Spiritual care of women after spontaneous miscarriage

A systematic literature review

Authors

  • Zala Macuh University Clinical Center Maribor, Division of Surgery, Ljubljanska ulica 5, Maribor, Slovenia
  • Zvonka Fekonja University Maribor, Faculty of Health Sciences, Žitna ulica 15, Maribor, Slovenia https://orcid.org/0000-0002-4224-8843
  • Rosemarie Franc University Clinical Center Maribor, Clinic for Gynecology and Perinatology, Ljubljanska ulica 5, Maribor, Slovenia
  • Sergej Kmetec University Maribor, Faculty of Health Sciences, Žitna ulica 15, Maribor, Slovenia
  • Nataša Mlinar Reljić University of Maribor, Faculty of Health Sciences, Žitna ulica 15, 2000 Maribor, Slovenia https://orcid.org/0000-0003-1148-0831

DOI:

https://doi.org/10.14528/snr.2024.58.4.3274

Keywords:

spirituality, miscarriage

Abstract

Introduction: Termination of pregnancy represents a major distress for the woman, her partner and family, as well as for the medical staff who need to provide comprehensive health care, of which spiritual care is an essential aspect. The aim of the literature review is to  identify the type of spiritual care that women need after a spontaneous miscarriage.
Methods: A systematic literature review was conducted in April 2023 in the CINAHL Ultimate, Science Direct, Wiley Online Library, and Web of Science databases using an English-language search string. The search, review, and selection of articles followed the PRISMA guidelines. The articles were critically appraised. The data collected were analysed using the method of content analysis.
Results: The literature search yielded 490 studies, nine of which were included in the final analysis. The main category consisted of three subcategories: (1) Emotions and Feelings, (2) Interpersonal Relationships, and (3) Spiritual Growth.
Discussion and conclusion: The results show that spiritual care requires an understanding of women's spiritual needs and distress after a spontaneous termination of  pregnancy. After a miscarriage, women desire quality  spiritual care in addition to medical care. Women tend to express their spiritual needs through emotions and feelings, which need to be recognised and responded to appropriately by nurses and midwives. Spiritual care should be based on understanding, compassion and support.

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References

Adib-Rad, H., Basirat, Z., Faramarzi, M., Mostafazadeh, A., & Bijani, A. (2019). Psychological distress in women with recurrent spontaneous abortion: A case-control study. Turkish Journal of Obstetrics and Gynecology, 16(3), 151–157. https://doi.org/10.4274/tjod.galenos.2019.88899 PMid:31673466; PMCid:PMC6792057

Aromataris, E., & Munn, Z. (2017). Joanna Briggs Institute Reviewers’ Manual (2011 ed.). The Joanna Briggs Institute. https://reviewersmanual.joannabriggs.org/

Arshad, T., & Hafeez, N. (2016). Religiosity social support and distress in miscarriage. Pakistan Journal of Professional Psychology Research and Practice, 7(1), 45–58. https://doi.org/10.62663/pjpprp.v7i1.86

Attard, J., Baldacchino, D. R., & Camilleri, L. (2014). Nurses’ and midwives’ acquisition of competency in spiritual care: A focus on education. Nurse Education Today, 34(12), 1460–1466. https://doi.org/10.1016/j.nedt.2014.04.015 PMid:24814103

Attard, J., Ross, L., & Weeks, K. (2019). Developing a spiritual care competency framework for pre-registration nurses and midwives. Nurse Education in Practice, 40, Article 102604. https://doi.org/10.1016/j.nepr.2019.07.010 PMid:31563024

Brémault-Phillips, S., Pike, A., Olson, J., Severson, E., & Olson, D. (2020). Expressive writing for wildfire-affected pregnant women: Themes of challenge and resilience. International Journal of Disaster Risk Reduction, 50, Article 101730. https://doi.org/10.1016/j.ijdrr.2020.101730

Carolan, M., & Wright, R. J. (2017). Miscarriage at advanced maternal age and the search for meaning. Death Studies, 41(3), 144–153. https://doi.org/10.1080/07481187.2016.1233143 PMid:27685707

Choi, T. Y., Lee, M. H., Park, W. K., Jeong, S. Y., & Moon, H. S. (2014). Spontaneous abortion and recurrent miscarriage: A comparison of cytogenetic diagnosis in 250 cases. Obstetrics & Gynecology Science, 57(6), 518–525. https://doi.org/https://doi.org/10.5468/ogs.2014.57.6.518 PMid:25469342; PMCid:PMC4245347

Crockett, J. E., Rogers, J. L., & Binkley, E. E. (2021). Cultural dimensions of early pregnancy loss: Spiritual and religious issues. Counseling and Values, 66(1), 21–39. https://doi.org/10.1002/cvj.12142

