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Open AccessDissertation10.24385/lincoln.24327508

Treatment choice for miscarriage: an evaluation of the psychological impact for women and their partners

Zoë A. Kyte-2009-12-25-Lincoln Repository (University of Lincoln)

TL;DRAbstract

Background: Currently, standard practice is to allocate women to a particulartreatment for miscarriage; most commonly surgical. The alternative of offeringwomen a choice in their treatment is controversial due to pre-conceptionsaround their potential for distress. However, exploration of the psychologicaloutcomes of women and their partners when given a choice may offer newinsights into the validity of existing ideas.Methods: A non-randomised longitudinal design was used. Eighty-onewomen attending an Early Pregnancy Assessment Unit completed a 14-daydiary following their miscarriage, including factors contributing to theirtreatment choice, the General Health Questionnaire (GHQ-12), theSpielberger Trait Anxiety Inventory (STAI), and rating scales for pain andbleeding. Women and their partners were also sent follow-up questionnairesat six weeks, including the GHQ-12, the Impact of Events Scale (IES) andevaluation of their treatment. Quantitative data was analysed using nonparametricanaly

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Background: Currently, standard practice is to allocate women to a particulartreatment for miscarriage; most commonly surgical. The alternative of offeringwomen a choice in their treatment is controversial due to pre-conceptionsaround their potential for distress. However, exploration of the psychologicaloutcomes of women and their partners when given a choice may offer newinsights into the validity of existing ideas.Methods: A non-randomised longitudinal design was used. Eighty-onewomen attending an Early Pregnancy Assessment Unit completed a 14-daydiary following their miscarriage, including factors contributing to theirtreatment choice, the General Health Questionnaire (GHQ-12), theSpielberger Trait Anxiety Inventory (STAI), and rating scales for pain andbleeding. Women and their partners were also sent follow-up questionnairesat six weeks, including the GHQ-12, the Impact of Events Scale (IES) andevaluation of their treatment. Quantitative data was analysed using nonparametricanaly

Keywords

Wilcoxon signed-rank testMiscarriagePsychologyClinical psychologyRating scaleTest (biology)Kruskal–Wallis one-way analysis of varianceDistress

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