Perinatal Kayıp Sürecinde Babaların Deneyimleri: Sistematik Derleme

Yıl 2022, Cilt: 11 Sayı: 1, 121 - 138, 30.06.2022

Hilal Evgin , Nevin Hotun Şahin

https://doi.org/10.46971/ausbid.1027039

Öz

Amaç: Kayıp yaşayan bireylerin çevresindeki kişiler ve sağlık çalışanları daha çok annenin yaşadığı fiziksel ve psikolojik duruma odaklanılırken, babaların yaşadığı deneyimler gözden kaçırılmaktadır. Bu sistematik derlemenin amacı yaşanan bu zor süreçte babaların yaşadıkları deneyimlerin neler olduğunun anlaşılmasıdır. Yöntem: Literatür taraması, son on yılda yapılan çalışmaları içeren ‘PubMed, Science Direct, Google Scholar ve Cochrane’ veri tabanları taranarak 2011-2021 yılları arasında konu ile ilgili çalışmalar 1-30 Nisan 2021 tarihlerinde incelendi. Son on yılda yapılan, tam metin elde edilen, İngilizce dilinde yayınlanan ve perinatal süreçte kayıp yaşayan babaların deneyimlerini içeren on altı çalışma dahil edildi. Bulgular: Çalışmalardan elde edilen bulgular PRISMA bildirimi kriterleri esas alınarak analiz edildi. Bu çalışmaların dokuzu nicel, altısı nitel ve biri karışık araştırma tasarımına sahip olduğu bulundu. Konuyla ilgili çalışmaların en çok Avustralya’da olduğu dikkat çekerken ülkemizde bu alanda yapılmış çalışmaya rastlanmamıştır. Sonuç: Babaların yoğun bir şekilde yas duygusu deneyimlediği, en çok desteği eşlerinden aldıklarını ancak yine de yetersiz destek gördükleri saptanmıştır. Profesyonel destek almak istedikleri, daha çok rasyonel başa çıkma mekanizmaları kullandıkları, erken gebelik döneminde babalık rolünün oluştuğu ve eşlerini destekleyici rolü üstlendikleri belirlenmiştir. Toplum genelinde farkındalık oluşturarak babaların bu süreci daha kolaylıkla atlatmalarına yardımcı olunmalıdır.

Anahtar Kelimeler

Babaların deneyimi, düşük, ölü doğum, perinatal kayıp, yas

Destekleyen Kurum

Destekleyen kurum yoktur.

Fathers' Experiences in the Perinatal Loss Process: A Systematic Review

Öz

Aim: While the people around the individuals who have lost their lives and the health workers focus more on physical and psychological state of the mother, the experiences of fathers are overlooked. The purpose of this systematic review is to understand the experiences of fathers in this difficult process. Material and Methods: Literature review, 'PubMed, Science Direct, Google Scholar and Cochrane' databases containing the studies done in the last ten years were searched and the studies on the subject between 2011-2021 were examined between 1-30 April 2021. Sixteen studies over the past ten years, which were available with full text, published in English, and which included the experiences of fathers who experienced loss during the perinatal period, were included. Results: Findings from studies were analyzed based on PRISMA reporting criteria. Nine of these studies were found to have quantitative, six qualitative, and one mixed research design. While it is noteworthy that most of the studies on the subject are in Australia, no study has been found in this field in our country. Conclusion: It was determined that fathers experienced intense grief, received the most support from their spouses, but still received insufficient support. It was determined that they wanted to receive professional support, they used more rational coping mechanisms, the role of paternity was formed in the early pregnancy period and they assumed the role of supporting their spouses. Fathers should be helped to overcome this process more easily by raising awareness throughout the society.

