DAMPAK KEJADIAN PASCA ABORTUS SPONTAN PADA IBU HAMIL
Abstract
Latar belakang: Kurangnya informasi tentang abortus spontan serta perawatannya berkontribusi terhadap penderitaan Ibu pasca-abortus spontan. Dampak psikologis, fisik dan sosial yang dialami ibu sering diabaikan oleh keluarga, tenaga kesehatan, dan masyarakat. Trauma yang dialami ibu pasca-abortus spontan yang tidak ditangani dengan baik dapat menciptakan konflik pada diri ibu, sehingga dapat mempengaruhi pemulihan serta kesiapan ibu untuk hamil kembali.
Tujuan: Untuk meriview mengenai dampak kejadian pasca-abortus spontan pada ibu.
Metode: Metode yang digunakan terdiri dari lima tahapan, yaitu mengidentifikasi pertanyaan scoping review dengan framework PEOS, mengidentifikasi artikel menggunakan database yang relevan (PubMed, ProQuest dan EBCO), seleksi artikel menggunakan PRISMA dan critical appraisal menggunakan JBI, data charting, menyusun, meringkas dan melaporkan hasil.
Hasil: Dari 49 literatur yang diseleksi 15 literatur terseleksi. Tiga tema muncul sebagai hasil dari scoping review yakni abortus spontan dapat menimbulkan dampak psikologis, fisik dan sosial. Dampak psikologis timbulnya kecemasan, kesedihan, depresi, trauma, rasa bersalah dan merasa disalahkan. Dampak fisik meliputi adanya sakit pada perut, perdarahan, syok hemoragik dan infeksi dan dampak sosialnya adalah kurangnya empati dari teman dan keluarga.
Kesimpulan: Wanita yang mengalami abortus spontan membutuhkan dukungan sosial dari pasangan, keluarga dan tenaga kesehatan sehingga kesehatan mentalnya terjaga.
Keywords
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Kemenkes RI, “Peran Rumah Sakit dalam Rangka Menurunkan AKI dan AKB (The Role of the Hospital in Order to Reduce MMR and IMR),” 2018.
A. Akbar and U. Medan, “Faktor Penyebab Abortus di Indonesia Tahun 2010-2019 : Studi Meta Analisis,” pp. 182–191, 2019.
W. C. Sari, A. Kebidanan, and B. Mulia, “Hubungan antara Umur dan Paritas dengan Kejadian Abortus Imminens di RS . AR Bunda Kota Prabumulih Tahun 2019,” no. 1, 2020.
L. Yanti, “Faktor determinan kejadian abortus pada ibu hamil: case control study,” Medisains, vol. 16, no. 2, p. 95, 2018, doi: 10.30595/medisains.v16i2.3002.
G. W. S. Kong, T. K. H. Chung, and I. H. Lok, “The impact of supportive counselling on women’s psychological wellbeing after miscarriage--a randomised controlled trial,” BJOG, vol. 121, no. 10, pp. 1253–1262, 2014, doi: 10.1111/1471-0528.12908.
C. Due, K. Obst, D. W. Riggs, and C. Collins, “Australian heterosexual women’s experiences of healthcare provision following a pregnancy loss,” Women and Birth, vol. 31, no. 4, pp. 331–338, 2018, doi: 10.1016/j.wombi.2017.11.002.
Kariadi, “Karakteristik Keguguran Berulang Di Rsup Dr.Kariadi Semarang,” Diponegoro Med. J. (Jurnal Kedokt. Diponegoro), vol. 7, no. 4, pp. 1661–1667, 2018.
E. D. Purwaningrum and A. I. Fibriana, “Faktor Risiko Kejadian Abortus Spontan,” Public Heal. Res. Dev., vol. 1, no. 3, pp. 84–94, 2017, [Online]. Available: http://journal.unnes.ac.id/sju/index.php/higeia.
R. Ningtyas, D. Nani, and K. G. Swasti, “Eksplorasi Perasaan Ibu yang Mengalami Stres Pasca Abortus Spontan di RSUD Cilacap,” J. Keperawatan Soedirman (The Soedirman J. Nursing), vol. 2, no. 1, pp. 17–23, 2010, doi: http://dx.doi.org/10.20884/1.jks.2013.8.2.470.
S. Pranata and F. Sadewo, “Kejadian Keguguran, Kehamilan Tidak Direncanakan Dan Pengguguran Di Indonesia,” Bul. Penelit. Sist. Kesehat., vol. 15, no. 2, 2013, doi: 10.22435/bpsk.v15i2.
P. Wonch Hill, J. Cacciatore, K. M. Shreffler, and K. M. Pritchard, “The loss of self: The effect of miscarriage, stillbirth, and child death on maternal self-esteem,” Death Stud., vol. 41, no. 4, pp. 226–235, 2017, doi: 10.1080/07481187.2016.1261204.
