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Impacto de uma perda gestacional na vivência materna da gravidez subsequente
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Este estudo teve como objetivo avaliar o impacto de uma perda gestacional na vivência materna da gravidez subsequente, incluindo a vinculação pré-natal, ansiedade, depressão, stress, medos da gravidez e relação conjugal. Estudo transversal, com uma amostra de 139 mulheres grávidas (102 sem perda gestacional e 37 com perda gestacional prévia). As mulheres preencheram um conjunto de questionários para avaliar os medos da gravidez, a vinculação pré-natal, a ansiedade, a depressão, o stress, a qualidade da relação conjugal e o luto. Os resultados indicaram que as grávidas do grupo com perda gestacional manifestaram níveis significativamente mais elevados de depressão, ansiedade e uma maior intensidade da preocupação materna, comparativamente às grávidas do grupo sem perda gestacional. Nas grávidas do grupo com perda gestacional a níveis mais elevados de depressão correspondeu uma maior qualidade de vinculação pré-natal. O luto desautorizado correlacionou-se negativamente com a idade e a escolaridade deste grupo de grávidas. Cerca de 55.6% das grávidas com perda gestacional considerou existir uma falta de reconhecimento do luto por este tipo de perda, por parte da sociedade, e 72.2% considerou o seu parceiro como a principal fonte de apoio emocional no processo de luto. As grávidas com perda gestacional prévia quando questionadas sobre o principal medo relacionado com a gravidez, 24.1% referiu a perda gestacional e 13.8% a saúde e bem-estar do bebé, pelo que, comparativamente ao grupo sem perda, permite concluir que estas são dimensões de maior relevo numa gravidez subsequente a perda gestacional.
This study aimed to evaluate the impact of a pregnancy loss on the maternal experience of subsequent pregnancy, including prenatal attachment, anxiety, depression, stress, fears of pregnancy and marital relationship. A cross-sectional study with a sample of 139 pregnant women (102 without gestational loss and 37 with previous pregnancy loss). The women completed a set of questionnaires to assess fears of pregnancy, prenatal attachment, anxiety, depression, stress, quality of marital relationship and grief. The results indicated that pregnant women in the gestational loss group showed significantly higher levels of depression, anxiety and a greater intensity of maternal concern compared to pregnant women in the gestational loss group. Pregnant women’s with gestational loss to higher levels of depression corresponded a higher quality of prenatal attachment. Unauthorized grief correlated negatively with the age and schooling of this group of pregnant women. Approximately 55.6% of pregnant women with gestational loss considered that there was a lack of recognition of grief for this type of loss by society, and 72.2% considered their partner as the main source of emotional support in the grieving process. Pregnant women with previous pregnancy loss when questioned about the main fear related to pregnancy, 24.1% referred to gestational loss and 13.8% to the health and well-being of the baby, so that, compared to the group without loss.
This study aimed to evaluate the impact of a pregnancy loss on the maternal experience of subsequent pregnancy, including prenatal attachment, anxiety, depression, stress, fears of pregnancy and marital relationship. A cross-sectional study with a sample of 139 pregnant women (102 without gestational loss and 37 with previous pregnancy loss). The women completed a set of questionnaires to assess fears of pregnancy, prenatal attachment, anxiety, depression, stress, quality of marital relationship and grief. The results indicated that pregnant women in the gestational loss group showed significantly higher levels of depression, anxiety and a greater intensity of maternal concern compared to pregnant women in the gestational loss group. Pregnant women’s with gestational loss to higher levels of depression corresponded a higher quality of prenatal attachment. Unauthorized grief correlated negatively with the age and schooling of this group of pregnant women. Approximately 55.6% of pregnant women with gestational loss considered that there was a lack of recognition of grief for this type of loss by society, and 72.2% considered their partner as the main source of emotional support in the grieving process. Pregnant women with previous pregnancy loss when questioned about the main fear related to pregnancy, 24.1% referred to gestational loss and 13.8% to the health and well-being of the baby, so that, compared to the group without loss.
Descrição
Trabalho Final do Curso de Mestrado Integrado em Medicina, Faculdade de Medicina, Universidade de Lisboa, 2019
Palavras-chave
Perda gestacional Gravidez subsequente Vinculação pré-natal Luto Ansiedade