uu.seUppsala University Publications
Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Losing contact with one's unborn baby: mothers' experiences prior to receiving news that their baby has died in utero
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health.
Dalarna University and Karolinska Institutet, Stockholm, Sweden.
Mälardalen University and Sophiahemme University College, Stockholm, Sweden.
2011 (English)In: Omega, ISSN 0030-2228, E-ISSN 1541-3764, Vol. 62, no 4, 353-367 p.Article in journal (Refereed) Published
Abstract [en]

BACKGROUND:

A change in the pattern of movement of her unborn baby could be indicative that the baby might die.

AIM:

To study mothers' experiences during the time prior to receiving news that their baby has died.

METHOD:

Interviews with 26 mothers.

RESULTS:

Premonition that something had happened to their baby, a sense based on a lack of movements were experienced. Six categories describe the mother's insight that the baby's life was threatened: not feeling in touch with their baby; worry feeling something is wrong; not understanding the unbelievable; wanting information; and being certain that their baby had died. The overarching theme "There is something wrong" was formulated.

CONCLUSION:

The mother could not understand the unbelievable: that the baby had died in utero.

IMPLICATIONS:

Mother's should be cautioned to trust their insights and seek medical advice if they are concerned over the lack of movement from the unborn baby.

Place, publisher, year, edition, pages
2011. Vol. 62, no 4, 353-367 p.
National Category
Psychology Obstetrics, Gynecology and Reproductive Medicine
Identifiers
URN: urn:nbn:se:uu:diva-164887DOI: 10.2190/OM.62.4.cISI: 000288504700003PubMedID: 21661539OAI: oai:DiVA.org:uu-164887DiVA: diva2:470661
Available from: 2011-12-29 Created: 2011-12-29 Last updated: 2017-12-08Bibliographically approved
In thesis
1. Fetal Movements in late Pregnancy: Categorization, Self-assessment, and Prenatal Attachment in relation to women’s experiences
Open this publication in new window or tab >>Fetal Movements in late Pregnancy: Categorization, Self-assessment, and Prenatal Attachment in relation to women’s experiences
2016 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

Aim: To explore how pregnant women experience fetal movements in late pregnancy. Specific aims were:  to study women’s experiences during the time prior to receiving news that their unborn baby had died in utero (I), to investigate women’s descriptions of fetal movements (II), investigate the association between the magnitude of fetal movements and level of prenatal attachment (III), and to study women’s experiences using two different self-assessment methods (IV).

Methods: Interviews, questionnaires, and observations were used.

Results: Premonition that something had happened to their unborn baby, based on a lack of fetal movements, was experienced by the participants. The overall theme “something is wrong” describes the women’s insight that the baby’s life was threatened (I). Fetal movements that were sorted into the domain “powerful movements” were perceived in late pregnancy by 96 % of the participants (II). Perceiving frequent fetal movements on at least three occasions per 24 hours was associated with higher scores of prenatal attachment in all the three subscales on PAI-R. The majority (55%) of the 456 participants reported average occasions of frequent fetal movements, 26% several occasions and 18% reported few occasions of frequent fetal movements, during the current gestational week.  (III). Only one of the 40 participants did not find at least one method for monitoring fetal movements suitable. Fifteen of the 39 participants reported a preference for the mindfetalness method and five for the count-to-ten method. The women described the observation of the movements as a safe and reassuring moment for communication with their unborn baby (IV).

Conclusion:  In full-term and uncomplicated pregnancies, women usually perceive fetal movements as powerful. Furthermore, women in late pregnancy who reported frequent fetal movements on several occasions during a 24-hour period seem to have a high level of prenatal attachment. Women who used self-assessment methods for monitoring fetal movements felt calm and relaxed when observing the movements of their babies. They had a high compliance for both self-assessment methods. Women that had experienced a stillbirth in late pregnancy described that they had a premonition before they were told that their baby had died in utero. 

Place, publisher, year, edition, pages
Uppsala: Acta Universitatis Upsaliensis, 2016. 73 p.
Series
Digital Comprehensive Summaries of Uppsala Dissertations from the Faculty of Medicine, ISSN 1651-6206 ; 1171
Keyword
Fetal movements, pregnancy, prenatal attachment, self-assessment, stillbirth
National Category
Medical and Health Sciences
Research subject
Obstetrics and Gynaecology
Identifiers
urn:nbn:se:uu:diva-271429 (URN)978-91-554-9446-9 (ISBN)
Public defence
2016-02-25, Föreläsningssal 6, Högskolegatan 2, Falun, 13:00 (Swedish)
Opponent
Supervisors
Available from: 2016-02-04 Created: 2016-01-08 Last updated: 2016-02-12

Open Access in DiVA

No full text

Other links

Publisher's full textPubMed

Authority records BETA

Malm, Mari-Cristin

Search in DiVA

By author/editor
Malm, Mari-Cristin
By organisation
Department of Women's and Children's Health
In the same journal
Omega
PsychologyObstetrics, Gynecology and Reproductive Medicine

Search outside of DiVA

GoogleGoogle Scholar

doi
pubmed
urn-nbn

Altmetric score

doi
pubmed
urn-nbn
Total: 433 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf