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Hope for the best …but expect the worst: a qualitative study to explore how women with recurrent miscarriage experience the early waiting period of a new pregnancy.
BMJ Open. 2019 06 01; 9(5):e029354.BO

Abstract

OBJECTIVE

To investigate how women experience the initial period of a new pregnancy after suffering recurrent miscarriage (RM).

DESIGN

A qualitative study, nested within a randomised controlled feasibility study of a coping intervention for RM, used semi-structured face-to-face interviews. Interviews were audio-recorded, transcribed verbatim and analysed using a thematic network approach.

SETTING

Participants were recruited from the Recurrent Miscarriage Clinic and Early Pregnancy Unit in two tertiary referral hospitals in the UK.

PARTICIPANTS

14 women with RMs and who had previously participated in the randomised controlled trial (RCT) feasibility component of the study were recruited.

RESULTS

Seven organising themes emerged from the data: (1) turmoil of emotions, (2) preparing for the worst, (3) setting of personal milestones, (4) hypervigilance, (5) social isolation, (6) adoption of pragmatic approaches, (7) need for professional affirmation.

CONCLUSIONS

The study established that for women with a history of RM, the waiting period of a new pregnancy is a traumatic time of great uncertainty and emotional turmoil and one in which they express a need for emotional support. Consideration should be given to the manner in which supportive care is best delivered within the constraints of current health service provision.

TRIAL REGISTRATION NUMBER

ISRCTN43571276.

Authors+Show Affiliations

Health Sciences, University of Southampton, Southampton, Hants, UK. Women and Newborn and Research and Development, University Hospital Southampton NHS Foundation Trust, Southampton, Southampton, UK.School of Psychology, Cardiff University, Cardiff, UK.Obstetrics and Gynaecology, University of Southampton, Southampton, UK. Princess Anne Hospital, Complete Fertility Centre, Southampton, UK.Midwifery, University of Southampton, Southampton, Hants, UK.Health Sciences, University of Nottingham, Nottingham, Nottinghamshire, UK.Medical Director, London Womens Clinic, London, UK. Obstetrics and Gynaecology, Zealand University Hospital, Copenhagen, Denmark.

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

31154315

Citation

Bailey, Sarah Louise, et al. "Hope for the Best …but Expect the Worst: a Qualitative Study to Explore How Women With Recurrent Miscarriage Experience the Early Waiting Period of a New Pregnancy." BMJ Open, vol. 9, no. 5, 2019, pp. e029354.
Bailey SL, Boivin J, Cheong YC, et al. Hope for the best …but expect the worst: a qualitative study to explore how women with recurrent miscarriage experience the early waiting period of a new pregnancy. BMJ Open. 2019;9(5):e029354.
Bailey, S. L., Boivin, J., Cheong, Y. C., Kitson-Reynolds, E., Bailey, C., & Macklon, N. (2019). Hope for the best …but expect the worst: a qualitative study to explore how women with recurrent miscarriage experience the early waiting period of a new pregnancy. BMJ Open, 9(5), e029354. https://doi.org/10.1136/bmjopen-2019-029354
Bailey SL, et al. Hope for the Best …but Expect the Worst: a Qualitative Study to Explore How Women With Recurrent Miscarriage Experience the Early Waiting Period of a New Pregnancy. BMJ Open. 2019 06 1;9(5):e029354. PubMed PMID: 31154315.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Hope for the best …but expect the worst: a qualitative study to explore how women with recurrent miscarriage experience the early waiting period of a new pregnancy. AU - Bailey,Sarah Louise, AU - Boivin,Jacky, AU - Cheong,Ying C, AU - Kitson-Reynolds,Ellen, AU - Bailey,Christopher, AU - Macklon,Nick, Y1 - 2019/06/01/ PY - 2019/6/3/entrez PY - 2019/6/4/pubmed PY - 2020/5/19/medline KW - adaptation, psychological KW - anxiet KW - pregnancy KW - recurrent miscarriage SP - e029354 EP - e029354 JF - BMJ open JO - BMJ Open VL - 9 IS - 5 N2 - OBJECTIVE: To investigate how women experience the initial period of a new pregnancy after suffering recurrent miscarriage (RM). DESIGN: A qualitative study, nested within a randomised controlled feasibility study of a coping intervention for RM, used semi-structured face-to-face interviews. Interviews were audio-recorded, transcribed verbatim and analysed using a thematic network approach. SETTING: Participants were recruited from the Recurrent Miscarriage Clinic and Early Pregnancy Unit in two tertiary referral hospitals in the UK. PARTICIPANTS: 14 women with RMs and who had previously participated in the randomised controlled trial (RCT) feasibility component of the study were recruited. RESULTS: Seven organising themes emerged from the data: (1) turmoil of emotions, (2) preparing for the worst, (3) setting of personal milestones, (4) hypervigilance, (5) social isolation, (6) adoption of pragmatic approaches, (7) need for professional affirmation. CONCLUSIONS: The study established that for women with a history of RM, the waiting period of a new pregnancy is a traumatic time of great uncertainty and emotional turmoil and one in which they express a need for emotional support. Consideration should be given to the manner in which supportive care is best delivered within the constraints of current health service provision. TRIAL REGISTRATION NUMBER: ISRCTN43571276. SN - 2044-6055 UR - https://www.unboundmedicine.com/medline/citation/31154315/Hope_for_the_best_…but_expect_the_worst:_a_qualitative_study_to_explore_how_women_with_recurrent_miscarriage_experience_the_early_waiting_period_of_a_new_pregnancy_ L2 - https://bmjopen.bmj.com/lookup/pmidlookup?view=long&pmid=31154315 DB - PRIME DP - Unbound Medicine ER -