The Correlation between Post-Abortion Grief and Quality of Life in Females With a History of Abortion Visiting Health Centers and Hospitals of Shahid Beheshti University of Medical Sciences, Iran During Year 2016 (original) (raw)
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Maternal grief after abortion and related factors
Journal of the Medical Association of Thailand = Chotmaihet thangphaet, 2004
To investigate maternal grief after abortion and the factors that might relate to the intensity of maternal grief. Cross-sectional, descriptive study. 132 women who attended the abortion clinic, Department of Obstetrics and Gynecology, Faculty of Medicine, Siriraj Hospital, Thailand. The subjects were asked to complete the questionnaires including demographic characteristics, history of previous pregnancy, and Perinatal Grief scales, two weeks after abortion. The data was then analyzed to determine maternal grief and related factors of grief intensity. There were 7 women with severe grief intensity (5.3%), 50 with moderately grief intensity (37.9%) and 75 with mild grief intensity (56.8%). The factors associated with PGS scores were low income, had had ultrasonography, gestational age of > 16 weeks and methods of treatment. Grief is worldwide among women who have recently aborted. The related factors with grief intensity can be used for screening psychological problems of the wom...
A Cross-Sectional Study of the Psychosocial Problems Following Abortion
Indian journal of psychiatry
Twenty percent of pregnant women undergo an abortion. Reviews of previous studies on the effects of abortion on mental health have been inconclusive. Little research has been carried out in this direction in our country. This study aims to study the psychological effects of abortions and the associated sociodemographic and other parameters. It is a cross-sectional study, conducted in five different government hospitals of Hyderabad. After identifying the participants, an interview was conducted. First, sociodemographic and other parameters were collected by an interviewer. Then, another interviewer conducted the interview using diagnostic tools (Impact of Events Scale-Revised [IES-R] and Goldberg Health Questionnaire-12 [GHQ-12]). Analysis was carried out using SPSS software. Sixty cases of spontaneous abortion, 31 therapeutic and 9 elective abortions, were collected. Overall, on GHQ-12, 57% women had no distress, 11% had typical distress, while 14% had more than typical distress, 1...
Iranian Journal of Nursing and Midwifery Research, 2020
Background: Abortion and loss of pregnancy in the first trimester may affect maternal mortality and morbidity. This study aimed to determine the severity of post-abortion stress in spontaneous abortion, induced abortion, and Forensic Medical Center (FMC) referral abortions immediately after abortion and after 1 month of follow-up in Shiraz, Iran, in 2018. Materials and Methods: This cross-sectional study was conducted on 104 mothers selected through convenience sampling method in 2018. The data collection tools included a demographic characteristics questionnaire and the Mississippi Post-Traumatic Stress Disorder (M-PTSD) Scale that were filled out by mothers immediately and 1 month after the abortion. Data were analyzed using one-way ANOVA and post-hoc LSD test in SPSS software. Moreover, p < 0.05 was considered as statistically significant. Results: The mean (SD) of post-traumatic stress scores was 83.87 (18.35) and 77.40 (9.88) in spontaneous abortion, 82.28 (13.27) and 75.71 (14.73) in FMC permitted abortions, and 86.66 (10.10) and 74.98 (12.99) in induced abortions immediately and 1 month after abortion, respectively. Stress was reduced in the three groups of mothers, after one month of severe value. The score for frequency of stress was 3.10% in FMC-permitted abortions and 5.10% in induced abortions; moreover, no stress was observed in the spontaneous abortion cases. Conclusions: Stress was gradually reduced over time. The level of PTSD was lower after 1 month in women who had experienced spontaneous abortion. Given that 1 month after abortion, women are still often moderately stressed, follow-up care, and appropriate counseling for these women are necessary.