K. L. B. Jensen, M. J. Temple-Smith, and J. E. Bilardi, “Health professionals’ roles and practices in supporting women experiencing miscarriage: A qualitative study,” Aust. New Zeal. J. Obstet. Gynaecol., vol. 59, no. 4, pp. 508–513, 2019, doi: 10.1111/ajo.12910.
M. Smorti et al., “Pregnancy after miscarriage in primiparae and multiparae: implications for women’s psychological well-being,” J. Reprod. Infant Psychol., vol. 00, no. 00, pp. 1–11, 2020, doi: 10.1080/02646838.2020.1728524.
H. Arksey and L. O. Malley, “SCOPING STUDIES: TOWARDS A METHODOLOGICAL FRAMEWORK,” pp. 19–32, 2005.
D. Moher, A. Liberati, J. Tetzlaff, and D. G. Altman, “Preferred reporting items for systematic reviews and meta-analyses: The PRISMA statement,” BMJ, vol. 339, no. 7716, pp. 332–336, 2009, doi: 10.1136/bmj.b2535.
B. Gergett and P. Gillen, “Pregnancy loss: Perceptions of healthcare Professionals Evidence Based Midwifery,” Evid. Based Midwifery, vol. 12, no. 1, pp. 29–34, 2014.
C. Bellhouse, M. Temple-Smith, S. Watson, and J. Bilardi, “‘The loss was traumatic… some healthcare providers added to that’: Women’s experiences of miscarriage,” Women and Birth, vol. 32, no. 2, pp. 137–146, 2019, doi: 10.1016/j.wombi.2018.06.006.
S. Baird, M. D. Gagnon, G. deFiebre, E. Briglia, R. Crowder, and L. Prine, “Women’s experiences with early pregnancy loss in the emergency room: A qualitative study,” Sex. Reprod. Healthc., vol. 16, no. March, pp. 113–117, 2018, doi: 10.1016/j.srhc.2018.03.001.
F. Murphy and S. Philpin, “Early miscarriage as ‘matter out of place’: An ethnographic study of nursing practice in a hospital gynaecological unit,” Int. J. Nurs. Stud., vol. 47, no. 5, pp. 534–541, 2010, doi: 10.1016/j.ijnurstu.2009.10.011.
C. Jansson and A. Adolfsson, “A Swedish study of midwives’ and nurses’ experiences when women are diagnosed with a missed miscarriage during a routine ultrasound scan,” Sex. Reprod. Healthc., vol. 1, no. 2, pp. 67–72, 2010, doi: 10.1016/j.srhc.2010.01.002.
B. G. Darney, D. Vanderhei, M. R. Weaver, N. G. Stevens, and S. W. Prager, “‘we have to what?’: Lessons learned about engaging support staff in an interprofessional intervention to implement MVA for management of spontaneous abortion,” Contraception, vol. 88, no. 2, pp. 221–225, 2013, doi: 10.1016/j.contraception.2013.06.007.
M. Nash, M. Barry, and C. Bradshaw, “Midwives’ experiences of caring for women with early pregnancy loss in an Irish maternity hospital,” Br. J. Midwifery, vol. 26, no. 12, pp. 796–805, 2018, doi: 10.12968/bjom.2018.26.12.796.
C. Bicking Kinsey, K. Baptiste-Roberts, J. Zhu, and K. H. Kjerulff, “Effect of Previous Miscarriage on Depressive Symptoms During Subsequent Pregnancy and Postpartum in the First Baby Study,” Matern. Child Health J., vol. 19, no. 2, pp. 391–400, 2015, doi: 10.1007/s10995-014-1521-0.
C. Collins, D. Riggs, and C. Due, “The impacy of pregnancy loss on women’s adult relationships,” Grief Matters Aust. J. Grief Bereave., vol. 17, no. 2, p. 44, 2014.
G. Wing et al., “Clinical and psychological impact after surgical , medical or expectant management of fi rst-trimester miscarriage – a randomised controlled trial,” pp. 170–177, 2013, doi: 10.1111/ajo.12064.
S. Meaney, P. Corcoran, N. Spillane, and K. O’Donoghue, “Experience of miscarriage: An interpretative phenomenological analysis,” BMJ Open, vol. 7, no. 3, pp. 1–8, 2017, doi: 10.1136/bmjopen-2016-011382.
S. Kulathilaka, R. Hanwella, and V. A. de Silva, “Depressive disorder and grief following spontaneous abortion,” BMC Psychiatry, vol. 16, no. 1, pp. 1–6, 2016, doi: 10.1186/s12888-016-0812-y.
C. Bellhouse, M. J. Temple-Smith, and J. E. Bilardi, “‘It’s just one of those things people don’t seem to talk about...’ women’s experiences of social support following miscarriage: a qualitative study,” BMC Womens. Health, vol. 18, no. 1, pp. 1–9, 2018, doi: 10.1186/s12905-018-0672-3.