Anahtar Kelimeler

miscarriage, stillbirth, grief, Fathers' experience, perinatal loss

Kaynakça

• Referans1 Aho, A.L., Tarkka, M.T., Astedt-Kurki, P., Sorvari, L., & Kaunonen, M. (2011). Evaluating a bereavement follow-up intervention for grieving fathers and their experiences of support after the death of a child--a pilot study. Death Studies, 35(10), 879–904.
• Referans2 Avelin, P., Rådestad, I., Säflund, K., Wredling, R., & Erlandsson, K. (2013). Parental grief and relationships after the loss of a stillborn baby. Midwifery, 29(6), 668–673.
• Referans3 Aydin, R., & Kabukcuoğlu, K. (2020). Fathers’ Experiences of Perinatal Loss: A Sample Meta-Synthesis Study. Journal of Family Issues, 1-28.
• Referans4 Berry, S.N., Marko, T., & Oneal, G. (2020). Qualitative Interpretive Metasynthesis of Parents’ Experiences of Perinatal Loss. Journal of Obstetric, Gynecologic, & Neonatal Nursing, 50, 20–29.
• Referans5 Bonnette, S., & Broom, A. (2012). On grief, fathering and the male role in men’s accounts of stillbirth. Journal of Sociology, 48, 248–265.
• Referans6 Cacciatore, J., Erlandsson, K., & Rådestad, I. (2013). Fatherhood and suffering: A qualitative exploration of Swedish men’s experiences of care after the death of a baby. International Journal of Nursing Studies, 50(5), 664–670.
• Referans7 Campbell-Jackson, L., Bezance, J., & Horsch, A. (2014). “A renewed sense of purpose”: Mothers’ and fathers’ experience of having a child following a recent stillbirth. BMC Pregnancy and Childbirth, 14(1).
• Referans8 Christiansen DM, Olff M, Elklit A. (2014). Parents bereaved by infant death: sex differences and moderation in PTSD, attachment, coping and social support. General Hospital Psychiatry, 36(6), 655–661.
• Referans9 Due, C., Chiarolli, S., & Riggs, D.W. (2017). The impact of pregnancy loss on men's health and wellbeing: a systematic review, BMC Pregnancy Childbirth, 17(1), 380.
• Referans10 Eklund, M.V., Prinds, C., Mørk, S., Damm, M., Möller, S., & Hvidtjørn, D. (2020). Parents' religious/spiritual beliefs, practices, changes and needs after pregnancy or neonatal loss-A Danish cross-sectional study. Death Studies, 1-11.
• Referans11 Hockey, J., & Draper, J. (2005). Beyond the womb and the tomb: identity, (dis) embodiment and the life course. Body & Society, 11, 41–57.
• Referans12 Jansson, C., Volgsten, H., Huffman, C., Skoog Svanberg, A., Swanson, K.M., & Stavreus-Evers, A. (2017). Validation of the Revised Impact of Miscarriage Scale for Swedish conditions and comparison between Swedish and American couples' experiences after miscarriage. The European Journal of Contraception & Reproductive Health Care, 22(6), 412–417.
• Referans13 Jones, K., Robb, M., Murphy, S., & Davies, A. (2019). New understandings of fathers' experiences of grief and loss following stillbirth and neonatal death: A scoping review. Midwifery, 102531.
• Referans14 Karaçam, Z. (2013). Sistematik derleme metodolojisi: Sistematik derleme hazırlamak için bir rehber. Dokuz Eylül Üniversitesi Hemşirelik Fakültesi Elektronik Dergisi, 6(1), 26-33.
• Referans15 Karaçam, Z., Elm, E.V., Altman, D.G., Egger, M., Pocock, S.J., Gøtzsche, P.C., & Vandenbroucke, J.P. (2014). STROBE Bildirimi: Epidemiyolojide Gözlemsel Araştırma Raporu Yazımının Güçlendirilmesi İçin Bir Rehber. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi, 17(1), 64-72.
• Referans16 Kersting, A., & Wagner, B. (2012). Complicated grief after perinatal loss. Dialogues in Clinical Neuroscience, 14(2), 187-94.