Eklund, M. V., Prinds, C., Mork, S., Damm, M., Möller, S., & Hvidtjorn, D. (2022). Parents’ religious/spiritual beliefs, practices, changes and needs after pregnancy or neonatal loss—A Danish cross-sectional study. Death Studies, 46(6), 1529–1539. https://doi.org/10.1080/07481187.2020.1821260 PMid:32960749

Fadhil, S. N., & Ali, R. M. (2015). Effects of spontaneous abortion upon women’s physical and spiritual status. Iraqi National Journal of Nursing Specialties, 28(2), 71–82

Farren, J., Jalmbrant, M., Falconieri, N., Mitchell-Jones, N., Bobdiwala, S., Al-Memar, M., Tapp, S., Van Calster, B., Wynants, L., immerman, D., & Bourne, T. (2021). Differences in post-traumatic stress, anxiety and depression following miscarriage or ectopic pregnancy etween women and their partners: Multicenter prospective cohort study. Ultrasound in Obstetrics and Gynecology, 57(1), 141–148. https://doi.org/10.1002/uog.23147 PMid:33032364

Figueredo-Borda, N., Ramírez-Pereira, M., Gaudiano, P., Cracco, C., & Ramos, B. (2022). Experiences of miscarriage: The voice of parents and health professionals. OMEGA - Journal of Death and Dying, 89(2), 777–794. https://doi.org/10.1177/00302228221085188 PMid:35354387

Galeotti, M., Aventin, Á., Mitchell, G., & Tomlinson, M. (2020). Factors contributing to emotional distress and well-being among women and men who experience miscarriage and attend hospital settings. A Systematic Scoping Review Protocol, 2020, 2–12.

Herdman, H. T., & Kamitsuru, S. (2018). Negovalne diagnoze NANDA International: definicije in klasifikacija 2018-2021. Zbornica zdravstvene in babiške nege Slovenije – Zveza strokovnih društev medicinskih sester, babic in zdravstvenih tehnikov Slovenije.

Hsieh, H. F., & Shannon, S. E. (2005). Three approaches to qualitative content analysis. Qualitative Health Research, 15(9), 1277–1288. https://doi.org/10.1177/1049732305276687 PMid:16204405

Hunter, B., & Smith, P. (2007). Emotional labour: Just another buzzword? International Journal of Nursing Studies, 44(6), 859–861. https://doi.org/10.1016/j.ijnurstu.2006.12.015 PMid:17367794

Htti, M. H., Polivka, B., White, S., Hill, J., Clark, P., Cooke, C., Clemens, S., & Abell, H. (2016). Experiences of nurses who care for women after fetal loss. Journal of Obstetric, Gynecologic, and Neonatal Nursing, 45(1), 17–27. https://doi.org/10.1016/j.jogn.2015.10.010 PMid:26815795

Kalu, F. A. (2019). Women’s experiences of utilizing religious and spiritual beliefs as coping resources after miscarriage. Religions, 10(3), Article 185. https://doi.org/10.3390/rel10030185

Lee, L., Ma, W., Davies, S., & Kammers, M. (2023). Toward optimal emotional care during the experience of miscarriage: an integrative review of the perspectives of women, partners, and health care providers. Journal of Midwifery & Women's Health, 68(1), 52–61. https://onlinelibrary.wiley.com/doi/full/10.1111/jmwh.13414 PMid:36370053; PMCid:PMC10098777

Marín-Morales, D., Carmona-Monge, F. J., Penacoba-Puente, C., Díaz-Sánchez, V., & García-Huete, M. E. (2012). Influence of coping strategies on somatic symptoms in pregnant Spanish women: Differences between women with and without a previous miscarriage. Applied Nursing Research, 25(3), 164–170. https://doi.org/10.1016/j.apnr.2011.01.003 PMid:21439789

Meeks, J. (2021). Effects of Abortion in Georgia, USA. CODEE Journal: Engaging learners: Differential equations in today’s world, 14(1), 45–50. htps://doi.org/10.5642/codee.202114.01.06

Melnyk, B. M., & Fineout-Overholt, E. (2019). Evidence-based practice in nursing & healthcare: A guide to best practice (4th ed.). Wolters Kluwer.

Mihelič Zajec, A., Karnjuš, I., Babnik, K., Klun, B., & Štancar, K. (2020). Splošna priporočila za duhovno oskrbo v zdravstveni negi. Zbornica zdravstvene in babiške nege Slovenije – Zveza strokovnih društev medicinskih sester babic in zdravstvenih tehnikov Slovenije.

