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The relationship between healthcare satisfaction after miscarriage and perinatal grief symptoms: a cross-sectional study on Portugal residents

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Resumo:Objective: 15–20% of identified pregnancies result in miscarriage, which may lead to persistent symptoms of psychological morbidities in some women. Healthcare satisfaction is among the factors believed to influence such negative psychological responses. Here, we present the results of a study conducted in Portugal that analyzes the relationship between healthcare satisfaction, information and support provision and perinatal grief symptoms. Methods: In a cross-sectional study, symptoms of perinatal grief, degree of satisfaction with healthcare received, and information and support provision data were collected through an online survey aimed at women in Portugal who suffered a miscarriage. 873 were considered eligible. Correlations were performed between perinatal grief scores and healthcare satisfaction rates. Finally, the proportions of information and support received were compared after distributing the sample in groups according to their perinatal grief levels. Results: Healthcare satisfaction correlated significantly with perinatal grief scores, the latter increasing as satisfaction levels decreased. 61.1% of our sample received information about the physical consequences of miscarriage and showed a significantly lower rate of above-threshold perinatal grief symptoms in this group. 18.2% received information about its mental health consequences, with no significant differences in above threshold symptom rates. 11.7% were offered or recommended mental health support, but no significant dif ferences in above-threshold symptom rates were found. Conclusion: Healthcare satisfaction and information on after-miscarriage physical changes correlated significantly with reduced perinatal grief rates after miscarriage. However, any effects of mental health information and psychological support provision need further studies. Training for healthcare providers dealing with pregnancy loss, implementing national guidelines that include follow-up on the parents’ physical and psychological health, and including a specialized area in medical structures are advised.
Autores principais:Mendes, Diana C. G.
Outros Autores:Fonseca, Ana; Cameirão, Mónica S.; Cameirão, Mónica
Assunto:Miscarriage Perinatal grief Healthcare satisfaction Healthcare providers . Faculdade de Ciências Exatas e da Engenharia
Ano:2024
País:Portugal
Tipo de documento:artigo
Tipo de acesso:acesso aberto
Instituição associada:Universidade da Madeira
Idioma:inglês
Origem:DigitUMa - Repositório da Universidade da Madeira
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author Mendes, Diana C. G.
author2 Fonseca, Ana
Cameirão, Mónica S.
Cameirão, Mónica
author2_role author
author
author
author_facet Mendes, Diana C. G.
Fonseca, Ana
Cameirão, Mónica S.
Cameirão, Mónica
author_role author
contributor_name_str_mv DigitUMa
country_str PT
creators_json_txt [{\"Person.name\":\"Mendes, Diana C. G.\"},{\"Person.name\":\"Fonseca, Ana\"},{\"Person.name\":\"Cameirão, Mónica S.\"},{\"Person.name\":\"Cameirão, Mónica\",\"Person.identifier.orcid\":\"0000-0002-5352-0128\"}]
datacite.contributors.contributor.contributorName.fl_str_mv DigitUMa
datacite.creators.creator.creatorName.fl_str_mv Mendes, Diana C. G.
Fonseca, Ana
Cameirão, Mónica S.
Cameirão, Mónica
datacite.date.Accepted.fl_str_mv 2024-07-01T00:00:00Z
datacite.date.available.fl_str_mv 2025-05-08T13:21:54Z
datacite.date.embargoed.fl_str_mv 2025-05-08T13:21:54Z
datacite.rights.fl_str_mv http://purl.org/coar/access_right/c_abf2
datacite.subjects.subject.fl_str_mv Miscarriage
Perinatal grief
Healthcare satisfaction
Healthcare providers
.
Faculdade de Ciências Exatas e da Engenharia
datacite.titles.title.fl_str_mv The relationship between healthcare satisfaction after miscarriage and perinatal grief symptoms: a cross-sectional study on Portugal residents
dc.contributor.none.fl_str_mv DigitUMa
dc.creator.none.fl_str_mv Mendes, Diana C. G.
Fonseca, Ana
Cameirão, Mónica S.
