Effects of a family‐support programme for pregnant women with foetal abnormalities requiring pregnancy termination: A randomized controlled trial in China

Sun, Shiwen; Li, Junqin; Ma, Yuanying; Bu, Huilian; Luo, Qiong; Yu, Xiaoyan

doi:10.1111/ijn.12614

Cited by 32 publications

(45 citation statements)

References 39 publications

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“…In the positive coping stage, women then made full use of support from relatives and started to plan for their future. Women highlighted that emotional and social support was of great significance to their psychological conditions, which was similar to previous research findings (Sun et al, 2018). Nurses should provide guidance on emotional, informational and behavioural support to family members because it can enhance the family's understanding of induced abortion decisions and increase the availability of interpersonal resources for women (Sun et al, 2018;Winograd, 2017).…”

Section: Discussionsupporting

confidence: 80%

“…Women highlighted that emotional and social support was of great significance to their psychological conditions, which was similar to previous research findings (Sun et al, 2018). Nurses should provide guidance on emotional, informational and behavioural support to family members because it can enhance the family's understanding of induced abortion decisions and increase the availability of interpersonal resources for women (Sun et al, 2018;Winograd, 2017). In addition, building a platform for communication among women with similar experiences and carrying out group psychological consultation could be beneficial (Zhang, Yu, Sun, Jia, & Yang, 2018).…”

Section: Discussionsupporting

confidence: 80%

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Psychological trajectories of Chinese women undergoing pregnancy termination for foetal abnormality: A descriptive qualitative study using expressive writing

Qian

Sun

Yang

et al. 2020

Journal of Clinical Nursing

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Aims and objectives To explore the psychological trajectories of women who have had a diagnosis of foetal abnormality from the time of receiving a definite diagnosis to one month after discharge. Background Foetal abnormalities are not uncommon worldwide. Such situations are devastating, and the termination of a pregnancy due to foetal abnormalities is a traumatic and stressful event for the mother. Design A descriptive qualitative approach using expressive writing. Methods The study included 20 women recruited through purposive sampling at a tertiary hospital in China. The participants were asked to write four 15‐min essays related to their experiences with foetal abnormalities. Thematic analysis was used to generate themes. The COREQ checklist (see Supporting Information Appendix S1) was used. Results Four themes that reflected the women's psychological trajectories were identified: (a) traumatic response, (b) ruminant meditation, (c) positive coping and (d) post‐traumatic growth stages. The psychological trajectories were dynamically shaped, and different responses were displayed in each stage. Conclusions Various responses were observed during each of the four psychological trajectories, which indicated that awareness regarding the psychological impacts associated with foetal abnormalities should be increased. The present findings suggest that healthcare services should be made accessible for women who have had a diagnosis of foetal abnormality to allow them to receive targeted nursing care at different stages and improve their psychological well‐being. Relevance to clinical practice Midwives, nurses and other healthcare professionals should pay more attention to the mental health of women pregnant with foetuses diagnosed with abnormalities. Interventions designed based on women's worries and demands during various phases should be offered. In terms of the present research method, expressive writing possesses unique advantages that can be applied for relevant qualitative research.

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Section: Discussionsupporting

confidence: 80%

Section: Discussionsupporting

confidence: 80%

Psychological trajectories of Chinese women undergoing pregnancy termination for foetal abnormality: A descriptive qualitative study using expressive writing

Qian

Sun

Yang

et al. 2020

Journal of Clinical Nursing

Self Cite

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“…The majority of couples (72%) reported the need for contact with other people who had experienced a similar problem [39]. In a study from China, a group of women and their families, who were included in the intervention group and received psychological assistance during and after TOP, proved to have the lowest rate of subsequent psychological complications, such as post-traumatic stress and depression [40]. In the Polish reality, due to high social stigmatization, women tend to avoid support groups and contact with a psychologist, as they would then have to admit to having undergone termination.…”

Section: Discussionmentioning

confidence: 99%

Role of Social and Informational Support while Deciding on Pregnancy Termination for Medical Reasons

