Women's decision making and experience of subsequent pregnancy following stillbirth

J Midwifery Womens Health. 2013 Jul-Aug;58(4):431-9. doi: 10.1111/jmwh.12011. Epub 2013 Jul 15.

Abstract

Introduction: This study sought to increase understanding of women's thoughts and feelings about decision making and the experience of subsequent pregnancy following stillbirth (intrauterine death after 24 weeks' gestation).

Methods: Eleven women were interviewed, 8 of whom were pregnant at the time of the interview. Modified grounded theory was used to guide the research methodology and to analyze the data.

Results: A model was developed to illustrate women's experiences of decision making in relation to subsequent pregnancy and of subsequent pregnancy itself.

Discussion: The results of the current study have significant implications for women who have experienced stillbirth and the health professionals who work with them. Based on the model, women may find it helpful to discuss their beliefs in relation to healing and health professionals to provide support with this in mind. Women and their partners may also benefit from explanations and support about the potentially conflicting emotions they may experience during this time.

Keywords: decision making; grounded theory; perinatal loss; pregnancy; stillbirth.

MeSH terms

  • Adult
  • Communication
  • Decision Making*
  • Emotions*
  • Female
  • Fetal Death*
  • Humans
  • Interviews as Topic
  • Models, Psychological
  • Pregnancy
  • Psychological Theory
  • Sexual Partners
  • Stillbirth / psychology*
  • Women / psychology*