تقييم الصعوبات العاطفية بين النساء حديثات الإجهاض في كربلاء، 2024 رسالة

Assessment of Emotional Difficulties among Women with Recent Miscarriage in Kerbala, 2024

ABSTRACT

Miscarriage is considered one of an important sequel of pregnancy and has short- and long-term adverse emotional effects on women. Women may experience emotional problems after miscarriage, such as anxiety, anger, depression, or hopelessness.
Objective:
This study aims to evaluate the emotional difficulties of recent miscarriage among women in Holy Kerbala province 2024.
Subjects and Methods:
This descriptive (cross— sectional) study conducted on 450 women who had one or more previous miscarriages before six months or less and who attended Obstetrics & Gynecology Teaching Hospital and Al-Husseinyia General Hospital. The data was collected by simple random sampling technique from Tenth of March 2024 to Eleventh of July 2024. The research tools included a structured questionnaire, and the revised Perceived Emotional Distress Inventory (PEDI) Scale. Data were analyzed using SPSS software. Moreover, p < 0.05 was considered statistically significant.
Results:
The study revealed that the history of previous miscarriage was reported by 50.7%; spontaneous miscarriage was reported by more than two third 66% of the study sample. Miscarriage in first trimester reported by 70%, complication after miscarriage reported close to two third of the study 65.3% including bleeding, infection, and retained pieces. Infertility before miscarriage was reported by more than one half of the study participants 53.1%, most of them have infertility of one year duration. Regarding emotional distress, the highest mean of score was for anger (1.60±0.68), the least score was for hopelessness (1.40±0.74), the mean score for all items (1.53±0.57). There is a significant association between occupation, chronic disease, drug history, parity, previous miscarriage, complication after miscarriage, infertility before miscarriage, conception with all the items of perceived emotional distress inventory scale (PEDI).
Conclusions:
There is a significant association between miscarriage and emotional distress (anger, anxiety, depression, hopelessness) Additionally, anger is the most prominent in this study followed by anxiety then depression and hopelesness in women who have previous miscarriage.
Key words:
Miscarriage, depression, anxiety, anger, hopelesness