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首页> 外文期刊>BJOG: an international journal of obstetrics and gynaecology >Parents' experiences and expectations of care in pregnancy after stillbirth or neonatal death: A metasynthesis
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Parents' experiences and expectations of care in pregnancy after stillbirth or neonatal death: A metasynthesis

机译：死产或新生儿死亡后父母对怀孕的经历和护理期望：一种合成方法

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Background Pregnancy after perinatal death is characterised by elevated stress and anxiety, increasing the risk of adverse short-term and long-term outcomes. Objectives This metasynthesis aimed to improve understanding of parents' experiences of maternity care in pregnancy after stillbirth or neonatal death. Search strategy Six electronic databases were searched using predefined search terms. Selection criteria English language studies using qualitative methods to explore the experiences of parents in pregnancy after perinatal loss, were included subject to quality appraisal framework. Data collection and analysis Searches were initiated in December 2011 and finalised in March 2013. Studies were synthesised using an interpretive approach derived from meta-ethnography. Main results Fourteen studies were included in the synthesis, graded A (no or few flaws, high trustworthiness; n = 5), B (some flaws, unlikely to affect trustworthiness; n = 5) and C (some flaws, possible impact on trustworthiness; n = 4). Three main themes were identified; co-existence of emotions, helpful and unhelpful coping activities and seeking reasssurance through interactions. Conclusion Parents' experiences of pregnancy are profoundly altered by previous perinatal death; conflicted emotions, extreme anxiety, isolation and a lack of trust in a good outcome are commonly reported. Emotional and psychological support improves parents' experiences of subsequent pregnancy, but the absence of an evidence base may limit consistent delivery of optimal care within current services.
机译：背景围产期死亡后的怀孕特征在于压力和焦虑加剧，短期和长期不良结局的风险增加。目的该合成法旨在增进对父母死产或新生儿死亡后孕产妇护理经验的了解。搜索策略使用预定义的搜索词搜索了六个电子数据库。选择标准根据质量评估框架，采用定性方法进行英语研究，以探索围产期流产后父母在怀孕中的经历。数据收集和分析搜索于2011年12月开始，于2013年3月完成。研究使用源自人类学的解释方法进行了综合。主要结果综合进行了14项研究，等级为A（无缺陷或缺陷少，可信赖度高; n = 5），B（有缺陷，不太可能影响可信度; n = 5）和C（有缺陷，对可信度可能产生影响）。 ; n = 4）。确定了三个主要主题;情绪共存，有益和无益的应对活动以及通过互动寻求保证。结论以前的围产期死亡极大地改变了父母的怀孕经历。经常有情绪冲突，极端焦虑，孤立和对良好结局缺乏信任的报道。情绪和心理支持可改善父母随后怀孕的经历，但缺乏证据基础可能会限制当前服务范围内持续提供最佳护理。

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