Termination of pregnancy due to fetal anomaly: A qualitative study from Turkey on women's experiences


YEŞİLDERE SAĞLAM H., GÜRSOY E.

Midwifery, cilt.132, 2024 (SCI-Expanded) identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 132
  • Basım Tarihi: 2024
  • Doi Numarası: 10.1016/j.midw.2024.103957
  • Dergi Adı: Midwifery
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Social Sciences Citation Index (SSCI), Scopus, ASSIA, CINAHL, Gender Studies Database, MEDLINE
  • Anahtar Kelimeler: Fetal anomaly, Prenatal loss, Termination of pregnancy
  • Eskişehir Osmangazi Üniversitesi Adresli: Evet

Özet

Background: Termination of pregnancy due to fetal anomaly is an unexpected traumatic event for women. It can cause serious complications that can negatively affect both the physical and psychological health of women. Aim: This study aims to examine the experiences of women who underwent medical termination for fetal anomaly in the second trimester. Methods: The study included 12 women whose pregnancies were terminated due to fetal anomaly. Data were collected through in-depth interviews until data sufficiency was reached. Thematic analysis method was used to analyze the data. This study was conducted using an inductive qualitative design. The women's statements were examined and double-coded. By examining the codes, main themes were created after sub-themes. Results: Women's experiences were analyzed in five themes: difficulty in decision-making (1), emotional impact (2), stigmatization (3), dilemma between hope and anxiety (4), and post-termination care and support needs (5). Participants stated that they experienced many emotions such as indecision, sadness, helplessness, guilt, and remorse during the medical termination process. Hope, anxiety, fear, social pressure and support needs were also frequently experienced in this process. Conclusion: Termination of pregnancy in the second trimester due to fetal anomaly caused significant psychological symptoms. In order to prevent long-term health complications, it will be important for health professionals to provide interventions designed to meet the demands of women diagnosed with fetal anomaly.