Supportive needs of women who have experienced pregnancy termination due to fetal abnormalities: a qualitative study from the perspective of women, men and healthcare providers in Iran

BMC Public Health. 2019 May 3;19(1):507. doi: 10.1186/s12889-019-6851-9.

Abstract

Background: Extensive application of screening tests for early diagnosis of fetal abnormalities would justify support for women who are facing pregnancy termination due to fetal abnormalities. Considering the lack of available information regarding supportive sources for these people, the present study was conducted to determine the supportive needs of women who have experienced pregnancy termination due to fetal abnormalities.

Methods: The present research was a qualitative study. The participants were selected using a purposeful sampling method with maximum variation. Data were collected through in-depth personal interviews and taking of field notes and were analyzed simultaneously using conventional content analysis.

Results: The main categories that appeared in the present study included "support from the husband" with sub-categories of "mental support and necessary accompaniments", "participating in planning for future pregnancy" and "financial support to pay the costs of diagnosis and follow-up", "support from the family and friends" with sub-categories of "helping in taking care of other children", "help in performing daily activities" and "empathy, companionship and necessary support to maintain mental peace" and finally "support from peers" with sub-categories of "communicating with the peers and receiving information from them" and "creating a sense of confidence and hopefulness".

Conclusions: Results of the present study, by determining and highlighting the supportive needs of women who have experienced pregnancy termination due to fetal abnormalities, could be an appropriate basis for providing effective strategies to improve constant participation of the husbands, family members and the peers along with other professional care.

Keywords: Birth defects; Congenital abnormalities; Iran; Qualitative study; Supportive needs; Therapeutic abortion.

MeSH terms

  • Abortion, Induced / psychology*
  • Adult
  • Congenital Abnormalities / psychology*
  • Empathy*
  • Family
  • Female
  • Humans
  • Iran
  • Male
  • Pregnancy
  • Pregnant Women / psychology*
  • Prenatal Diagnosis / psychology
  • Qualitative Research
  • Social Support*