| Coping with grief after involuntary pregnancy loss: perspectives of African American women. | |
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MedLine Citation:
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PMID: 12570179 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: To present the coping strategies used by African American women following their miscarriages, ectopic pregnancies, fetal deaths, and still-births, which the authors have termed involuntary pregnancy losses or IPLs. DESIGN: Semistructured audiotaped interviews; grounded theory methods used to collect and analyze the data. SETTING: Urban community-based sites in the Western United States. PARTICIPANTS: 20 African American adult women who reported a history of involuntary pregnancy loss within 3 years of interview. RESULTS: In this study, the women's responses to their IPL were grouped into four areas. They coped with personal reactions, reactions of others, memories of the baby, and subsequent pregnancies. CONCLUSION: The women in this study used inner resources to develop self-help strategies to cope with reactions following IPL. Nurses are challenged to harness the influence of family, friends, religion, and cultural traditions to assist women in processing the cognitive, emotional, and social traumas associated with IPL. Educating women to recognize grief responses after IPL and to manage these responses effectively may prevent adverse outcomes to their physical and mental health. A culturally sensitive framework of clinical assessment and intervention for African American women experiencing IPL has been developed. |
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Authors:
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Paulina Van; Afaf I Meleis |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: Journal of obstetric, gynecologic, and neonatal nursing : JOGNN / NAACOG Volume: 32 ISSN: 0884-2175 ISO Abbreviation: J Obstet Gynecol Neonatal Nurs Publication Date: 2003 Jan-Feb |
Date Detail:
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Created Date: 2003-02-06 Completed Date: 2003-03-03 Revised Date: 2007-11-15 |
Medline Journal Info:
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Nlm Unique ID: 8503123 Medline TA: J Obstet Gynecol Neonatal Nurs Country: United States |
Other Details:
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Languages: eng Pagination: 28-39 Citation Subset: IM; N |
Affiliation:
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University of California, San Francisco, School of Nursing, Department of Family Health Care Nursing, 94143-0606, USA. pvan@itsa.ucsf.edu |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Abortion, Spontaneous
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nursing,
psychology* Adaptation, Psychological* Adult African Americans / psychology* Anecdotes as Topic Female Fetal Death* Grief* Humans Infant, Newborn Nursing Methodology Research Object Attachment Pregnancy Questionnaires Social Support Time Factors United States Urban Population Women / psychology* |
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