Evidence map›Paper›PMID 39003932›Full record

ArticleMidwifery2024

"If it has happened once, it can happen again". The impact of previous pregnancy loss on anxious women's ongoing pregnancies: A qualitative study from Pakistan.

Hadia Maryam, Rakhshanda Liaqat, Armaan A Rowther, Maria Atiq, Huma Nazir, Abid Malik, Atif Rahman, Pamela J Surkan, Najia Atif

Abstract read
In one paragraph

Article in Midwifery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Hadia MaryamHuman Development Research Foundation, Gujar Khan, Pakistan.
Rakhshanda LiaqatHuman Development Research Foundation, Gujar Khan, Pakistan.
Armaan A RowtherDepartment of International Health, Johns Hopkins University Bloomberg School of Public Health, Baltimore, MD, United States; Department of Psychiatry, Harbor-UCLA Medical Center, Los Angeles, CA, United States; Programme in Islamic Psychology, Cambridge Muslim College, Cambridge, United Kingdom.
Maria AtiqHuman Development Research Foundation, Gujar Khan, Pakistan.
Huma NazirHuman Development Research Foundation, Gujar Khan, Pakistan.
Abid MalikHuman Development Research Foundation, Gujar Khan, Pakistan; Public Mental Health Department, Health Services Academy, Islamabad, Pakistan.
Atif RahmanHuman Development Research Foundation, Gujar Khan, Pakistan; Institute of Population Health, University of Liverpool, Liverpool, United Kingdom.
Pamela J SurkanDepartment of International Health, Johns Hopkins University Bloomberg School of Public Health, Baltimore, MD, United States.
Najia AtifHuman Development Research Foundation, Gujar Khan, Pakistan. Electronic address: najia.atif@hdrfoundation.org.

Funding

An anxiety-focused early prenatal intervention for the prevention of common mental disorders in PakistanR01MH111859 · NIMH · JOHNS HOPKINS UNIVERSITY · PI SURKAN, PAMELA J · 2017 to 2021
$4.5M
NIMH NIH HHS R01 MH111859
6 · The paper itself

Abstract

backgroundPregnancy loss that includes both miscarriage and stillbirth cause significant psychological distress for women including anxiety, depression, and grief that persist long after physical recovery. This study focuses on the experiences of women in Pakistan, where pregnancy loss rates are high.

objectiveTo explore how pregnant women with anxiety symptoms and a history of pregnancy loss perceive their past experiences with the loss and how it affects overall well-being in their current pregnancy.

designQualitative methods were used to explore the impact of previous pregnancy loss on the well-being of pregnant women.

settingThis qualitative research was embedded within a randomized control trial conducted in a tertiary care facility in Rawalpindi, Pakistan.

participantsData were collected through in-depth interviews with 18 pregnant women who had experienced pregnancy loss. Data was analyzed using Framework Analysis.

findingsThe findings revealed several factors influencing participants' well-being during pregnancies that resulted in a loss, such as unsupportive and abusive environments, unintended pregnancies, certain superstitious beliefs, poor health, and lack of access to quality healthcare. The study also highlighted the adverse impact of previous pregnancy loss on the ongoing pregnancy, including deterioration of physical and mental health and aversion of healthcare services. However, some participants reported positive changes in medical and self-care practices and an enhanced faith and reliance on destiny in their subsequent pregnancies.

conclusionOur study highlights the lasting impact of past pregnancy loss on subsequent pregnancies, affecting overall wellbeing and leading to healthcare avoidance. We identified persistent anxiety along with positive outcomes like enhanced medical practices and strengthened faith. Results suggest the need for culturally responsive interventions to support the overall well-being of anxious pregnant women with a history of pregnancy loss in resource-constrained settings.

Indexed as

Abortion, SpontaneousAnxietyPregnant PeopleQualitative ResearchAdultFemaleHumansPakistanPregnancyAnxietyMaternal well-beingPregnancy lossQualitative methodsSouth Asia

Identifiers

PMID39003932
PMCPMC11365798

What Socratic holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.