Experience of miscarriage: an interpretative phenomenological analysis

Meaney, Sarah; Corcoran, Paul; Spillane, Niamh; O’Donoghue, Keelin

doi:10.1136/bmjopen-2016-011382

Cited by 100 publications

(176 citation statements)

References 29 publications

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“…Although not associated directly with app use, an additional and important finding from this study was the observation that women with a history of conception (p < 0.001) or who were actively seeing to get pregnant (p < 0.001) were more aware of the miscarriage rate (p < 0.001 in adjusted model). This is consistent with findings that the general population often underestimate the prevalence of miscarriage [37], and couples who have experienced miscarriage reported that they were not previously aware of the frequency in which it occurs in the people around them [69]. As miscarriage is not often discussed amongst the general population, it is likely that lived experience was responsible for the significant differences in response rates to this question in women who had conceived in the past or that were trying to conceive.…”

Section: Discussionsupporting

confidence: 85%

The association between reproductive health smartphone applications and fertility knowledge of Australian women

et al. 2020

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Background: Previous studies have identified that women living in developed countries have insufficient knowledge of factors which may be contributing to the increasingly high global infertility rates such as maternal age and assisted reproductive technologies. There is a large market of reproductive health smartphone applications, yet little is known about the advantages these apps may confer to users in regards to reproductive health knowledge. Methods: An anonymous, online survey of women living in Australia aged 18 and above was open March-June 2018, until ≥200 responses were acquired for statistical power. Respondents answered questions regarding knowledge about general fertility and related factors (age, cyclic fertility, smoking, obesity, miscarriage rate, and success of assisted reproductive technologies). Fertility knowledge was compared in respondents who did or did not use apps relating to female reproductive health. Additionally the functions preferred in reproductive health apps was described by app using respondents. Sociodemographic information was also collected, and relevant data within the dataset was subject to multivariable modelling for the outcome of the fertility knowledge questions. Results: Of the 673 respondents that completed the survey, 43.09% reported using mobile phone applications relating to female reproductive health. On average, respondents answered only three of the six fertility knowledge questions correctly. App using respondents were more likely to score better on one question, related to fertility during the menstrual cycle (p < 0.001). App users most commonly reported using the menstrual tracking function in apps (82.4%), which may account for the increased knowledge of cyclic fertility. Conclusions: This data provides preliminary evidence toward the usefulness of smartphone applications as a medium for providing information about fertility to women. A limited understanding of one's own fertility was demonstrated despite being essential for the decision-making of women throughout their reproductive years.

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Section: Discussionsupporting

confidence: 85%

The association between reproductive health smartphone applications and fertility knowledge of Australian women

et al. 2020

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“…In turn this may lead to a potentially increased likelihood of identifying risk factors and receiving antenatal care and surveillance following the detection of nonmodifiable risk factors. The results of this study suggest that the public awareness of stillbirth as a possible outcome of pregnancy is at least higher than the public awareness of the incidence of miscarriage although the incidence of miscarriage is considerably higher …”