Cameirão, Mónica
dc.date.Accepted.fl_str_mv 2024-07-01T00:00:00Z
dc.date.available.fl_str_mv 2025-05-08T13:21:54Z
dc.date.embargoed.fl_str_mv 2025-05-08T13:21:54Z
dc.format.none.fl_str_mv application/pdf
dc.identifier.none.fl_str_mv http://hdl.handle.net/10400.13/7262
dc.language.none.fl_str_mv eng
dc.publisher.none.fl_str_mv Elsevier
dc.rights.cclincense.fl_str_mv http://creativecommons.org/licenses/by-nc-nd/4.0/
dc.rights.none.fl_str_mv http://purl.org/coar/access_right/c_abf2
dc.subject.none.fl_str_mv Miscarriage
Perinatal grief
Healthcare satisfaction
Healthcare providers
.
Faculdade de Ciências Exatas e da Engenharia
dc.title.fl_str_mv The relationship between healthcare satisfaction after miscarriage and perinatal grief symptoms: a cross-sectional study on Portugal residents
dc.type.none.fl_str_mv http://purl.org/coar/resource_type/c_6501
description Objective: 15–20% of identified pregnancies result in miscarriage, which may lead to persistent symptoms of psychological morbidities in some women. Healthcare satisfaction is among the factors believed to influence such negative psychological responses. Here, we present the results of a study conducted in Portugal that analyzes the relationship between healthcare satisfaction, information and support provision and perinatal grief symptoms. Methods: In a cross-sectional study, symptoms of perinatal grief, degree of satisfaction with healthcare received, and information and support provision data were collected through an online survey aimed at women in Portugal who suffered a miscarriage. 873 were considered eligible. Correlations were performed between perinatal grief scores and healthcare satisfaction rates. Finally, the proportions of information and support received were compared after distributing the sample in groups according to their perinatal grief levels. Results: Healthcare satisfaction correlated significantly with perinatal grief scores, the latter increasing as satisfaction levels decreased. 61.1% of our sample received information about the physical consequences of miscarriage and showed a significantly lower rate of above-threshold perinatal grief symptoms in this group. 18.2% received information about its mental health consequences, with no significant differences in above threshold symptom rates. 11.7% were offered or recommended mental health support, but no significant dif ferences in above-threshold symptom rates were found. Conclusion: Healthcare satisfaction and information on after-miscarriage physical changes correlated significantly with reduced perinatal grief rates after miscarriage. However, any effects of mental health information and psychological support provision need further studies. Training for healthcare providers dealing with pregnancy loss, implementing national guidelines that include follow-up on the parents’ physical and psychological health, and including a specialized area in medical structures are advised.
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eu_rights_str_mv openAccess
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fulltext.url.fl_str_mv https://digituma.uma.pt/bitstreams/825c3f83-79d8-4afa-b31e-c46311ba2f27/download
funding.funder.alternateName_str_mv FCT
funding.funder.identifier_str_mv http://doi.org/10.13039/501100001871
funding.funder.name_str_mv Fundação para a Ciência e a Tecnologia
funding.identifier_str_mv UIDB/04516/2020
funding.name_str_mv 6817 - DCRRNI ID
funding_str_mv UIDB/04516/2020
info:eu-repo/grantAgreement/FCT/6817 - DCRRNI ID/UIDB%2F04516%2F2020/PT
id digituma_8cdecb4eef38a3ddc0169e77c8fe5eec
identifier.url.fl_str_mv http://hdl.handle.net/10400.13/7262
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institution Universidade da Madeira
instname_str Universidade da Madeira
language eng
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oai_identifier_str oai:digituma.uma.pt:10400.13/7262
organization_str_mv urn:organizationAcronym:digituma
person_str_mv Mendes, Diana C. G.
Fonseca, Ana
Cameirão, Mónica S.