Zaręba

Makara‐Studzińska

Ciebiera

et al. 2018

IJERPH

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Background: Poland is a country with restrictive laws concerning abortion, which is only allowed if the mother’s life and health are in danger, in case of rape, and severe defects in the fetus. This paper specifies the forms of support expected by women considering termination from their family, people in their surroundings and professional medical personnel. Methods: Between June 2014 and May 2016 patients eligible to terminate a pregnancy for medical reasons were asked to complete an anonymous survey consisting of sixty questions to determine patient profile and forms of support expected from the society, family and professional medical personnel as well as to assess informational support provided. Results: Women do not take into consideration society’s opinion on pregnancy termination (95%). The majority of the respondents think that financial support from the state is not sufficient to provide for sick children (81%). Despite claiming to have a medium standard of life (75%), nearly half of the respondents (45%) say that they do not have the financial resources to take care of a sick child. The women have informed their partner (97%) and closest family members (82%) and a low percentage have informed friends (32%). Nearly one third (31%) have not talked to the attending gynecologist about their decision. Conclusions: The decision to terminate a pregnancy is made by mature women with a stable life situation—supported by their partner and close family. They do not expect systemic support, as they believe it is marginal, and only seek emotional support from their closest family. They appreciate support provided by professional medical personnel if it is personal.

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“…In a well-functioning family, family members can detect the physical and psychological changes of women during pregnancy, and provide timely and effective spiritual and material help when pregnant women cope with stressor and crisis, so as to enhance their sense of family belonging, identity. 35 However, family dysfunction reflects that pregnant women can't acquire enough attention, love, identity and assistance from families, even family may be the source of mental pressure, so that depressive symptoms starts or aggravates. In this study, no significant association was found between moderate family dysfunction and depressive symptoms among women in their third trimester of pregnancy.…”

Section: Discussionmentioning

confidence: 99%

Association between family functions and antenatal depression symptoms: a cross-sectional study among pregnant women in urban communities of Hengyang city, China

Zheng

Zhu

et al. 2020

BMJ Open

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ObjectiveTo explore the prevalence of depressive symptoms among women in late pregnancy, and assess mediating effect of self-efficacy in the association between family functions and the antenatal depressive symptoms.DesignCommunity-based, cross-sectional study was conducted among women during the third trimester of pregnancy.SettingThis study was conducted among pregnant women registered at community health service centres of urban Hengyang City, China from July to October 2019.Participants813 people were selected from 14 communities by multi-staged cluster random sampling method.Main outcome measuresThe Family Adaptation Partnership Growth Affection and Resolve Index, the General Self-efficacy Scale and Patient Health Questionnaire were used to access family functions, self-efficacy and antenatal depression symptoms, respectively.ResultsIn this study, 9.2% pregnant women reported the symptoms of antenatal depression (95 CI% 7.2% to 11.2%). After adjustment, the results showed that severe family dysfunction (adjusted OR, AOR 3.67; 95% CI 1.88 to 7.14) and low level of self-efficacy (AOR 3.16; 95% CI 1.37 to 7.27) were associated with antenatal depressive symptoms (p<0.05). Furthermore, self-efficacy level partially mediated the association between family functions and antenatal depressive symptoms(β=−0.05, 95% CI −0.07 to −0.03, p<0.05) and the mediating effect accounted for 17.09% of the total effect.ConclusionsThis study reported 9.2% positive rates of antenatal depression symptoms among women in the third trimester of pregnancy in Hengyang city, China. The mediating effect of self-efficacy on the association between family functions and antenatal depression symptoms among women in the third trimester of pregnancy was found in this study, which provide a theoretical basis to maternal and child health personnel to identify high-risk pregnant women and take targeted intervention for them.

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Effects of a family‐support programme for pregnant women with foetal abnormalities requiring pregnancy termination: A randomized controlled trial in China

Abstract: Aim: We examined the effects of a family-support programme for pregnant women with foetal abnormalities in terms of family support, depression, and post-traumatic stress symptoms.

Cited by 32 publications

References 39 publications

Psychological trajectories of Chinese women undergoing pregnancy termination for foetal abnormality: A descriptive qualitative study using expressive writing

Psychological trajectories of Chinese women undergoing pregnancy termination for foetal abnormality: A descriptive qualitative study using expressive writing

Role of Social and Informational Support while Deciding on Pregnancy Termination for Medical Reasons

Association between family functions and antenatal depression symptoms: a cross-sectional study among pregnant women in urban communities of Hengyang city, China

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