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Needs for supporting women undergoing termination of pregnancy for fetal anomaly: A phenomenological study based on

Mengjia Zhou¹, Xi Li², Chi Huang¹

¹Department of Health Management, The Third XiangYa Hospital, Central South University, Changsha, China; XiangYa School of Nursing, Central South University, Changsha, China.

|May 16, 2023

Objective:

To determine and describe the needs of women undergoing termination of pregnancy for fetal anomaly (TOPFA) in China.

Study Design:

Qualitative study with semi-structured interviews. Consolidated Criteria for Reporting Qualitative Studies checklist was used for reporting.

Setting:

Three general hospitals and one special hospital in Changsha, Hunan, China.

Participants:

12 women who had undergone TOPFA and 12 healthcare providers who had experienced in caring for these women.

Methods:

This study was based on the cognitive-emotional-behavioral framework (CEBF) of women who had to undergo TOPFA. Twenty-four participants (12 women and 12 healthcare providers) were recruited from two hospitals in China. Semi-structured face-to-face interviews were conducted based on interview guides. ATLAS.ti software was used to encode and analyze data. Qualitative content analysis was also applied.

Findings:

Four themes emerged: information, emotional, professional psychological, and social supports. Each theme was subdivided into four phases for a detailed description of the temporal order (denial, confirmation, decision-making, and recovery phases) within the framework.

Key Conclusions And Implications For Practice:

Our study analyzes the four needs of women who underwent TOPFA and the specifics of each need at different phases based on the CEBF. The importance of offering professional psychological support, detailed information, timely emotional support, and comprehensive social support for these women is illustrated. This study contributes to the understanding of women's needs, hence providing a theoretical basis for the construction of supportive programs.

Keywords:

Cognitive–emotional–behavioral framework Fetal anomaly Need Termination of pregnancy for anomaly Women

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