BMC medicine, 2005
Miscarriage and induced abortion are life events that can potentially cause mental distress. The objective of this study was to determine whether there are differences in the patterns of normalization of mental health scores after these two pregnancy termination events. Forty women who experienced miscarriages and 80 women who underwent abortions at the main hospital of Buskerud County in Norway were interviewed. All subjects completed the following questionnaires 10 days (T1), six months (T2), two years (T3) and five years (T4) after the pregnancy termination: Impact of Event Scale (IES), Quality of Life, Hospital Anxiety and Depression Scale (HADS), and another addressing their feelings about the pregnancy termination. Differential changes in mean scores were determined by analysis of covariance (ANCOVA) and inter-group differences were assessed by ordinary least squares methods. Women who had experienced a miscarriage had more mental distress at 10 days and six months after the p...
Women and men's psychological adjustment after abortion: a six months prospective pilot study
Background: The psychological impact of abortion is a controversial issue. While some studies indicate that women who had elective abortions present lower psychological distress when compared with those who had spontaneous or therapeutic abortions, other studies found abortion to be associated with significant psychological distress. Objectives: To assess psychological adjustment (emotional disorder, trauma symptoms and couple relationship) one and six months after abortion, and gender differences regarding psychological adjustment, and to assess the moderation role of couple relationship in the effect of the etiology of abortion on emotional disorder and trauma symptoms. Methods: Women (n=50) with different etiologies of abortion agreed to participate, as well as 15 partners (N=65). Assessments took place one and six months after abortion. Measures included the Brief Symptoms Inventory, the Impact of Event Scale-Revised and the Relationship Questionnaire. Results: A decrease in emotional disorder for all etiologies of abortion and an increase in perceived quality of couple relationship in therapeutic abortion were observed over time. Couple relationship moderates the effect of the etiology of abortion on trauma symptoms one month after abortion. Conclusion: Psychological adjustment after abortion seems not to be exclusively related to its etiology, being influenced by other factors such as couple relationship.
2016
Background: Miscarriage and induced abortion are life events that can potentially cause mental distress. The objective of this study was to determine whether there are differences in the patterns of normalization of mental health scores after these two pregnancy termination events. Methods: Forty women who experienced miscarriages and 80 women who underwent abortions at the main hospital of Buskerud County in Norway were interviewed. All subjects completed the following questionnaires 10 days (T1), six months (T2), two years (T3) and five years (T4) after the pregnancy termination: Impact of Event Scale (IES), Quality of Life, Hospital Anxiety and Depression Scale (HADS), and another addressing their feelings about the pregnancy termination. Differential changes in mean scores were determined by analysis of covariance (ANCOVA) and inter-group differences were assessed by ordinary least squares methods. Results: Women who had experienced a miscarriage had more mental distress at 10 d...
Iranian Journal of Public Health, 2020
Background: Abortion is the ending of pregnancy due to removing an embryo or fetus before it can survive outside the uterus. Some women suffer from psychological disorders such as anxiety, depression and grief after abortion. Early detection of high-risk women after abortion and psychological intervention is one of the healing methods than can lead to improving outcomes but its effectiveness is not clear. The present meta-analysis evaluated the efficacy of this approach. Methods: The international and national electronic databases were searched from Jan 1998 until Aug 2018 including Medline, Web of Knowledge, Ovid, Embase, PubMed, Scopus, Cochrane, ScienceDirect, PsycINFO, ProQuest, Google Scholar, Iranmedex, Scientific Information Database (SID), and Magiran. The pooled mean difference with the random-effects model was used for meta-analyses. The preferred reporting items for systematic reviews and meta-analyses guidelines adhered in this study. Results: We enrolled 7 relevant stud...
