionally”, “Give space”, “Give the couple time to internalize the news”, “Use touch”, “Promote comfort”. None of the nurses had specific training in caring for couples with pregnancy loss. Among those who reported having some training, they reported “Content taught in the specialty”, “Participating in seminars”, “Having self-training”, “In service”, “Participation in Congresses, where the topic arises”. Among the most common emotions experienced were frustration, helplessness and feelings of inadequacy in being able to manage adequately in these situations.
Conclusion: The evidence from the research suggests an emerging need for improvements in caring for couples with pregnancy loss at the developmental level of obstetric nurses, i.e. that they should be given specific training in the area so that they can care for couples with pregnancy loss more effectively and according to the needs of each couple, taking into account their uniqueness.
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Arach, A. A. O., Kiguli, J., Nankabirwa, V., Nakasujja, N., Mukunya, D., Musaba, M. W., Napyo, A., Tumwine, J. K., Ndeezi, G., & Rujumba, J. (2022). “Your heart keeps bleeding”: Lived experiences of parents with a perinatal death in Northern Uganda. BMC Pregnancy and Childbirth, 22(1), 491. https://doi.org/10.1186/s12884-022-04788-8
Atkins, B., Blencowe, H., Boyle, F. M., Sacks, E., Horey, D., & Flenady, V. (2022). Is care of stillborn babies and their parents respectful? Results from an international online survey. BJOG, 129(5), 785-792. https://doi.org/10.1111/1471-0528.17138
Berry, S. N., Marko, T., & Oneal, G. (2021). Qualitative interpretive metasynthesis of parents' experiences of perinatal loss. Journal of Obstetric, Gynecologic & Neonatal Nursing, 50(1), 20–29. https://doi.org/10.1016/j.jogn.2020.10.004
Craft-Blacksheare, M., & Frencher, Y. (2018). Using high fidelity simulation to increase nursing students’ clinical postpartum and newborn assessment proficiency: A mixed-methods research study. Nurse Education Today, 71, 198–204. https://doi.org/10.1016/j.nedt.2018.09.031
Di Nallo, A., & Köksal, S. (2023). Job loss during pregnancy and the risk of miscarriage and stillbirth. Human Reproduction, 38(11), 2259-2266. https://doi.org/10.1093/humrep/dead183
Dimitriadis, E., Menkhorst, E., Saito, S., Kutteh, W. H., & Brosens, J. J. (2020). Recurrent pregnancy loss. Nature Reviews Disease Primers, 6, 98. https://doi.org/10.1038/s41572-020-00228-z
Donegan, G., Noonan, M., & Bradshaw, C. (2023). Parents' experiences of pregnancy following perinatal loss: An integrative review. Midwifery, 121, 103673. https://doi.org/10.1016/j.midw.2023.103673
Fernández-Férez, A., Ventura-Miranda, M. I., Camacho-Ávila, M., Fernández-Caballero, A., Granero-Molina, J., Fernández-Medina, I. M., & Requena-Mullor, M. (2021). Nursing interventions to facilitate the grieving process after perinatal death: A systematic review. International Journal of Environmental Research and Public Health, 18(11), 5587. https://doi.org/10.3390/ijerph18115587
Galeotti, M., Heaney, S., Robinson, M., & Aventin, Á. (2023). Evaluation of a pregnancy loss education intervention for undergraduate nursing students in Northern Ireland: A pre-and post-test study. BMC Nursing, 22, 268. https://doi.org/10.1186/s12912-023-01408-4
Kaydirak, M., & Aslan, E. (2021). Efficacy of nursing support in the pre-and postmedical termination of pregnancy phases: A randomized study. Omega (Westport), 84(1), 51-68. https://doi.org/10.1177/0030222819877791
Martins, M. V., Valente, V. A., Silva, A. D., Ramalho, C., & Costa, M. E. (2023). “Death is a sensitive topic when you are surrounded by life”: Nurses' experiences with pregnancy loss. Sexual & Reproductive Healthcare, 35, 100817. https://doi.org/10.1016/j.srhc.2023.100817
Mendes, D. C. G., Fonseca, A., & Cameirão, M. S. (2023). The psychological impact of early pregnancy loss in Portugal: Incidence and the effect on psychological morbidity. Frontiers in Public Health, 11, 1188060. https://doi.org/10.3389/fpubh.2023.1188060
Moreira Freitas, M. C. P., Magalhães, B., Martínez-Galiano, J. M., & Gómez-Salgado, J. (2024). Maternal perception of pregnancy loss: Protocol for a thematic synthesis. International Journal of Women's Health, 16, 1229-1234. https://doi.org/10.2147/IJWH.S463461
Qian, J., Wang, W., Sun, S., Wu, M., Liu, L., Sun, Y., & Yu, X. (2022). Exploring interactions between women who have experienced pregnancy loss and obstetric nursing staff: A descriptive qualitative study in China. BMC Pregnancy and Childbirth, 22(1), 450. https://doi.org/10.1186/s12884-022-04787-9
Quenby, S., Gallos, I. D., Dhillon-Smith, R. K., Podesek, M., Stephenson, M. D., Fisher, J., Brosens, J. J., Brewin, J., Ramhorst, R., Lucas, E. S., McCoy, R. C., Anderson, R., Daher, S., Regan, L., Al-Memar, M., Bourne, T., MacIntyre, D. A., Rai, R., Christiansen, O. B., … Coomarasamy, A. (2021). Miscarriage matters: The epidemiological, physical, psychological, and economic costs of early pregnancy loss. Lancet (London, England), 397(10285), 1658–1667. https://doi.org/10.1016/S0140-6736(21)00682-6
Ravaldi, C., Levi, M., Angeli, E., Romeo, G., Biffino, M., Bonaiuti, R., & Vannacci, A. (2018). Stillbirth and perinatal care: Are professionals trained to address parents’ needs? Midwifery, 64, 53–59. https://doi.org/10.1016/j.midw.2018.05.008
Smith, L. K., Dickens, J., Bender Atik, R., Bevan, C., Fisher, J., & Hinton, L. (2020). Parents' experiences of care following the loss of a baby at the margins between miscarriage, stillbirth, and neonatal death: A UK qualitative study. BJOG, 127(7), 868-874. https://doi.org/10.1111/1471-0528.16113
Van Manen, M. (2003). Investigação educativa e experiência vivida: Ciência humana para uma pedagogia de ação e de sensibilidade. Idea Books.
Voss, P., Schick, M., Langer, L., Ainsworth, A., Ditzen, B., Strowitzki, T., Wischmann, T., & Kuon, R. J. (2020). Recurrent pregnancy loss: A shared stressor---couple-orientated psychological research findings. Fertility and Sterility, 114(6), 1288–1296. https://doi.org/10.1016/j.fertnstert.2020.08.1421
Watson, J. (2007). Watson’s theory of human caring and subjective living experiences: Carative factors/Caritas processes as a disciplinary guide to the professional nursing practice. Texto & Contexto - Enfermagem, 16(1), 129-135. https://doi.org/10.1590/S0104-07072007000100016
Wright, P. M. (2020). Perinatal loss and spirituality: A metasynthesis of qualitative research. Illness, Crisis & Loss, 28(1), 99–118. https://doi.org/10.1177/1054137317698660
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