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Barnet dog inuti mig: en litteraturöversikt om kvinnors upplevelser av att genomgå missfall
Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
2018 (Swedish)Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesisAlternative title
The Child Died Inside of Me: A Literature Review About Women’s Experiences of Going Through Miscarriage (English)
Abstract [sv]

Bakgrund:

Av alla diagnostiserade graviditeter avslutas tio till femton procent spontant i missfall. Kvinnans reaktion vid missfall kan till stor del bero på om kvinnan blivit planerat gravid eller var ovetandes om graviditeten. Sjuksköterskor har en betydande roll för att tillhandahålla god omvårdnad till kvinnor som genomgått missfall, vilket innebär en utmaning med begränsade resurser.

Syfte:

Litteraturöversiktens syfte var att beskriva kvinnors upplevelser av att genomgå missfall.

Metod:

En litteraturöversikt baserad på 16 vetenskapliga artiklar med kvalitativ och kvantitativ ansats, som samlades in från databaserna CINAHL, PubMed, PsycINFO och Web of Science. Artiklarna har kvalitetsgranskats, systematiskt analyserats och sammanställts i resultatet.

Resultat:

Analysen resulterade i följande fem huvudkategorier; från förväntansfull graviditet till traumatiskt missfall, behov av omvårdnad, psykisk och emotionell påverkan, behov av stöd från hälso- och sjukvården och anhöriga samt kvarstående psykisk påverkan efter missfall.

Slutsats:

Varje kvinna har en unik upplevelse av att genomgå missfall. Den individuella upplevelsen baseras på diverse faktorer och kan i sin tur generera i emotionella reaktioner. Trots en tillfredsställelse av den kroppsliga vården vid missfall finns avsaknad av vård, stöd och uppföljning för konfrontering av de emotionella reaktionerna samt det psykiska måendet. För att ge kvinnor en personcentrerad, säker vård krävs att vidare forskning utförs där kvinnors specifika behov identifieras.

Abstract [en]

Background:

Among ten to fifteen percent of all diagnosed pregnancies ends in a spontaneous miscarriage. Women’s reaction in case of miscarriage can due to the fact that the pregnancy was planned or if the woman was unaware of the pregnancy. Nurses have a significant role to play in providning good care for women who have undergone miscarriage, which means a challenge with limited resources.

Purpose:

The purpose of the literature review was to describe women’s experience of going through a miscarriage.

Methods:

A literature review based on 16 scientific articles with qualitative and quantitative approach, collected through the databases CINAHL, PubMed, PsycINFO and Web of Science. The articles have been quality examined, systematically analyzed and compiled in the result.

Results:

The analysis resulted in five main categories; from expectant pregnancy to traumatic miscarriage, need for nursing, mental and emotional impact, the need for support from the health care system and relatives as well as residual mental effects after miscarriage.

Conclusion:

Every woman has a unique experience of going through miscarriage. The individual experience is based on various factors and can in turn generate in emotional reactions. Despite the satisfaction of the physical treatment of miscarriage, there is an absence of care, support and follow-up for the confrontation of the emotional reactions and the mental health. To give women a person-centered, safe health care requires that further research is carried out in which women’s specific needs are identified.

Place, publisher, year, edition, pages
2018.
Keywords [en]
Experiences, miscarriage, nursing, psychosocial support, women
Keywords [sv]
Kvinnor, missfall, omvårdnad, psykosocialt stöd, upplevelser
National Category
Nursing
Identifiers
URN: urn:nbn:se:du-27869OAI: oai:DiVA.org:du-27869DiVA, id: diva2:1218328
Available from: 2018-06-14 Created: 2018-06-14

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