Hope for the best …but expect the worst: a qualitative study to explore how women with recurrent miscarriage experience the early waiting period of a new pregnancy

Abstract

Objective: To investigate how women experience the initial period of a new pregnancy after suffering recurrent miscarriage (RM).

Design: A qualitative study, nested within a randomised controlled feasibility study of a coping intervention for RM, used semi-structured face-to-face interviews. Interviews were audio-recorded, transcribed verbatim and analysed using a thematic network approach.

Setting: Participants were recruited from the Recurrent Miscarriage Clinic and Early Pregnancy Unit in two tertiary referral hospitals in the UK.

Participants: 14 women with RMs and who had previously participated in the randomised controlled trial (RCT) feasibility component of the study were recruited.

Results: Seven organising themes emerged from the data: (1) turmoil of emotions, (2) preparing for the worst, (3) setting of personal milestones, (4) hypervigilance, (5) social isolation, (6) adoption of pragmatic approaches, (7) need for professional affirmation.

Conclusions: The study established that for women with a history of RM, the waiting period of a new pregnancy is a traumatic time of great uncertainty and emotional turmoil and one in which they express a need for emotional support. Consideration should be given to the manner in which supportive care is best delivered within the constraints of current health service provision.

Trial registration number: ISRCTN43571276.

Keywords: adaptation, psychological; anxiet; pregnancy; recurrent miscarriage.