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Emotional experiences of women who access early pregnancy assessment units: a qualitative investigation

Silverio, SA, Memtsa, M, Barrett, G, Goodhart, V, Stephenson, J, Jurković, D and Hall, JA (2022) Emotional experiences of women who access early pregnancy assessment units: a qualitative investigation. Journal of Psychosomatic Obstetrics and Gynecology, 43 (4). pp. 574-584. ISSN 0167-482X

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Silverio et al., (2022) - VESPA Emotions at EPAUs - Journal of Psychosomatic Obstetrics & Gynecology.pdf - Published Version
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Open Access URL: https://doi.org/10.1080/0167482X.2022.2119958 (Published version)

Abstract

Purpose: Early pregnancy complications are common and often result in pregnancy loss, which can be emotionally challenging for women. Research on the emotional experiences of those attending Early Pregnancy Assessment Units [EPAUs] is scarce. This analysis explored the emotions which women spontaneously reported when being interviewed about their experiences of using EPAU services. Materials and methods: Semi-structured telephone interviews were conducted with a purposive sample of 38 women. Using Thematic Framework Analysis, we identified six unique emotional typologies which mapped onto women’s clinical journeys. Results: Women with ongoing pregnancies were characterized as having: “Anxious Presentation” or “Sustained Anxiety due to Diagnostic Uncertainty”, dependent on whether their initial scan result was inconclusive. Women with pregnancy loss had one of four emotional typologies, varying by diagnostic timing and required interventions: “Anxious-Upset”; “Anxious-Upset after Diagnostic Uncertainty”; “Anxious-Upset with Procedural Uncertainty”; “Anxious with Sustained Uncertainty”. Conclusions: We provide insights into the distinct emotions associated with different clinical pathways through EPAU services. Our findings could be used to facilitate wider recognition of women’s emotional journeys through early pregnancy complications and stimulate research into how best to support women and their partners, in these difficult times.

Item Type: Article
Uncontrolled Keywords: Humans; Pregnancy Complications; Abortion, Induced; Emotions; Pregnancy; Qualitative Research; Female; Early pregnancy; early pregnancy unit; emotions; pregnancy loss; qualitative research; Pregnancy; Female; Humans; Qualitative Research; Emotions; Abortion, Induced; Pregnancy Complications; 1114 Paediatrics and Reproductive Medicine; Obstetrics & Reproductive Medicine
Subjects: B Philosophy. Psychology. Religion > BF Psychology
R Medicine > RG Gynecology and obstetrics
Divisions: Psychology (from Sep 2019)
Publisher: Taylor & Francis
SWORD Depositor: A Symplectic
Date Deposited: 05 Dec 2022 11:43
Last Modified: 05 Dec 2022 11:43
DOI or ID number: 10.1080/0167482X.2022.2119958
URI: https://researchonline.ljmu.ac.uk/id/eprint/18270
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