• Referans17 Körükçü, Ö., & Kukulu, K. (2010). Perinatal kayıp ve ebeveynlere yansıması. Dicle Tıp Dergisi, 37(4), 429-433.
• Referans18 Meaney, S., Corcoran, P., Spillane, N., & O'Donoghue, K. (2017). Experience of miscarriage: an interpretative phenomenological analysis. BMJ Open, (7), e011382.
• Referans19 Metz, T.D., Berry, R.S., Fretts, R.C., Reddy, U.M., & Turrentine, M.A. (2020). Obstetric care consensus management of stillbirth. Obstetrıcs & Gynecology, 135(3), 110-132.
• Referans20 Miller, E.J., Temple-Smith, M.J., & Bilardi, J.E. (2019). “There was just no-one there to acknowledge that it happened to me as well”: A qualitative study of male partner’s experience of miscarriage. Plos One, 14(5), e0217395.
• Referans21 Obst, K.L., & Due, C. (2019). Australian men's experiences of support following pregnancy loss: A qualitative study. Midwifery, 70, 1-6.
• Referans22 Obst, K.L., Due, C., Oxland, M., & Middleton, P. (2020). Australian men’s experiences of leave provisions and workplace support following pregnancy loss or neonatal death. Community, Work & Family, https://doi.org/10.1080/13668803.2020.1823319.
• Referans23 Obst, K.L., Due, C., Oxlad, M., & Middleton, P. (2020). Men's grief following pregnancy loss and neonatal loss: a systematic review and emerging theoretical model. BMC Pregnancy and Childbirth, 20(1), 11.
• Referans24 Obst, K.L., Oxlad, M., Due, C., & Middleton, P. (2021). Factors contributing to men's grief following pregnancy loss and neonatal death: further development of an emerging model in an Australian sample. BMC Pregnancy Childbirth, 21, 29.
• Referans25 Pakiş, I., & Koç, S. (2009). Perinatal ve neonatal dönem bebek ölümleri. Klinik Gelişim, 60-63.
• Referans26 Pruitt, S. M., Hoyert, D. L., Anderson, K. N., Martin, J., Waddell, L., Duke, C., Honein, M. A., & Reefhuis, J. (2020). Racial and Ethnic Disparities in Fetal Deaths - United States, 2015-2017. MMWR. Morbidity and mortality weekly report, 69(37), 1277–1282.
• Referans27 Riggs, D.W., Due, C., & Tape, N. (2018). Australian Heterosexual Men’s Experiences of Pregnancy Loss: The Relationships Between Grief, Psychological Distress, Stigma, Help-Seeking, and Support. OMEGA - Journal of Death and Dying, 0(0), 1-15.
• Referans28 Sungur, İ., & Çöl, M. (2016). Mortalite ile ilgili önemli ölçütlerin dünyadaki ve Türkiye’deki durumu. Ankara Üniversitesi Tıp Fakültesi Mecmuası, 69(1), 1-6.
• Referans29 Türkiye Nüfus Sağlık Araştırması (2019, November) TNSA 2018 Ana Raporu. TNSA2018_ana_Rapor_compressed.pdf (hacettepe.edu.tr)
• Referans30 Tong, A., Sainsbury, P., & Craig, J. (2007). Consolidated Criteria For Reporting Qualitative Research (COREQ): A 32- Item Check List For İnterviews And Focus Groups. International Journal for Quality in Health Care, 19(6):349-57.
• Referans31 Volgsten, H., Jansson, C., Svanberg, A.S., Darj, E., & Stavreus-Evers, A. (2018). Longitudinal study of emotional experiences, grief and depressive symptoms in women and men after miscarriage. Midwifery, 64, 23–28.
• Referans32 Wagner, N.J., Vaughn, C.T., & Tuazon, V.E. (2018). Fathers’ Lived Experiences of Miscarriage. The Family Journal, 26(2), 193–199.
• Referans33 Wilson, P.A., Boyle, F.M., & Ware, R.S. (2015). Holding a stillborn baby: the view from a specialist perinatal bereavement service. Australian and New Zealand Journal of Obstetrics and Gynaecology, 55(4), 337–343.