Husband’s Experiences of Recurrent Pregnancy Loss in Japan: A Qualitative Study

2020 ◽  
Author(s):  
Kumiko Hada ◽  
Mitsuko OHIRA ◽  
Mikiya NAKATSUKA
Keyword(s):  
Pregnancy Loss ◽  
Recurrent Pregnancy Loss ◽  
Marital Relationships ◽  
Subsequent Pregnancy ◽  
Interview Data ◽  
University Hospital ◽  
Structured Interviews ◽  
Marital Relations ◽  
Qualitative Descriptive ◽  
Descriptive Approach

Abstract Background: Miscarriage or stillbirth is an experience of losing a child. However, in a clinical setting, men are positioned to support women. Therefore, mental support for men is insufficient. It is predicted that marital mourning in men will affect marital relations if it does not go smoothly. This study aimed to clarify the experiences of husbands in couples suffering from recurrent pregnancy loss (RPL) in Japan and clarify the support based on the husband’s needs.Methods: Semi-structured interviews were conducted with 14 husbands attending the outpatient treatment for RPL at visiting clinic of a University Hospital A in City A. The interview data were analyzed using a qualitative descriptive approach.Results: The husbands’ experiences were classified into 13 categories. Based on the interview data, the husbands felt shock of first pregnancy loss, and then while experiencing lingering anxiety regarding pregnancy loss and feeling less grief over subsequent pregnancy losses, they made an effort to accept recurrent loss. Husbands were feeling apologetic to one’s wife, resulting in prioritizing one’s wife and performing actions toward wife with good intentions. Moreover, after experiencing repeated pregnancy losses, husbands felt feelings of hopelessness caused by RPL, while craving for a child and giving up on having a child, and experiencing difficulty faced in sexual relations while maintaining a distant but steady marital relationship. Husbands were hoping that family members would quietly offer support and engaged in stance at work of not wanting people to mention RPL.Conclusions: The husband with RPL supported his wife while suffering from the mental burden of a miscarriage or stillbirth and was isolated in a relationship. Medical professionals should be able to advocate for husbands in couples suffering from RPL to help them voice their feelings to their wives; moreover, frameworks need to be established to support good marital relationships and psychologically support the husbands of such couples.

scholarly journals The chronic patient in face of falling ill and the treatment compliance

2008 ◽  
Vol 21 (2) ◽  
pp. 317-322 ◽  
Author(s):  
Caroline de Leon Linck ◽  
Valquíria de Lourdes Machado Bielemann ◽  
Afra Suelene de Sousa ◽  
Celmira Lange
Keyword(s):  
Healthcare Professionals ◽  
Treatment Compliance ◽  
University Hospital ◽  
Medical Clinic ◽  
Southern Brazil ◽  
Chronic Patient ◽  
Structured Interviews ◽  
Important Challenge ◽  
Qualitative Descriptive ◽  
Descriptive Approach

OBJECTIVE: It has, as its purpose, to know these patients' perceptions on the reasons that make them comply, or not, with the treatment. METHODS: Qualitative descriptive approach, with five inpatients at a Medical Clinic Unit in a university hospital in Southern Brazil. RESULTS: The data were collected in semi-structured interviews and analyzed when three themes were present: perception of the disease, importance of the therapeutics and difficulty to perform the therapeutics. CONCLUSION: It was made evident that, when complying with the treatment, there are several factors involved that add to the complexity of this issue, being related to people's behavior and their motivations, and becoming an important challenge to be overcome by the healthcare professionals.

Perinatal Outcomes in Women with a History of Recurrent Pregnancy Loss

2020 ◽  
Vol 38 (01) ◽  
pp. 010-015
Author(s):  
Elizabeth B. Ausbeck ◽  
Christina Blanchard ◽  
Alan T. Tita ◽  
Jeff M. Szychowski ◽  
Lorie Harper
Keyword(s):  
Gestational Diabetes ◽  
Gestational Age ◽  
Pregnancy Loss ◽  
Recurrent Pregnancy Loss ◽  
Perinatal Death ◽  
Perinatal Outcomes ◽  
Subsequent Pregnancy ◽  
Gestational Age At Delivery ◽  
History Of ◽  
Nicu Admission

