This study aimed to identify the pregnant women's feelings with a history of abortion in the previous pregnancy. This is a descriptive exploratory survey with a qualitative approach developed in the outpatient unit of IMIP, located in the city of Recife. The number of participants was determined by theoretical saturation, with a total of 12 pregnant women, and the inclusion criteria depended on the fact that they had to be over 18 years old, gestational age between 12 and 28 weeks and a history of abortion in the previous pregnancy. Semi-structured interviews were conducted with the collision question: How do you feel pregnant? The material was analyzed by the technique of content analysis proposed by Bardin, resulting in the following category: Fear of a new abortion. It was concluded that fear was the most marked feeling in pregnant women with a history of previous miscarriage. Fear of a further miscarriage was present both in women who spontaneously aborted as in those who had caused it. It is for the health team to try to understand the multiple meanings of pregnancy for the woman and her family, because previous trauma may interfere with the current pregnancy and the development of maternity.
Main outcome measures: Factors associated with the cause of the haemorrhage and the resulting morbidity. Results: There were 15 women of 6431 deliveries during the study period, giving a prevalence of 0.24%. The mean age of the women was 31.3 ± 5.3 years and mean parity was 2.9 ± 1.4. The time of presentation was 13.7 ± 14 days after delivery. Primary postpartum hemorrhage was present in one quarter of them. About 60% had vaginal delivery and the others had cesarean section. Histology confirmed retained products/placenta in eight women only. None of them needed hysterectomy. Fibroid was diagnosed in one woman. Ultrasound was not very sensitive in differentiating the retained products from blood clots. Blood transfusion was necessary in a quarter of them. Conclusion: The prevalence of secondary postpartum hemorrhage was much less than reported in the literature. Risk factors were similar to other studies. Tendency to conservative management to avoid hysterectomy prevailed due to cultural reasons.
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