The Effect of Supportive care program on women's Bereavement with early Miscarriage

Document Type : Original Article


1 Assistant Professor in Midwifery, Faculty of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran.

2 M.Sc. Student in Midwifery counseling, Faculty of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran.

3 Assistant Professor of Clinical Psychology, Faculty of Medical, Mashhad University of Medical Sciences, Mashhad, Iran.

4 Professor, Depatment of Bio statistics, Faculty of Health, Mashhad University of Medical Sciences, Mashhad, Iran.


Introduction: Failure to perform tasks such as reproduction, lead to a decrease in self confidence and increase of bereavement process. Structured consultation had emphasis on the experiences of women from abortion, return to normal life, and worry about the next pregnancy. This study aimed to the effect of Supportive care program on women's bereavement with early Miscarriage was designed.
Methods and materials: This clinical trial was conducted involving 60 women with miscarriage women admitted to Omolbanin, Imam Reza and Ghaem Mashhad hospitals in 2016. Three sessions were held based on the Swanson theory for women in the intervention group. It was done routine cares in the control group. Baseline, 4 and 8 weeks after the abortion, Perinatal Bereavement Grief Scale were completed by women in both groups. Data using SPSS statistical software (v. 11.5) and Independent t test, Mann-Whitney, Repeated measure ANOVA, Chi-square, Exact chi-square were analyzed. The p value less than 0.05 was considered significant.
Results: The average score of bereavement in four and eight weeks post-abortion of women in the intervention group statistically significantly was less than in the control group (p< 0.001). The results of repeated measure ANOVA showed that there was a statistically significant in the different bereavement score measurement of women in the intervention group (p< 0.001) but there wasn't statistically significant difference in the control group (p=0.899).
Conclusions: Swanson theory-based structured program can decrease bereavement of women who have had a miscarriage.


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