Objective This study aimed to evaluate perinatal outcomes in women with a history of recurrent pregnancy loss. Study Design Retrospective cohort study of singleton and nonanomalous gestations at ≥ 20 weeks who delivered at our academic institution. The exposed group was defined as women with a history of ≥ 2 consecutive spontaneous abortions (SABs) at < 12 weeks. These women were compared with women with a history of ≤ 1 SAB at < 12 weeks. The primary outcome was preterm birth (PTB) at < 37 weeks. Secondary outcomes included gestational age at delivery, gestational diabetes, small for gestational age birth weight, hypertensive diseases of pregnancy, fetal demise, cesarean delivery, and a composite of neonatal complications (5-minute Apgar score < 5, perinatal death, and NICU admission). Multivariable logistic regression was performed to adjust for confounders. Results Of 17,670 women included, 235 (1.3%) had a history of ≥ 2 consecutive SABs. Compared with women with a history of ≤ 1 SAB, women with ≥ 2 consecutive SABs were not more likely to have a PTB (19.6 vs. 14.0%, p = 0.01, adjusted odds ratios (AOR): 0.91, 95% confidence interval [CI]: 0.62–1.33). However, they were more likely to deliver at an earlier mean gestational age (37.8 ± 3.4 vs. 38.6 ± 2.9 weeks, p < 0.01) and to have gestational diabetes (12.3 vs. 6.6%, p < 0.01, AOR: 1.69, 95% CI: 1.10–2.59). Other outcomes were similar between the two groups. Conclusion A history of ≥ 2 consecutive SABs was not associated with an increased incidence of PTB but may be associated with gestational diabetes in a subsequent pregnancy. Key Points

Older people’s long-term care experiences during the COVID-19 pandemic in Ghana: a qualitative descriptive study

2021 ◽  
Author(s):  
Kofi Awuviry-Newton ◽  
Jacob Oppong Nkansah ◽  
Abraham Newton ◽  
Kwamina Abekah-Carter
Keyword(s):  
Long Term Care ◽  
Well Being ◽  
Descriptive Study ◽  
Structured Interviews ◽  
Term Care ◽  
Care Policies ◽  
Qualitative Descriptive ◽  
Descriptive Approach ◽  
Southern Ghana

This study explores older people’s long-term care experiences during the COVID-19 pandemic in Ghana. A qualitative descriptive approach employing semi-structured interviews was used to collect data from 15 older people from Southern Ghana. Analysis of interview data resulted in five interrelated themes: (1) sources and type of long-term care; (2) older people’s satisfaction with the long-term care received; (3) changes in their long-term care; (4) feelings of neglect regarding long-term care; and (5) older people’s resilience in long-term care. The sustainability of long-term care depends on the state’s ability to devise innovative long-term care policies and programmes to promote older people’s and their carers’ well-being.

scholarly journals Relações interpessoais no centro cirúrgico sob a ótica da enfermagem:estudo exploratório

2017 ◽  
Vol 16 (2) ◽  
pp. 159
Author(s):  
Maria De Fátima Cordeiro Trajano ◽  
Daniela Tavares Gontijo ◽  
Monique Wanderley Da Silva ◽  
Jael Maria De Aquino ◽  
Estela Maria Leite Meireles Monteiro
Keyword(s):  
Interpersonal Relationships ◽  
Exploratory Study ◽  
University Hospital ◽  
Critical Conditions ◽  
Structured Interviews ◽  
Multiprofessional Team ◽  
Attitudes And Practices ◽  
Team Working ◽  
Qualitative Descriptive ◽  
Safe Care

Objective:  to  identify  how  nursing  workers  perceive  interpersonal relationships established within the multiprofessional team working in a surgical center. method:  qualitative,  descriptive  and  exploratory  study  conducted  in the  surgical  center of  a  large  university  hospital  located  in  recife,  pernambuco,  brazil. twenty-five  nursing workers  participated in the  study  through  semi-structured  interviews.  content  thematic analysis was used to treat the data. results: three thematic categories emerged, namely: conception  of  interpersonal  relationships;  factors  that  negatively  impact  interpersonal relationships;  and  attitudes  and  practices  that  strengthen  interpersonal  relationships. conclusion:  reflecting  upon  the  interpersonal  relationships  established  among  the workers  in  the  surgical  center  can  provide  tools  for  managers  to  establish  coping strategies and ensure a harmonious work environment to favor integral, humanized and safe care for patients in critical conditions.

scholarly journals SOCIAL MEDIA AT THE PUBLIC UNIVERSITY: A Case Study at the Federal University of Amapá

