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dc.contributor.authorLafarge, Caroline
dc.contributor.authorMitchell, Kathryn
dc.contributor.authorFox, Pauline
dc.date.accessioned2017-01-31T16:55:19Z
dc.date.available2017-01-31T16:55:19Z
dc.date.issued2013
dc.identifier.citationLafarge, C, Mitchell, K, & Fox, P 2013, 'Women's experiences of coping with pregnancy termination for fetal abnormality',Qualitative Health Research, 23, 7, pp. 924-936en
dc.identifier.issn10497323
dc.identifier.doi10.1177/1049732313484198
dc.identifier.urihttp://hdl.handle.net/10545/621328
dc.description.abstractPregnancy termination for fetal abnormality (TFA) can have significant psychological consequences. Most previous research has been focused on measuring the psychological outcomes of TFA, and little is known about the coping strategies involved. In this article, we report on women's coping strategies used during and after the procedure. Our account is based on experiences of 27 women who completed an online survey. We analyzed the data using interpretative phenomenological analysis. Coping comprised four structures, consistent across time points: support, acceptance, avoidance, and meaning attribution. Women mostly used adaptive coping strategies but reported inadequacies in aftercare, which challenged their resources. The study's findings indicate the need to provide sensitive, nondirective care rooted in the acknowledgment of the unique nature of TFA. Enabling women to reciprocate for emotional support, promoting adaptive coping strategies, highlighting the potential value of spending time with the baby, and providing long-term support (including during subsequent pregnancies) might promote psychological adjustment to TFA.
dc.publisherSageen
dc.relation.urlhttp://journals.sagepub.com/doi/10.1177/1049732313484198en
dc.subjectAbortionen
dc.subjectBereavementen
dc.subjectGrief (coping and adaptation)en
dc.subjectInterpretative phenomenological analysis (IPA)en
dc.subjectLived experienceen
dc.subjectPerinatal healthen
dc.subjectPregnancyen
dc.subjectPsychologyen
dc.titleWomen's experiences of coping with pregnancy termination for fetal abnormality.en
dc.typeArticleen
dc.contributor.departmentUniversity of West Londonen
dc.identifier.journalQualitative Health Researchen
html.description.abstractPregnancy termination for fetal abnormality (TFA) can have significant psychological consequences. Most previous research has been focused on measuring the psychological outcomes of TFA, and little is known about the coping strategies involved. In this article, we report on women's coping strategies used during and after the procedure. Our account is based on experiences of 27 women who completed an online survey. We analyzed the data using interpretative phenomenological analysis. Coping comprised four structures, consistent across time points: support, acceptance, avoidance, and meaning attribution. Women mostly used adaptive coping strategies but reported inadequacies in aftercare, which challenged their resources. The study's findings indicate the need to provide sensitive, nondirective care rooted in the acknowledgment of the unique nature of TFA. Enabling women to reciprocate for emotional support, promoting adaptive coping strategies, highlighting the potential value of spending time with the baby, and providing long-term support (including during subsequent pregnancies) might promote psychological adjustment to TFA.


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