Section: Discussionmentioning

confidence: 65%

The public awareness of stillbirth: an Irish population study

Nuzum

Meaney

O’Donoghue

2017

BJOG

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Objective To evaluate the general population's awareness of stillbirth.Design A cross-sectional telephone population survey.Setting A nationally representative sample of the Irish adult population.Sample In all, 999 members of the Irish population were selected by random digit dialling.Methods Data were analysed using descriptive and inferential statistics. Binary logistic regression was used to assess the odds of identifying risk factors for stillbirth.Main outcome measures Public knowledge of incidence, risk factors, causes and social awareness about stillbirth.Results Only a minority, 17%, of respondents correctly identified the incidence of stillbirth. Men and those aged over 45 years were more likely to say they did not know when a stillbirth occurs. Over half, 56% of respondents were unable to identify any stillbirth risk factors. Half of respondents, 53%, believed that the cause of stillbirth was due to a problem with the baby, 39% a problem with the mother, while 31% believed stillbirth occurred as a result of the care provided to the mother. The majority, 79%, believed that all stillbirths should be medically investigated, although women were more likely to suggest this (82% versus 76.4%; P = 0.043). Stillbirth had been represented in traditional and online media for 75% of respondents and 54% said they personally knew someone who had a stillbirth.Conclusions There is a lack of public knowledge concerning the incidence, risk factors and causes of stillbirth. Improved public health initiatives and antenatal education are warranted to increase awareness of stillbirth risk factors and to improve care and monitoring during pregnancy.Funding No funding was granted for this study.Keywords Antenatal education, Irish population survey, public health, Stillbirth, stillbirth risk factors.Tweetable abstract Irish population study shows low public awareness of stillbirth incidence, risk factors and causes. Plain Language SummaryThis study aimed to find out what the general public know about the risk factors associated with stillbirth and whether stillbirth can be prevented. Many stillbirth risk factors can be identified and when they are, healthcare professionals can monitor pregnancy and hopefully reduce the possibility of a baby dying before birth. A sample of 999 people from the Irish population was surveyed by a professional telephone polling company for this study.The results of this study found that most people did not know how common stillbirth was and also believed that only a minority could be prevented. Most people were not able to identify any risk factors that can lead to stillbirth. Most people knew someone who had had a stillbirth and likewise most people believed that all stillbirths should be investigated to find a cause.It is possible that some people do not know the difference between stillbirth and miscarriage and this question was not asked in this study. Six people did not complete the interview as the topic of stillbirth was too sensitive. It is possible that these people had experienced a st...

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“…The period of three years was deemed suitable as miscarriage may be a traumatic event remembered several years after the loss (Gerber‐Epstein, Leichtentritt, & Benyamini, ). Participants’ stories were found to be detailed in previous studies on the topic using time frames of up to 6 years (MacWilliams et al, ; Meany et al, ). The exclusion criterion for parents was to have been a nurse in this ED setting.…”

Section: Methodsmentioning

confidence: 99%

“…Participants' stories were found to be detailed in previous studies on the topic using time frames of up to 6 years (MacWilliams et al, 2016;Meany et al, 2017). The exclusion criterion for parents was to have been a nurse in this ED setting.…”

Section: Setting and Samplementioning

confidence: 99%

Exploring the needs of parents who experience miscarriage in the emergency department: A qualitative study with parents and nurses

Emond

Montigny

Guillaumie

2019

Journal of Clinical Nursing

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Aims and objectives To understand how parents experienced miscarriage in an emergency department setting. Objectives were to identify parents’ needs, isolate factors that influenced their experience, and provide recommendations to improve care from the perspective of women, their partners, nurses and nurse managers. Background Miscarriage is the most prevalent complication encountered during pregnancy. It subjects parents to a multitude of emotions and may have significant consequences on mental health. Emergency department visits are frequently the only opportunity for parents to receive formal support during a miscarriage; it is thus crucial to understand the experiences of parents in this setting. Design The study employed a descriptive, exploratory, qualitative approach with semi‐structured interviews. Methods The study was founded on the W.K. Kellogg Foundation's Logic Model Development Guide (2004) and Meleis’ Transitions Theory (2015). A total of 26 participants were interviewed (17 parents, 7 emergency department nurses and 2 emergency department nurse managers). Consolidated criteria for reporting qualitative research was used to report results. Results Three categories of needs were identified: physical health, cognitive and emotional. For instance, parents expressed a need to receive more information during their visit to the emergency department (i.e., a cognitive need), whether about the diagnostic test results or how to ensure a better recovery. Parents also reported a desire for professionals to address their emotional concerns. Nurses were aware of the emotional impact of miscarriage but felt that they were not adequately trained in providing optimal care to parents in this situation. Conclusions Parents who visited the emergency department for miscarriage reported several unfulfilled needs that generated dissatisfaction with care. Emergency department organisational constraints hindered optimal nursing care practices. Relevance to clinical practice Nurses have an important role to play in improving parents’ experience. They can do so by understanding the needs of parents and by being involved in developing new guidelines.

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Experience of miscarriage: an interpretative phenomenological analysis

Cited by 100 publications

References 29 publications

The association between reproductive health smartphone applications and fertility knowledge of Australian women

The association between reproductive health smartphone applications and fertility knowledge of Australian women

The public awareness of stillbirth: an Irish population study

Exploring the needs of parents who experience miscarriage in the emergency department: A qualitative study with parents and nurses

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