2020 ◽  
Vol 6 (4) ◽  
pp. a7en
Author(s):  
Laís Karla da Silva Barreto ◽  
Emanuelle Silva Barbosa ◽  
Luciana Gondim de Almeida Guimarães ◽  
Priscila Silva Esteves ◽  
Allan Gustavo Freire da Silva ◽  
...  
Keyword(s):  
Social Media ◽  
Integrated Management ◽  
Study Data ◽  
Communication Process ◽  
Structured Interviews ◽  
The Public ◽  
Qualitative Descriptive ◽  
Descriptive Approach ◽  
Case Study Data

The advent of the internet has enabled changes in the way people communicate. The current reseach endeavours to analyse the organizational communication process, through social media, at the Academic Department of Philosophy and Human Sciences - DFCH, at the Federal University of Amapá. Methodologically, it is a qualitative, descriptive approach, configured as a case study. Data were collected through semi-structured interviews, with the participation of 10 administrative technicians. The results reveal that communication in the DFCH occurs through integrated management systems (SIPAC, SIGRH and SIGAA), by email and institutional website and, informally, by WhatsApp. As a result of the research, it was proposed the creation of groups linked to the Dean Special Advisory Board (AER), to improve the communication process.  

Healthcare Barriers Among Working-Age Persons with Disabilities in Trinidad

2021 ◽  
pp. 104973232110591
Author(s):  
Bephyer Parey ◽  
Leeann Sinanan
Keyword(s):  
National Level ◽  
Cost Effective ◽  
Healthcare Facility ◽  
Structured Interviews ◽  
Human Right ◽  
Persons With Disabilities ◽  
Healthcare Barriers ◽  
Working Age ◽  
Qualitative Descriptive ◽  
Descriptive Approach

Even though easily accessible and cost-effective healthcare is a fundamental human right, many persons with disabilities experience healthcare barriers and poor health outcomes. We explore the healthcare barriers among working-age persons with disabilities in Trinidad using a qualitative descriptive approach. Semi-structured interviews with 26 participants reveal barriers at the personal, healthcare facility, and societal levels. The findings indicate the need for a nation-wide integrated digitalized system and increased intersectoral collaborations to support adequate healthcare among persons with disabilities in Trinidad. Increased consultation with persons with disabilities and transformation of the disability discourses within the healthcare system and at the national level are also recommended as part of the humanisation of their care.

scholarly journals Contracepção masculina: a visão de candidatos à vasectomia [Male contraception: the view of vasectomy candidates] [Anticoncepción masculina: la visión de candidatos para la vasectomia]

2019 ◽  
Vol 27 ◽  
pp. e45298
Author(s):  
Ana Luiza Rimoli Hormain Barcellos ◽  
Daniele Ferreira Acosta ◽  
Daiane Porto Gautério Abreu ◽  
Suelen Gonçalves de Oliveira
Keyword(s):  
Rio Grande ◽  
Ethics Committee ◽  
University Hospital ◽  
Structured Interviews ◽  
Individual Motivation ◽  
Life Project ◽  
Descriptive Research ◽  
Toma De Decisiones ◽  
Qualitative Descriptive ◽  
Childhood Violence

Objetivo: analisar a percepção de homens, candidatos à esterilização, sobre a vasectomia e identificar os motivos que os levaram a escolher tal procedimento. Método: pesquisa qualitativa descritiva, realizada com 14 homens em um hospital universitário, do município do Rio Grande/RS, em 2019. Foram realizadas entrevistas semiestruturadas, submetidas à análise de conteúdo. Estudo aprovado pelo Comitê de Ética em Pesquisa. Resultados: a idade média foi de 31,8 anos, e a maioria tinha filhos com a atual e com ex-parceiras. O conhecimento vago sobre vasectomia foi reforçado após encontro com assistente social. A influência de conhecidos foi positiva na tomada de decisão. A proteção da saúde da esposa foi um dos motivos para a realização do procedimento. O histórico de vida cercado por violência na infância também serviu como motivação. Conclusão: é preciso um olhar ampliado, dos profissionais da saúde sobre o tema; considerando o contexto e o projeto de vida do cliente nas situações de planejamento familiar.ABSTRACTObjective: to analyze the perception of men, candidates for sterilization, about vasectomy and to identify the reasons that led them to choose the method. Method: qualitative descriptive research, carried out with 14 men in a university hospital, in the municipality of Rio Grande/RS, in 2019. Semi-structured interviews were carried out, submitted to content analysis. Study approved by the Research Ethics Committee. Results: the average age was 31.8 years, and most had children with the current and former partners. Knowledge about vasectomy was reformed after meeting with a social worker. A known influence was positive in decision making. The protection of the wife's health was one of the reasons for carrying out the procedure. The life history surrounded by childhood violence also serves as an individual motivation. Conclusion: an expanded look is needed by health professionals, taking into account the context and the life project in family planning situations.RESUMENObjetivo: analizar la percepción de los hombres, candidatos a la esterilización, sobre la vasectomía e identificar las razones que los llevaron a elegir el método. Método: investigación descriptiva cualitativa, realizada con 14 hombres en un hospital universitario, en el municipio de Rio Grande/RS, en 2019. Se realizaron entrevistas semiestructuradas, sometidas a análisis de contenido. Estudio aprobado por el Comité de Ética en Investigación. Resultados: la edad promedio fue de 31.8 años, y la mayoría tenía hijos con las parejas actuales y anteriores. El conocimiento sobre la vasectomía se reformó después de reunirse con un trabajador social. Una influencia conocida fue positiva en la toma de decisiones. La protección de la salud de la esposa fue una de las razones para llevar a cabo el procedimiento. La historia de la vida rodeada de violencia infantil también sirve como una motivación individual. Conclusión: los profesionales de la salud necesitan una mirada más amplia, teniendo en cuenta el contexto y el proyecto de vida en situaciones de planificación familiar.

