2.50
Hdl Handle:
http://hdl.handle.net/10755/211495
Type:
Research Study
Title:
EFFECTS OF MISCARRIAGE ON LESBIAN COUPLES: A PROSPECTIVE MIXED METHODS STUDY
Abstract:
Purpose and Aims: The overall purpose of this prospective, mixed methods investigation is to examine the effects of miscarriage on lesbian birth and non-biological mothers. The specific aims are to:  1. Investigate pregnant versus non-pregnant partner’s feelings about miscarriage; 2. Investigate impact of miscarriage on each partner’s grief and depression, ways of coping, and their perceptions of caring and support received after pregnancy loss; and 3. Investigate impact of miscarriage on their couple relationship. Background: National statistics indicate that in recent decades between 16 and 25 million women who self identify as lesbian in the USA have become mothers through various means of conception. There is also evidence that approximately 30-50% of all conceptions end in miscarriage, an unexpected pregnancy loss prior to the point of fetal viability. Problem: Studies conducted with lesbian women who miscarried suggest that they are at increased risk for emotional disturbances subsequent to pregnancy loss because their experience is compounded by the complexities of planning and achieving pregnancy, uncertainty surrounding pregnancy outcomes, and generally low social support for their choice to become parents. Significance: The National Institutes of Health (NIH), National Center on Minority Health and Health Disparities (NCMHD), and the National Institute of Nursing Research (NINR) are committed to addressing the unique health care needs of lesbian population by increasing research in this area (http://www.oar.nih.gov/minority/minority.htm). The NIH, Institute of Medicine, Office on Health for Lesbians has indicated that gaining knowledge that will improve the health and health care for lesbian population is a national priority by stating: “for lesbians, health care to be appropriate, the scope and nature of their health issues must be better understood” (2009, p. 20). Design and Methods: The ethical approval to conduct the study was granted by IRB at the study site. It is a prospective mixed methods investigation. Wojnar, Swanson, and Adolfsson (2011) Miscarriage Model provided theoretical framework for the investigation.  A non-random sample of 110 lesbian couples (220 individuals) is being recruited via WA State “Maybe Baby” and “Lesbian Miscarriage” peer support groups, online lesbian and heterosexual miscarriage support networks, “Country Doctor” clinic, and “Maia” Midwifery services. Women, who have miscarried as a lesbian couple within the prior 12 weeks participate. They are asked to complete surveys about their experience of pregnancy loss at enrollment, and at 16, and 24 weeks after loss. Data will be analyzed using SPSS #18 statistical software. Data collection is in progress with 24 couples recruited thus far. Implications: Findings will add to the understanding of miscarriage experiences of lesbian partners for use in clinical practice and research. Findings will also provide basis for designing context-appropriate caring-healing interventions for this minority population of women. 
Keywords:
Miscarriage; Lesbian birth; non-biological mothers
Repository Posting Date:
20-Feb-2012
Date of Publication:
20-Feb-2012
Other Identifiers:
5303
Sponsors:
Western Institute of Nursing

Full metadata record

DC FieldValue Language
dc.typeResearch Studyen_GB
dc.titleEFFECTS OF MISCARRIAGE ON LESBIAN COUPLES: A PROSPECTIVE MIXED METHODS STUDYen_GB
dc.identifier.urihttp://hdl.handle.net/10755/211495-
dc.description.abstractPurpose and Aims: The overall purpose of this prospective, mixed methods investigation is to examine the effects of miscarriage on lesbian birth and non-biological mothers. The specific aims are to:  1. Investigate pregnant versus non-pregnant partner’s feelings about miscarriage; 2. Investigate impact of miscarriage on each partner’s grief and depression, ways of coping, and their perceptions of caring and support received after pregnancy loss; and 3. Investigate impact of miscarriage on their couple relationship. Background: National statistics indicate that in recent decades between 16 and 25 million women who self identify as lesbian in the USA have become mothers through various means of conception. There is also evidence that approximately 30-50% of all conceptions end in miscarriage, an unexpected pregnancy loss prior to the point of fetal viability. Problem: Studies conducted with lesbian women who miscarried suggest that they are at increased risk for emotional disturbances subsequent to pregnancy loss because their experience is compounded by the complexities of planning and achieving pregnancy, uncertainty surrounding pregnancy outcomes, and generally low social support for their choice to become parents. Significance: The National Institutes of Health (NIH), National Center on Minority Health and Health Disparities (NCMHD), and the National Institute of Nursing Research (NINR) are committed to addressing the unique health care needs of lesbian population by increasing research in this area (http://www.oar.nih.gov/minority/minority.htm). The NIH, Institute of Medicine, Office on Health for Lesbians has indicated that gaining knowledge that will improve the health and health care for lesbian population is a national priority by stating: “for lesbians, health care to be appropriate, the scope and nature of their health issues must be better understood” (2009, p. 20). Design and Methods: The ethical approval to conduct the study was granted by IRB at the study site. It is a prospective mixed methods investigation. Wojnar, Swanson, and Adolfsson (2011) Miscarriage Model provided theoretical framework for the investigation.  A non-random sample of 110 lesbian couples (220 individuals) is being recruited via WA State “Maybe Baby” and “Lesbian Miscarriage” peer support groups, online lesbian and heterosexual miscarriage support networks, “Country Doctor” clinic, and “Maia” Midwifery services. Women, who have miscarried as a lesbian couple within the prior 12 weeks participate. They are asked to complete surveys about their experience of pregnancy loss at enrollment, and at 16, and 24 weeks after loss. Data will be analyzed using SPSS #18 statistical software. Data collection is in progress with 24 couples recruited thus far. Implications: Findings will add to the understanding of miscarriage experiences of lesbian partners for use in clinical practice and research. Findings will also provide basis for designing context-appropriate caring-healing interventions for this minority population of women. en_GB
dc.subjectMiscarriageen_GB
dc.subjectLesbian birthen_GB
dc.subjectnon-biological mothersen_GB
dc.date.available2012-02-20T11:58:30Z-
dc.date.issued2012-02-20T11:58:30Z-
dc.date.accessioned2012-02-20T11:58:30Z-
dc.description.sponsorshipWestern Institute of Nursingen_GB
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