Womenâs Quality of Life during the Grief Process after Perinatal Death
Zdravje delovno aktivne populacije / Health of the Working-Age Population, 2017
Background: Around one fifth of pregnancies worldwide ends in miscarriage, ectopic pregnancy or stillbirth. Women often do not show their feelings after these events; they suppress them or do not talk about their loss. Unresolved grief can affect many aspects of women physical and mental health in all stages of life. Methods: The study included 108 women who experienced perinatal loss. All of them completed the Munich Grief Scale questionnaire and a questionnaire on demographic data. Results: Statistically significant differences in the experience of grief were associated with gestational age of the child (p < 0.01), the age of the mother (p < 0.05) and the time that has elapsed since the child's death (p < 0.01). In the clinical setting women judged dealing of health workers, and reported more understanding and compassionate treatment at home. The research was the basis for developing protocols with instructions for handling a situation of stillbirth, focusing on mental well-being of the mother. Discussion and conclusions: The qualification of health professionals is very important. They have the first contact with the mother and at the same time the influence to prevent the pathological processes of bereavement. Careful planning of health care and by using the protocol, nurse can gain an insight into the process of bereavement, and has a tool that focuses on procedures and activities.
Universal Responses to Abortion? Attachment, Trauma and Grief Responses in Women Following Abortion
Journal of Prenatal & Perinatal Psychology & Health 2003. pp. 3-37, 2003
Twenty-six million legal abortions occur each year worldwide. Of these an unknown percentage of women have adverse psychological sequelae. This article reports on interviews with a nonrandom sample of fifty women regarding reproductive history, abortion experiences and emotional responses in the former Soviet Union country of Belarus, where abortions are often used as a primary form of birth control. Both positive and negative responses were queried but emphasis was on cross-cultural comparisons with western samples regarding posttraumatic sequelae, depression, grief and guilt, and using an objective measure of trauma symptoms, the IES-R. Comparisons with existing Western literature allowed the question of: Similar to the cross-cultural concept of posttraumatic stress disorder are their possibly universal responses to abortion as well? As in western samples, attachment and recognition of life during pregnancy were present for many women despite choosing abortion, and eighty-two percent of the sample reported posttraumatic sequelae, which is high. Grief, guilt, dissociation, depression, anxiety and psychosomatic responses were also in common across cultures. The authors conclude that despite disparate circumstances and abortion use, women who have adverse responses are very similar across these two divergent cultures. They call for more research using representative samples to learn what percentage of women are likely to have adverse responses and which variables predict negative responses.
Heliyon, 2024
Objective The purpose of this study was to examine women's recollected lifespan perceptions of the effect of grief intensity following adolescent perinatal death. Participants Nineteen adult women who had experienced either a miscarriage or an abortion during adolescence. The study involved the recollection of events surrounding the experience which had occurred between three and 28 years previously. Methods A 55-item online survey was used to gather recollected perceptions of adolescent miscarriage and abortion experiences. The Perinatal Grief Intensity Scale was embedded within this survey. The participants were instructed to recall their responses to the perinatal loss at the time of the event as an adolescent (T1; Time 1) and how they feel currently as adults about their previous adolescent perinatal death (T2; Time 2). Data were collected at both T1 and T2. The Perinatal Grief Intensity Scale is accompanied by an appropriately weighted Excel scoring sheet which was utilised to analyse the data at both T1 and T2. Results As adolescents, participants perceived similar high and medium grief intensity when compared by type of loss (miscarriage, n = 6; abortion, n = 6). However, more women who had an abortion (n = 5) experienced low grief intensity compared with participants who had a miscarriage (n = 2). As adults, participants continued to perceive similar high and medium grief intensity when compared by type of loss (miscarriage, n = 6; abortion, n = 5). In addition, women who had an abortion continued to experience more low grief intensity (n = 6) compared with participants who had a miscarriage (n = 2). Approximately one quarter of adult female respondents, 26 % (n = 5) exhibited increased grief intensity as measured by the scores over time. Thirty seven percent (n = 7) exhibited no change in scores, and 37 % (n = 7) exhibited decreased scores over time in response to adolescent miscarriage or abortion. Conclusions Support for the adoption of the Perinatal Grief Intensity Scale to identify women in need of follow-up for grief intensity after an adolescent miscarried or terminated pregnancy is evident. The results of this study have demonstrated that grief can resurge or appear in adult females as they respond to events across the lifespan, including further reproductive experiences. Therefore there is a compulsion for health care professionals to identify women at risk of intensive grief responses due to previous contributory events.