scholarly journals “Becoming an independent feeder”: infant’s transition in solid food introduction through baby-led weaning

2020 ◽  
Vol 14 (S13) ◽  
Author(s):  
Ayu Fitria Utami ◽  
Dessie Wanda ◽  
Happy Hayati ◽  
Cathrine Fowler
Keyword(s):  
Thematic Analysis ◽  
Growth And Development ◽  
Complementary Feeding ◽  
Solid Food ◽  
Structured Interviews ◽  
Complementary Foods ◽  
Qualitative Descriptive ◽  
Solid Food Introduction ◽  
Descriptive Approach

Abstract Background Baby-led weaning (BLW), a method for introducing complementary foods, has become popular because it is considered beneficial for infants. Methods This study investigated the experiences of mothers when using BLW in Jakarta, Indonesia using a qualitative descriptive approach. Thirteen mothers participated who had introduced complementary feeding using BLW for a minimum of 6 months. Semi-structured interviews and thematic analysis was used to work with the data. Results Three themes were identified: avoiding being a ‘picky’ eater; infants gagging and choking; and becoming independent feeders. Conclusion Further research related to the growth and development of baby-led weaning infants in Indonesia is recommended.

scholarly journals 0839 Napping Stigma Among Frail Older Adults: Reflections from a Qualitative Study

SLEEP ◽  
2020 ◽  
Vol 43 (Supplement_1) ◽  
pp. A319-A320
Author(s):  
A S Berkley ◽  
P A Carter
Keyword(s):  
Older Adults ◽  
Memory Consolidation ◽  
Early Stage ◽  
Qualitative Interviews ◽  
Self Report ◽  
Structured Interviews ◽  
Younger Adults ◽  
Daytime Sleep ◽  
Qualitative Descriptive ◽  
Descriptive Approach

Abstract Introduction Napping and other daytime sleep is often overlooked in insomnia research and poorly defined in many studies. Research has shown some correlations between older adults’ napping habits and increased medical co-morbidities and risks of dementia, but it has also shown that napping enhances memory consolidation and broader aspects of cognition in younger adults. Where along the aging spectrum this line between beneficial napping and potentially risky napping falls is not clear. Methods This study employed a qualitative descriptive approach in which semi-structured interviews (N=18) were supplemented by the widely used self-report instruments and anxiety scales. Results Insomnia in these older adults directly resulted in reduced energy and stamina, poor mood, and reduced functional capacity. Indirect effects included reduced social interaction and increased isolation. Several participants reported napping in qualitative interviews but denied daytime sleep on standard sleep assessments, and associated napping with anxiety and dread of functional and cognitive decline. Planned or intentional napping was viewed with guilt and denial, while dozing off accidentally was considered an acceptable coping strategy. Conclusion While research about the relationships between disordered sleep and cognitive impairment is still at an early stage, it seems ironic that the participants in this study stigmatized planned napping, which could potentially benefit their cognitive functioning, but seemed accepting of accidental napping, which may well indicate some more serious cognitive issues. More education about sleep needs for older adults is needed. Support I am grateful to the Longhorn Village chapter of Texas Exes for their Gerontology Nursing Scholarship, which helped to fund this project.

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