Australian heterosexual women's experiences of healthcare provision following a pregnancy loss

Women Birth. 2018 Aug;31(4):331-338. doi: 10.1016/j.wombi.2017.11.002. Epub 2017 Nov 26.

Abstract

Background: Despite increased awareness of the psychological impact of pregnancy loss, a lack of recognition continues with regards to women's experiences. Healthcare professionals have an important role to play in supporting women following a pregnancy loss, yet to date only a relatively small body of research has examined women's experiences with healthcare providers.

Aim: This paper seeks to contribute to the literature on women's engagement with healthcare professionals by exploring the experiences of an Australian sample.

Method: Fifteen heterosexual women living in South Australia were interviewed about their experiences of pregnancy loss. A thematic analysis was undertaken, focused on responses to one interview question that explored experiences with healthcare professionals.

Findings: Three themes were identified. The first theme involved negative experiences with healthcare providers, and included four subthemes: (1) 'confusing and inappropriate language and communication', (2) 'the hospital environment', (3) 'lack of emotional care', and (4) 'lack of follow-up care'. Under the second theme of positive experiences, the sub-themes of (1) 'emotionally-engaged and present individual staff', and (2) 'the healthcare system as a whole' were identified. Finally, a third theme was identified, which focused holistically on the importance of healthcare professionals.

Conclusion: The paper concludes by discussing the importance of training for healthcare professionals in supporting women who experience a pregnancy loss, and the need for further research to explore the experiences of other groups of people affected by pregnancy loss.

Keywords: Healthcare professionals; Healthcare provision; Mental health; Pregnancy loss; Support.

MeSH terms

  • Abortion, Spontaneous / psychology*
  • Adult
  • Attitude of Health Personnel*
  • Australia
  • Communication*
  • Delivery of Health Care
  • Empathy
  • Female
  • Health Personnel / psychology*
  • Heterosexuality*
  • Hospitals
  • Humans
  • Maternal Health Services
  • Pregnancy
  • Qualitative Research
  • South Australia
  • Stillbirth / psychology*