Moafi, F., Momeni, M., Tayeba, M., Rahimi, S., & Hajnasiri, H. (2021). Spiritual intelligence and post-abortion depression: A coping strategy. Journal of Religion and Health, 60(1), 326–334. https://doi.org/10.1007/s10943-018-0705-0 PMid:30242724

Moloney, S., & Gair, S. (2015). Empathy and spiritual care in midwifery practice: Contributing to women’s enhanced birth experiences. Women and Birth, 28(4), 323–328. https://doi.org/10.1016/j.wombi.2015.04.009 PMid:25997730

Montenegro Lima, L., de Santana Gonçalves, S., Pereira Rodrigues, D., da Silva Clemente Araújo, A., de Medeiros Correia, A., & da Silva Viana, A. P. (2017). Humanized care for women in abortion: A reflective analysis. Journal of Nursing UFPE, 11(12), 5074–5078.https://doi.org/10.5205/1981-8963-v11i12a25126p5074-5078-2017

Nacionalni inštitut za javno zdravje. (2023). Fetalne smrti. https://nijz.si/podatki/podatkovne-zbirke-in-raziskave/fetalne-smrti/

Obelenienė, B., & Krunglevičiūtė, A. (2014). Pastoral care for women with regret for the loss of an unborn child. Procedia - Social and Behavioral Sciences, 159(234), 517–523. https://doi.org/10.1016/j.sbspro.2014.12.416

Olson, K. J. (2013). Health promotion: Healing through loss. Journal of Emergency Nursing, 39(6), 610–612. https://doi.org/10.1016/j.jen.2011.12.013 PMid:22521406

Page, M., McKenzie, J., Bossuyt, P., Boutron, I., Hoffmann, T., Mulrow, C., Shamseer, L., Tetzlaff, J. M., Akl, E. A., Brennan, S. E., Chou, R., Glanville, J., Grimshaw, J., Hróbjartsson, A., Lalu, M., Li, T., Loder, E. W., Mayo-Wilson, E., McDonald, S., McGuinness, L. A., Stewart, L., Thomas, J., Tricco, C. A., Welch, A. V., Whiting, P., Moher, D. The PRISMA 2020 statement: An updated guidelines for reporting systematic reviews. BMJ, 372, Article 71. https://doi.org/10.1136/bmj.n71 PMid:33782057; PMCid:PMC8005924

Ross, L., & McSherry, W. (2018). Two questions that ensureperson-centred spiritual care. Nursing Standard, 16, Article 37.

Shin, G., Kim, H. J., & Kim, S. H. (2023). Internal growth of women with recurrent miscarriage: a qualitative descriptive study based on the post-traumatic growth theory. BMC Women’s Health, 23(386), Article 386. ttps://doi.org/10.1186/s12905-023-02542-6 PMid:37480056; PMCid:PMC10362550

Takač, I., & Geršak, K. (2016). Ginekologija in perinatologija. Univerza v Mariboru, Medicinska fakulteta.

Teixeira, S. M. A., Coelho, J. C. F., Sequeira, C. A. da C., Lluch i Canut, M. T., & Ferré-Grau, C. (2019). The effectiveness of positive mental health programs in adults: A systematic review. Health and Social Care in the Community, 27(5), 1126–1134. https://doi.org/10.1111/hsc.12776 PMid:31144395

Tenório, P. J., Katz, L., & Amorim, M. M. R. (2023). Symptoms of anxiety and depression in women with gestational trophoblastic disease compared to women who had a miscarriage: A crosssectional study. Journal of Psychosomatic Obstetrics and Gynecology, 44(1), Article 22. https://doi.org/10.1080/0167482X.2023.2210747 PMid:37256828

Timmins, F., & Caldeira, S. (Eds.). (2019). Spirituality in Healthcare: Perspectives for Innovative Practice. Springer Nature Switzerland. https://doi.org/10.1007/978-3-030-04420-6

Tur-Torres, M. H., Garrido-Gimenez, C., & Alijotas-Reig, J. (2017). Genetics of recurrent miscarriage and fetal loss. Best Practice & Research Clinical Obstetrics & Gynaecology, 42, 11– 25. https://doi.org/10.1016/j.bpobgyn.2017.03.007 PMid:28412101

van Ditzhuijzen, J. (2019). Common risk factors for abortion and suicide attempts. The Lancet Psychiatry, 6(12), 972–973. PMid:31757591

van Leeuwen, R., & Schep-Akkerman, A. (2015). Nurses’Perceptions of Spirituality and Spiritual Care in Different Health Care Settings in the Netherlands. Religions, 6(4), 1346–1357. https://doi.org/10.3390/rel6041346

Published

2024-11-06

How to Cite

Macuh, Z., Fekonja, Z., Franc, R., Kmetec, S., & Mlinar Reljić, N. (2024). Spiritual care of women after spontaneous miscarriage: A systematic literature review. Slovenian Nursing Review, In Press. https://doi.org/10.14528/snr.2024.58.4.3274

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Review article

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