A study to explore living- in experiences of women with spontaneous abortion at selected hospital, Ambala, Haryana, India


  • Renu Kharb Department of Obstetrics and Gynecology Nursing, Maharishi Markandeshwar College of Nursing Mullana, Ambala, Haryana, India
  • Poonam Sheoran Department of Obstetrics and Gynecology Nursing, Maharishi Markandeshwar College of Nursing Mullana, Ambala, Haryana, India




Living-in experiences, Spontaneous abortion, Women


Background: The purpose of this study was to explore living-in experiences of women with spontaneous abortion in terms of financial, social, psychological, physical trauma and any other aspect expressed by the women.

Methods: Mixed Method approach with method triangulation research design (concurrent QUAN + QUAL) was used to assess the living- in experiences of 12 women with spontaneous abortion selected using criterion sampling. Data collected through clinical record review and interview technique by using sample characteristics Performa, Perinatal Grief Scale, and open ended interview guide. Audio recording of the interviews was done.

Results: Mean score of Perinatal Grief scale was 100 and scores ranged from 79- 129. Most of the women (91.66%) indicated possible psychiatric morbidity. Findings revealed that the mean percentage was higher in the area of active grief (83.53%) and least was in the area of despair (48.18%). A total of 4 themes and were identified from the analysis of qualitative data, major themes emerged were pregnancy expectations and wishes, greater the joy, more painful the crash, after the blue, fear and future expectations, burden on family, and support: a helping hand.

Conclusions: Women undergone spontaneous abortion was disheartened and grieving for the child as they considered their fetuses as a full grown child. In study none of the women blamed themselves for the loss and were in a need of support from family members and health care providers.


van den Akker OBA. The psychological and social consequences of miscarriage. Expert Rev Obstet Gynecol. 2011;6(3):295-304.

Bangal VB, Sachdev SY, Suryawanshi M. Grief following pregnancy loss – Literature review. Int J Biomed Res. 2013;4(4):167-72.

Abortion facts and figures 2011 Population Reference Bureau Available at http://www.prb.org/ pdf11/abortion-facts-and-figures-2011.pdf. Accessed 10 January 2018.

Facts on Abortion in Asia Guttmacher institute Available at https://www.guttmacher.org/pubs/ IB_AWW-Asia.pdf. Accessed 10 January 2018.

Brier N. Grief following miscarriage: A comprehensive Review of literature. J Women Health. 2008;17(3):451-62

Engelhard IM. Miscarriage as a traumatic event. Clin Obstet Gynaec. 2004;47:547-51

Wong MKY, Crawford TJ, Gask L. A qualitative investigation into women’s experiences after a miscaariage: implications for the primary healthcare team. Br J Gen Prac. 2003;53:697-702.

Swanson KM, Jolley S, Pettinto M, Wang TY. The context and evolution of women’s responses to miscarriage over the first year after loss. Res Nurs health. 2007;30:2-16.

Lee C, Slade P. Miscarriage as a traumatic event: A review of literature and new implications for intervention. J Psychosom Res. 1996;40(3):235-44.

Jelovsek FR. The emotional effects of miscarriage in women health Available at http://www.wdxcyber. com/nmood07.htm. Accessed 10 January 2018.

Limbo R, Glasser JK, Sundaram ME. “Being sure”: Women’s experience with inevitable miscarriage. Send to MCN Am J Matern Child Nurs. 2014;39(3):165-74.

Bansen SS, Stevens HA. Women’s experiences of miscarriage in early pregnancy. Journal of Nurse- Midwifery. 2011;37(2):84-90.

Wall- Hass CL. Women’s perceptions of first trimester spontaneous abortion. J Obstet Gynecol Neonatal Nurs. 1985;14(1):50-3.

Herbert W, Lygo V. The Experience and Psychological Impact of Early Miscarriage. Irish J Psychol. 2007;12(2):126-32.

Jean A, Reenie Z, Jane K-M. Loss and grief reactions after spontaneous miscarriage in the emergency department. Ann Emer Med. 2009;22(5):799-804.

Beutel M, Deckardt R, von Rad M, Weiner H. Grief and Depression after miscarriage: Their Seperation, Ancedents, and Course. Psychosom Med. 1995;57(6):517-26.

Rosnah Sutan, Hazlina Miskam. Psychosocial impact of perinatal loss among Muslim Women. BMC Women Health, 2012; Available at- http://www.oalib.com/paper/215233#.VlHvuMuhfm. Accessed 10 January 2018.

Hutti MH. An exploratory study of the miscarriage experience. Health Care Women Intl. 2009;7(5):371-89.

Bazotti KDV, Stumm, EMF, Kirchner RM. Receiving care from health professionals: perceptions and feelings of women who have indergone abortion. Texto&ContextoEnfermagum. 2009;18(1):147-54.

Brier N. Understanding and managing the emotional reactions to a miscarriage. J Obstet Gynaecol. 2008;93(1):151-5.

Natalene S, Stacey C. Support following miscarriage: what women want. J Reprod Infant Psychol. 2010;28(4):403-11.






Original Research Articles