“My Fruits Never Ripen”: Risk Factors of Anxiety among Zimbabwean Married Childless Women with Recurrent Miscarriages
The study sought to explore risk factors of anxiety among married childless women with recurrent miscarriages. Purposively selected were eleven married childless women (mean age 31; mean number of miscarriages 3) with recurrent miscarriages. Data saturation determined the sample size. A qualitative case study was used with semi-structured interviews, which were conducted in the 4-month period of data collection. Data was narrated then analysed using thematic analysis. Major findings were that anxiety emanated from psychological, social and physical effects encountered following recurrent miscarriages. The effects acted in their individual capacities and in complex interactive ways in causing anxiety. The women expressed feelings of depression, despair, guilt, fear of divorce and of never being mothers, anger, and anticipatory and real grief were respectively experienced before and after miscarrying, self-blame and blame from significant others through questioning their biological make-up. These emotions were compounded by social factors, which included stigma, strained relationships with spouse and with in-laws, and being withdrawn. Physical factors encompassed abdominal pains and cramps, sleeplessness, fatigue, chronic headaches and loss of appetite resulting with weight loss.
- i. Badenhorst, W., Riches, S., Turton, P., & Hughes, P. (2006). The psychological effects of stillbirth and neonatal death on fathers: Systematic Review. J PsychosomObstet Gyneacol 27(4), 245-256
- ii. Bongaarts, J. (1984). Building a family: Unplanned events. Stud Fam Plann, 15(1), 14-19. [PubMed: 6701951]
- iii. Borg, S., & Lasker, J. N. (1989). When pregnancy fails: Families coping with miscarriage-stillbirth and infant death. New York, NY: Beacon Press. ISBN-10:0807032271
- iv. Brody, J. M. (2014). Mis(sed)conceptions: Motherland through the lens of involuntary childlessness. A dissertaton submitted to the Graduate Faculty of the University of Oklahoma
- v. Carr, L. (2011). Exploring the psychological impact of miscarriage: Qualitative analysis of email messages contributed by women contacted through pregnancy forums on the internet
- vi. Centre for Disease Control and Prevention (2012). Reproductive Health. Retrieved from http://www.cdd.gov/reproductive health/Infertility/
- vii. Collins, C., Riggs, D. W., & Due, C. (2014). The impact of pregnancy loss on women’s adult relationships grief matters. Milton, Old: John Wiley and Sons
- viii. Dyregrov, K., Nordanger, D.,& Dyregrov, A. (2003). Predictors of psychosocial distress after suicide, sids and accidents. Death studies, 27(2), 143-165. Doi: 1080/07481180302892 [Taylor & Francis Online], [Pub Med], [Web of Science]
- ix. Evans, N. J., Forney, D. S., & Guido-DiBrito, F. (1998). Student Development in College: Theory, Research and Practice. San Francisco, CA: Jossey-Bass
- x. Fraser, D. M., & Cooper, M. A. (2009). Myles textbook for Midwivws. New York, NY: Jill Crawford
- xi. Feyisetan, B. J., & Bankole, A. (2002). Fertility Transition in Nigeria: Trends and Prospects. New York, NY: Jill Crawford.
- xii. Geller, P. A., Kerns, D., & Klier, C. M. (2003). Anxiety following miscarriage and the subsequent pregnancy. A review of the literature and future directions. Journal of Psychosomatic Research 56(1), 35-45. Doi:10.1016/s0022-3999(03)00042-4
- xiii. Gold, K. J., Sen, A., & Hayward, R. A. (2010). Marriage and cohabitation outcomes after pregnancy loss. Pediatrics, 125(4), 1202-1207.
- xiv. Jurkovic, D., Overton, C., & Bender-Atik, R. (2013). Diagnosis and management of first trimester miscarriage. BMJ. 2013 June 19, 346: f3676.doi:10.1136/bmj.f3676
- xv. Kamau, M. P. (2011). The exploration of infertility among married Kenyan women. UMI Dissertation publishing. Chicago, CH: Ferwood Publishers.
- xvi. Lamb, E. H. (2002).The impact of previous prenatal loss o subsequent pregnancy and parenting. J. Perinat Educ.2002Spring: 11(2):33-40.doi:10.1624/105812402x88696
- xvii. Lasker, J. N., & Toedter, L. J. (2000). Acute versus chronic grief: The case of pregnancy loss. Am J Orthppsychiatry, 61(5), 510-522.
- xviii. Maritz, J., Poggenpoel, M., & Myburgh C. (2008). A parent’s experience of the couple relationship after child bereavement in SA. Journal of Psychology in Africa, 18(4), 603-611. [Taylor & Francis Online], [Web of Science]
- xix. McCloskey, L. A., Williams, C., & Larsen, U. (2005). Gender inequality & intimate-partner violence among women in Moshi, Tanzania. International Planning Perspective, 31 ( 3), 124-130.
- xx. Meij, L. W., Stroebe, M., Schut, H. Stroebe, W., Bout, J. van den, Heijden, P. G. M. van der, & Dijkstra, I. (2007). Patterns of attachment and parents’ adjustment to death of their child. Personality and Social Psychology Bulletin, 33(4), 537-548. doi: 10. 1177/0146167206297400 [CrossRef], [PubMed], [Web of Science R]
- xxi. Modiba, L., & Nolte, A. (20070. The experiences of a mother who lost a baby during pregnancy. Health SA Gesondheid, 12(2), 3-13. Doi: 10.4102/hsag.v12i2.45 [CrosRef]
- xxii. Murphy, F., & Philpin, S. (2010). Early miscarriage as a matter out of place: An ethnographic study of nursing practice in a hospital gynecological unit. International Journal of nursing studies 17(20), 47-52
- xxiii. Oliver-Williams, C. T., Heydon, E. E., Smith, G. C. S., & Wood, A. M. (2013). Miscarriage and future cardiovascular disease: A systematic review and meta-analysis. Heart 99(22): 1636-1644.doi:10.1136/heartjnl-2012-303237
- xxiv. Schwerdtfeger, K. L., & Shreffler, K. M. (2009). Trauma of pregnancy loss and infertility for mothers and involuntarily childless women in the contemporary United States. Journal of Loss and Trauma, 14(3), 211-227
- xxv. Shreffler, K. M., Greil, A. L., & McQuillan, J. (2012). Pregnancy loss and distress among US women. Family Relations, 60(4), 342-355
- xxvi. Shoko, T. (2013). Karanga indigenous religion in Zimbabwe: Health and well-being. Harare, Zimbabwe: Longman Press.
- xxvii. Slobodin, O. (2014). The aborted time: A temporal view on the trauma of pregnancy loss. J Depress Anxiety 3: 163.doi:10.4172/2167-1044.1000163
- xxviii. Wing, D. G., Burge-Callaway, K., Rose-Clance, P., & Armstead, L. (2001). Understanding gender differences in bereavement following the death of an infant: Implications of or treatment. Psychotherapy: Research, Practice, Training, 38(1), 60-73. doi: 10.1037/0033-322.214.171.124 [CrossRef], [Web of Science]
- xxix. World Health Organisation (WHO) and Save the Children (2009). The partnership for maternal, newborn and child health: International stillbirth rates per 1 000 total births for 2009
- xxx. Zhang, Y., & Wildemuth, B. M. (2005). Qualitative analysis of content. Analysis, 1(2), 1-12 xxxi. Zimbabwe’s Own Parenting Magazine (2016)
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