References

Attride-Stirling J Thematic networks: an analytic tool for qualitative research. Qual Res. 2001; 1:(3)385-405 https://doi.org/https://doi.org/10.1177/146879410100100307

Cruz EV, Higginbottom G The use of focused ethnography in nursing research. Nurse Res. 2013; 20:(4)36-43 https://doi.org/https://doi.org/10.7748/nr2013.03.20.4.36.e305

Cullen S, Power S, Coughlan B, Chaney J, Butler M, Brosnan M An exploration of the prevalence and patterns of care for women presenting with mid-trimester loss. Ir J Med Sci. 2016; https://doi.org/https://doi.org/10.1007/s11845-016-1413-y

Dewar B, Nolan M Caring about caring: developing a model to implement compassionate relationship centred care in an older people care setting. Int J Nurs Stud. 2013; 50:(9)1247-58 https://doi.org/https://doi.org/10.1016/j.ijnurstu.2013.01.008

Downe S, Schmidt E, Kingdon C, Heazell AEP Bereaved parents experience of stillbirth in UK hospitals: a qualitative interview study. BMJ Open. 2013; 3:(2) https://doi.org/https://doi.org/10.1136/bmjopen-2012-002237

Fenwick J, Jennings B, Downie J, Butt J, Okanaga M Providing perinatal loss care: satisfying and dissatisfying aspects for midwives. Women Birth. 2007; 20:(4)153-60 https://doi.org/https://doi.org/10.1016/j.wombi.2007.09.002

Gold KJ, Dalton VK, Schwenk TL Hospital care for parents after perinatal death. Obstet Gynecol. 2007; 109:(5)1156-66 https://doi.org/https://doi.org/10.1097/01.AOG.0000259317.55726.df

Health Service Executive. 2016. http://tinyurl.com/gozozyz (accessed 16 January 2017)

Irish Hospice Foundation. Hospice Friendly Hospitals Programme. 2017. http://hospicefoundation.ie/healthcare-programmes/hospice-friendly-hospitals (accessed 16 January 2017)

Kearsley JH, Youngson R Tu souffres, cela suffit: the compassionate hospital. J Palliat Med. 2012; 15:(4)457-62 https://doi.org/https://doi.org/10.1089/jpm.2011.0378

Kelley M, Trinidad S Silent loss and the clinical encounter: Parents and physicians experiences of stillbirth- a qualitative analysis. BMC Pregnancy Childbirth. 2012; 12:(137)1-15

Kong GWS, Chung TKH, Lai BPY, Lok IH Gender comparison of psychological reaction after miscarriage–a 1-year longitudinal study. BJOG. 2010; 117:(10)1211-19 https://doi.org/https://doi.org/10.1111/j.1471-0528.2010.02653.x

Lasker JN, Toedter LJ Satisfaction with hospital care and interventions after pregnancy loss. Death Stud. 1994; 18:(1)41-64 https://doi.org/https://doi.org/10.1080/07481189408252642

Lee C She was a person, she was here: the experience of late pregnancy loss in Australia. J Reprod Infant Psychol. 2012; 30:(1)62-76 https://doi.org/https://doi.org/10.1080/02646838.2012.661849

McCreight BS Perinatal loss: a qualitative study in Northern Ireland. Omega. 2008; 57:(1)1-19 https://doi.org/https://doi.org/10.2190/OM.57.1.a

Moon Fai C, Gordon Arthur D Nurses attitudes towards perinatal bereavement care. J Adv Nurs. 2009; 65:(12)2532-41

Mulvihill A, Walsh T Pregnancy loss in rural Ireland: an experience of disenfranchised grief. Br J Soc Work. 2014; 44:(8)2290-306 https://doi.org/https://doi.org/10.1093/bjsw/bct078

Murphy F, Merrell J Negotiating the transition: caring for women through the experience of early miscarriage. J Clin Nurs. 2009; 18:(11)1583-91 https://doi.org/https://doi.org/10.1111/j.1365-2702.2008.02701.x

Musters AM, Koot YEM, van den Boogaard NM, Kaaijk E, Macklon NS, van der Veen F, Nieuwkerk PT, Goddijn M Supportive care for women with recurrent miscarriage: a survey to quantify womens preferences. Hum Reprod. 2013; 28:(2)398-405 https://doi.org/https://doi.org/10.1093/humrep/des374

Nuzum D, Meaney S, O'Donoghue K The Place of Faith for Consultant Obstetricians Following Stillbirth: A Qualitative Exploratory Study. J Relig Health. 2016; 55:(5)1519-28 https://doi.org/https://doi.org/10.1007/s10943-015-0077-7

Paton F, Wood R, Bor R, Nitsun M Grief in miscarriage patients and satisfaction with care in a London hospital. J Reprod Infant Psychol. 1999; 17:(3)301-15 https://doi.org/https://doi.org/10.1080/02646839908404596

Rowlands I, Lee C Adjustment after miscarriage: predicting positive mental health trajectories among young Australian women. Psychol Health Med. 2010; 15:(1)34-49 https://doi.org/https://doi.org/10.1080/13548500903440239

London: RCOG; 2010

Säflund K, Sjögren B, Wredling R The role of caregivers after a stillbirth: views and experiences of parents. Birth. 2004; 31:(2)132-7

Schott J, Henley A Pregnancy loss and death of a baby: the new Sands Guidelines. British Journal of Midwifery. 2007; 15:(4)195-8 https://doi.org/https://doi.org/10.12968/bjom.2007.15.4.23380

Simmons RK, Singh G, Maconochie N, Doyle P, Green J Experience of miscarriage in the UK: qualitative findings from the National Womens Health Study. Soc Sci Med. 2006; 63:(7)1934-46 https://doi.org/https://doi.org/10.1016/j.socscimed.2006.04.024

Wallbank S, Robertson N Predictors of staff distress in response to professionally experienced miscarriage, stillbirth and neonatal loss: A questionnaire survey. Int J Nurs Stud. 2013; 50:(8)1090-7 https://doi.org/https://doi.org/10.1016/j.ijnurstu.2012.11.022

Williams C, Munson D, Zupancic J, Kirpalani H Supporting bereaved parents: practical steps in providing compassionate perinatal and neonatal end-of-life care. A North American perspective. Semin Fetal Neonatal Med. 2008; 13:(5)335-40 https://doi.org/https://doi.org/10.1016/j.siny.2008.03.005

Youngson R Compassion in health care – the missing dimension of healthcare reform?. In: Renzenbrink I Oxford: Oxford University Press; 2011

Exploring parents' experiences of care in an Irish hospital following second-trimester miscarriage

02 February 2017
10 min read
Volume 25 · Issue 2

Abstract

Background

Second-trimester miscarriage is defined as pregnancy loss after 12 and before 24 weeks' gestation. Little is known about parents' experiences of hospital care during a second trimester miscarriage in Ireland.

Aims

This study aimed to explore parents' experiences of hospital care during a second-trimester miscarriage.

Methods

A focused ethnographic design was used. A series of semi-structured interviews were completed with 14 bereaved parents. The data were analysed using thematic network data analysis.

Findings

This paper discusses the global theme of relational and social experiences of miscarriage. Parents highlighted the need for compassionate care and expressed the importance of empathy and sensitivity from hospital staff to avoid further distress.

Conclusions

Compassionate care received by bereaved parents positively influenced their hospital experience, whereas a perceived lack of compassion or insensitivity had a lasting negative impact on bereaved parents.

Second-trimester miscarriage is defined as pregnancy loss after 12 weeks' and before 24 weeks' gestation (Royal College of Obstetricians and Gynaecologists, (RCOG), 2010). An Irish study found the rate of second-trimester miscarriage to be 0.8% of all births (Cullen et al, 2016). Miscarriage is seen by women as sudden, surprising and an upsetting experience (Murphy and Merrell, 2009). In order to give the best possible care for parents who experience a pregnancy loss, health care providers must consider not only the woman's physical needs but also her and her partner's psychological needs (Schott and Henley, 2007).

There is limited research examining parents' expe riences of hospital care during second-trimester miscarriage. The profound psychological impact of pregnancy loss on a woman (and her partner) and the need for sensitive, individualised care has been high lighted in the literature (Lee, 2012; Downe et al, 2013). Interactions with health professionals are vital to women who experience a pregnancy loss (Rowlands and Lee, 2010). Research has highlighted the need for empathetic communication during pregnancy loss and the importance of sensitivity (Paton et al, 1999; Säflund et al, 2004; Fenwick et al, 2007; Murphy and Merrell, 2009; Musters et al, 2013; Mulvihill and Walsh, 2014). Women who experienced a stillbirth valued interactions with health professionals when they took time to sit with them, used eye contact and showed empathy (Kelley and Trinidad, 2012).

Register now to continue reading

Thank you for visiting British Journal of Midwifery and reading some of our peer-reviewed resources for midwives. To read more, please register today. You’ll enjoy the following great benefits:

What's included

  • Limited access to our clinical or professional articles

  • New content and clinical newsletter updates each month