Abstract

Objective

To prospectively investigate perinatal grief in women with pregnancy loss.

Methods

A total of 215 women (mean (SD) age: 30.7 (5.9) years) who experienced pregnancy loss were included. Data on sociodemographic, marital and obstetric characteristics and Perinatal Grief Scale (PGS) (first 48 h, 1 week, 1 month and 3 months after the loss) were recorded.

Results

Active grief scores were lower (p ranged < .05 to <.01), while difficulty coping (p < .05 for each) and despair (p < .05 for each) scores were higher in the 3rd month as compared with prior assessments. All PGS scores at the 48 h and 3rd month assessments were significantly higher in assisted and planned pregnancies (p < .01 for each). Maternal age was positively correlated with 48 h active grief (r = 0.19, p < .001), despair (r = 0.13, p < .05) and total PGS (r = 0.13, p < .05) scores. Parity and the number of children were negatively correlated (r ranged from -0.35 to -0.20, p < .01 for each) with all PGS scores.

Conclusion

Our findings revealed decrease in active grief levels, whereas gradual increase in difficulty coping and despair in women with pregnancy loss within the first 3 months of losing a child. Our finding indicate association of older maternal age, primiparity, assisted and planned pregnancies with regular antenatal follow up with higher total PGS scores as well as active grief, difficulty coping and despair scores in women regardless of the time of assessment within 3 months after the pregnancy loss.

中文翻译：

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流产妇女的悲痛程度：围产期流产前三个月的前瞻性评估

摘要

客观的

前瞻性调查流产妇女的围产期悲伤。

方法

共有 215 名经历过流产的女性（平均 (SD) 年龄：30.7 (5.9) 岁）被纳入研究。记录了社会人口学、婚姻和产科特征以及围产期悲伤量表（PGS）（失去后的前 48 小时、1 周、1 个月和 3 个月）的数据。

结果

 与之前的评估相比，第 3 个月的积极悲伤得分较低（p范围 < .05 到 <.01），而难以应对（每个p  < .05）和绝望（每个p < .05）得分较高. 在 48 小时和第 3 个月评估中的所有 PGS 分数在辅助和计划怀孕中显着更高（每个p  < .01）。母亲年龄与 48 小时积极悲伤 ( r  = 0.19, p  < .001)、绝望 ( r  = 0.13, p  < .05) 和总 PGS ( r  = 0.13, p  < .05) 分数呈正相关。产次和孩子数呈负相关（r 所有 PGS 分数的范围为 -0.35 到 -0.20，每个p < .01）。

结论

我们的研究结果显示，在失去孩子的头 3 个月内，流产妇女的积极悲伤水平下降，而应对困难和绝望的程度逐渐增加。我们的研究结果表明，无论怀孕后 3 个月内的评估时间如何，高龄产妇、初产、辅助和计划怀孕与定期产前随访与较高的 PGS 总分以及积极悲伤、应对困难和绝望得分有关。损失。