Parents' concerns about future pregnancy after stillbirth: a qualitative study

dc.contributor.authorMeaney, Sarah
dc.contributor.authorEverard, Claire M.
dc.contributor.authorGallagher, Stephen
dc.contributor.authorO'Donoghue, Keelin
dc.date.accessioned2016-12-07T12:50:36Z
dc.date.available2016-12-07T12:50:36Z
dc.date.issued2016-07
dc.date.updated2016-12-07T12:39:00Z
dc.description.abstractObjectives: As stillbirth has a devastating impact, it is imperative to understand the importance of clinical and emotional care after stillbirth and how it influences subsequent pregnancies. The aim of the study was to gain insight into the consideration and planning of a subsequent pregnancy by parents in the weeks following stillbirth. Design: A qualitative semi-structured interview format was utilized. Interpretative phenomenological analysis was employed as the analytic strategy. Participants and setting: The recruitment strategy focused on couples whereby the parents of ten stillborn babies were contacted; however, five men declined to participate in the study. The final sample of 15 parents were all Irish: ten of whom were female and five of whom were male. Results: Findings revealed two superordinate themes relating to a subsequent pregnancy after stillbirth: aspirations for future pregnancy and expectations of future care. Parents disclosed how the prospect of a subsequent pregnancy was daunting with fears about the potential loss of another child. Despite these fears, parentsâ aspirations differed in the days following stillbirth; mothers wished to plan a future pregnancy while fathers were reluctant to consider any pregnancies. Parents were unsure of what to expect in terms of the level of care that would be provided to them in a subsequent pregnancy. Additional appointments at the maternity hospital were considered crucial to provide reassurance during a subsequent pregnancy. Conclusions: These findings underscore the far-reaching and contrasting effects of stillbirth on parents. These complex needs highlight the importance of the multidisciplinary team approach.Objectives: As stillbirth has a devastating impact, it is imperative to understand the importance of clinical and emotional care after stillbirth and how it influences subsequent pregnancies. The aim of the study was to gain insight into the consideration and planning of a subsequent pregnancy by parents in the weeks following stillbirth. Design: A qualitative semi-structured interview format was utilized. Interpretative phenomenological analysis was employed as the analytic strategy. Participants and setting: The recruitment strategy focused on couples whereby the parents of ten stillborn babies were contacted; however, five men declined to participate in the study. The final sample of 15 parents were all Irish: ten of whom were female and five of whom were male. Results: Findings revealed two superordinate themes relating to a subsequent pregnancy after stillbirth: aspirations for future pregnancy and expectations of future care. Parents disclosed how the prospect of a subsequent pregnancy was daunting with fears about the potential loss of another child. Despite these fears, parentsâ aspirations differed in the days following stillbirth; mothers wished to plan a future pregnancy while fathers were reluctant to consider any pregnancies. Parents were unsure of what to expect in terms of the level of care that would be provided to them in a subsequent pregnancy. Additional appointments at the maternity hospital were considered crucial to provide reassurance during a subsequent pregnancy. Conclusions: These findings underscore the far-reaching and contrasting effects of stillbirth on parents. These complex needs highlight the importance of the multidisciplinary team approach.en
dc.description.statusPeer revieweden
dc.description.versionPublished Versionen
dc.format.mimetypeapplication/pdfen
dc.identifier.citationMeaney, S., Everard, C. M., Gallagher, S. and O'Donoghue, K. (2016) 'Parents' concerns about future pregnancy after stillbirth: a qualitative study', Health Expectations, 20(4), pp. 555-562. doi:10.1111/hex.12480en
dc.identifier.doi10.1111/hex.12480
dc.identifier.endpage562
dc.identifier.issn1369-7625
dc.identifier.issued4
dc.identifier.journaltitleHealth Expectationsen
dc.identifier.startpage555
dc.identifier.urihttps://hdl.handle.net/10468/3355
dc.identifier.volume20
dc.language.isoenen
dc.publisherJohn Wiley & Sons Ltd.en
dc.rights© 2016, the Authors. This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.en
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/en
dc.subjectFathersen
dc.subjectMothersen
dc.subjectQualitativeen
dc.subjectStillbirthen
dc.subjectSubsequent pregnancyen
dc.titleParents' concerns about future pregnancy after stillbirth: a qualitative studyen
dc.typeArticle (peer-reviewed)en
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