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. 2022 Mar 14;140(2):188-198.
doi: 10.1590/1516-3180.2021.0148.R1.09062021. eCollection 2022.

Grief and ruminative thought after perinatal loss among Turkish women: one-year cohort study

Affiliations

Grief and ruminative thought after perinatal loss among Turkish women: one-year cohort study

Ebru Gozuyesil et al. Sao Paulo Med J. .

Abstract

Background: Among women who have suffered loss of pregnancy, the level of grief decreases gradually. Age, mental health status and childlessness are the factors known to mostly affect women's levels of grief.

Objectives: To assess the levels of grief among women who experienced perinatal loss and the changes in their ruminative thought styles over the first year after their loss.

Design and setting: One-year follow-up study carried out in a university hospital in Turkey.

Methods: The study population included 70 women who experienced loss of pregnancy in the hospital. The sample size was calculated using G*Power V3.1. Data were collected at 48 hours, at the third month, at the sixth month and at one year after pregnancy loss, between June 2018 and June 2019. A personal information form, the Perinatal Grief Scale and the Ruminative Thought Style Questionnaire were used for data collection.

Results: The women's highest levels of grief and ruminative thought style were in the first 48 hours. Their tendency towards grief and ruminative thought styles decreased over the repeated measurements during the follow-up. Women aged 20-29 years had the highest levels of grief at the third month after perinatal loss.

Conclusions: Nursing assessments regarding grief and ruminative thought style over the first 48 hours after perinatal loss should be integrated into nursing care for these women. Grief follow-up programs for these women can be developed through nursing research.

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Conflict of interest statement

Conflicts of interest: There are no conflicts of interest with regard to this study

Figures

Figure 1.
Figure 1.. Study flowchart. RTSQ = Ruminative Thought Style Questionnaire; PGS = Perinatal Grief Scale.
Figure 2.
Figure 2.. Changes in the age groups and childlessness variables of the Perinatal Grief Scale (PGS) and Ruminative Thought Style Questionnaire (RTSQ) at one-year follow-up: a) age groups of the PGS; b) age groups of the RTQS; c) childlessness of the PGS; D) childlessness of the RTQS.
Figure 3.
Figure 3.. The changes in the Ruminative Thought Style Questionnaire (RTSQ) scores based on the Perinatal Grief Scale (PGS); cutoff points at one-year follow-up.

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