Cameirão, Mónica
Cameirão, Mónica
http://orcid.org/0000-0002-5352-0128
0000-0002-5352-0128
publishDate 2024
publisher.none.fl_str_mv Elsevier
reponame_str DigitUMa - Repositório da Universidade da Madeira
repository_id_str urn:repositoryAcronym:digituma
service_str_mv urn:repositoryAcronym:digituma
spelling engElsevierengObjective: 15–20% of identified pregnancies result in miscarriage, which may lead to persistent symptoms of psychological morbidities in some women. Healthcare satisfaction is among the factors believed to influence such negative psychological responses. Here, we present the results of a study conducted in Portugal that analyzes the relationship between healthcare satisfaction, information and support provision and perinatal grief symptoms. Methods: In a cross-sectional study, symptoms of perinatal grief, degree of satisfaction with healthcare received, and information and support provision data were collected through an online survey aimed at women in Portugal who suffered a miscarriage. 873 were considered eligible. Correlations were performed between perinatal grief scores and healthcare satisfaction rates. Finally, the proportions of information and support received were compared after distributing the sample in groups according to their perinatal grief levels. Results: Healthcare satisfaction correlated significantly with perinatal grief scores, the latter increasing as satisfaction levels decreased. 61.1% of our sample received information about the physical consequences of miscarriage and showed a significantly lower rate of above-threshold perinatal grief symptoms in this group. 18.2% received information about its mental health consequences, with no significant differences in above threshold symptom rates. 11.7% were offered or recommended mental health support, but no significant dif ferences in above-threshold symptom rates were found. Conclusion: Healthcare satisfaction and information on after-miscarriage physical changes correlated significantly with reduced perinatal grief rates after miscarriage. However, any effects of mental health information and psychological support provision need further studies. Training for healthcare providers dealing with pregnancy loss, implementing national guidelines that include follow-up on the parents’ physical and psychological health, and including a specialized area in medical structures are advised.application/pdfengThe relationship between healthcare satisfaction after miscarriage and perinatal grief symptoms: a cross-sectional study on Portugal residentsMendes, Diana C. G.Fonseca, AnaCameirão, Mónica S.PersonalCameirão, MónicaDSpacehttp://dspace.org/items/20bcf3ba-d8ef-4ef8-a9e4-2ee6802d2040DSpacehttp://dspace.org/items/20bcf3ba-d8ef-4ef8-a9e4-2ee6802d2040CameirãoMónicaORCIDhttp://orcid.org0000-0002-5352-0128HostingInstitutionOrganizationalDigitUMae-mailmailto:digituma@uma.ptdigituma@uma.ptISSNIsPartOf0277-9536DOIIsPartOf10.1016/j.socscimed.2024.1170372025-05-08T13:21:54Z2024-072024-07-01T00:00:00ZHandlehttp://hdl.handle.net/10400.13/7262http://purl.org/coar/access_right/c_abf2open accessMiscarriagePerinatal griefHealthcare satisfactionHealthcare providers.Faculdade de Ciências Exatas e da Engenharia598569 bytesFundação para a Ciência e a TecnologiaNOVA Laboratory for Computer Science and Informaticsinfo:eu-repo/grantAgreement/FCT/6817 - DCRRNI ID/UIDB%2F04516%2F2020/PTUIDB/04516/20206817 - DCRRNI IDCrossref Funder IDhttp://doi.org/10.13039/501100001871literaturehttp://purl.org/coar/resource_type/c_6501journal article2024-07http://creativecommons.org/licenses/by-nc-nd/4.0/http://purl.org/coar/access_right/c_abf2application/pdffulltexthttps://digituma.uma.pt/bitstreams/825c3f83-79d8-4afa-b31e-c46311ba2f27/downloadSocial Science & Medicine353
spellingShingle The relationship between healthcare satisfaction after miscarriage and perinatal grief symptoms: a cross-sectional study on Portugal residents
Mendes, Diana C. G.
Miscarriage
Perinatal grief
Healthcare satisfaction
Healthcare providers
.
Faculdade de Ciências Exatas e da Engenharia
status SINGLETON
subject.fl_str_mv Miscarriage
Perinatal grief
Healthcare satisfaction
Healthcare providers
.
Faculdade de Ciências Exatas e da Engenharia
title The relationship between healthcare satisfaction after miscarriage and perinatal grief symptoms: a cross-sectional study on Portugal residents
title_full The relationship between healthcare satisfaction after miscarriage and perinatal grief symptoms: a cross-sectional study on Portugal residents
title_fullStr The relationship between healthcare satisfaction after miscarriage and perinatal grief symptoms: a cross-sectional study on Portugal residents
title_full_unstemmed The relationship between healthcare satisfaction after miscarriage and perinatal grief symptoms: a cross-sectional study on Portugal residents
title_short The relationship between healthcare satisfaction after miscarriage and perinatal grief symptoms: a cross-sectional study on Portugal residents
title_sort The relationship between healthcare satisfaction after miscarriage and perinatal grief symptoms: a cross-sectional study on Portugal residents
topic Miscarriage
Perinatal grief
Healthcare satisfaction
Healthcare providers
.
Faculdade de Ciências Exatas e da Engenharia
topic_facet Miscarriage
Perinatal grief
Healthcare satisfaction
Healthcare providers
.
Faculdade de Ciências Exatas e da Engenharia
url http://hdl.handle.net/10400.13/7262
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