J. Farren et al., “Post-traumatic stress anxiety and depression following miscarriage or ectopic pregnancy: A prospective cohort study,” BMJ Open, vol. 6, no. 11, 2016, doi: 10.1136/bmjopen-2016-011864.
S. K. Mutiso, A. Murage, and A. M. Mukaindo, “Prevalence of positive depression screen among post miscarriage women- A cross sectional study,” BMC Psychiatry, vol. 18, no. 1, pp. 1–7, 2018, doi: 10.1186/s12888-018-1619-9.
F. P. McCarthy et al., “Previous pregnancy loss has an adverse impact on distress and behaviour in subsequent pregnancy,” BJOG An Int. J. Obstet. Gynaecol., vol. 122, no. 13, pp. 1757–1764, 2015, doi: 10.1111/1471-0528.13233.
E. Haghparast, M. Faramarzi, and R. Hassanzadeh, “Psychiatric symptoms and pregnancy distress in subsequent pregnancy after spontaneous abortion history,” Pakistan J. Med. Sci., vol. 32, no. 5, pp. 1097–1101, 2016, doi: 10.12669/pjms.325.10909.
F. deMontigny, C. Verdon, S. Meunier, and D. Dubeau, “Women’s persistent depressive and perinatal grief symptoms following a miscarriage: the role of childlessness and satisfaction with healthcare services,” Arch. Womens. Ment. Health, vol. 20, no. 5, pp. 655–662, 2017, doi: 10.1007/s00737-017-0742-9.
F. Demontigny, C. Verdon, S. Meunier, C. Gervais, and I. Coté, “Protective and risk factors for women’s mental health after a spontaneous abortion,” Rev. Lat. Am. Enfermagem, vol. 28, pp. 1–11, 2020, doi: 10.1590/1518-8345.3382.3350.
S. S. Batool and H. Azam, “Miscarriage: Emotional burden and social suffering for women in Pakistan,” Death Stud., vol. 40, no. 10, pp. 638–647, 2016, doi: 10.1080/07481187.2016.1203376.
C. S. Huffman, T. A. Schwartz, and K. M. Swanson, “Couples and Miscarriage: The Influence of Gender and Reproductive Factors on the Impact of Miscarriage,” Women’s Heal. Issues, vol. 25, no. 5, pp. 570–578, 2015, doi: 10.1016/j.whi.2015.04.005.
J. D. Birch, D. Gulati, and S. Mandalia, “Cervical shock: A complication of incomplete abortion,” BMJ Case Rep., vol. 2017, 2017, doi: 10.1136/bcr-2017-220452.
C. Bellhouse, M. J. Temple-Smith, and J. E. Bilardi, “‘It’s just one of those things people don’t seem to talk about.’ women’s experiences of social support following miscarriage: A qualitative study 11 Medical and Health Sciences 1117 Public Health and Health Services,” BMC Womens. Health, vol. 18, no. 1, 2018, doi: 10.1186/s12905-018-0672-3.
G. P. Wijaya and E. Erawan, “Pengalaman Traumatis pada Wanita yang Mengalami Keguguran Berulang,” pp. 67–78, 2018.
T. Rahayu and S. Wahyuni, “Respon psikologis pada perempuan pasca keguguran,” J. Penelit. dan Pemikir. Ilm. Keperawatan, vol. 5, no. 2, pp. 17–25, 2019.
K. MacWilliams, J. Hughes, M. Aston, S. Field, and F. W. Moffatt, “Understanding the Experience of Miscarriage in the Emergency Department,” J. Emerg. Nurs., vol. 42, no. 6, pp. 504–512, 2016, doi: 10.1016/j.jen.2016.05.011.
I. San Lazaro Campillo, S. Meaney, K. McNamara, and K. O’Donoghue, “Psychological and support interventions to reduce levels of stress, anxiety or depression on women’s subsequent pregnancy with a history of miscarriage: An empty systematic review,” BMJ Open, vol. 7, no. 9, 2017, doi: 10.1136/bmjopen-2017-017802.
J. Farren, N. Mitchell-Jones, J. Y. Verbakel, D. Timmerman, M. Jalmbrant, and T. Bourne, “The psychological impact of early pregnancy loss,” Hum. Reprod. Update, vol. 24, no. 6, pp. 731–749, 2018, doi: 10.1093/humupd/dmy025.
T. Yasunari, M. Nozawa, R. Nishio, A. Yamamoto, and Y. Takami, “Development and evaluation of ‘disaster preparedness’ educational programme for pregnant women,” Int. Nurs. Rev., vol. 58, no. 3, pp. 335–340, 2011, doi: 10.1111/j.1466-7657.2011.00919.x.
J. Yusuf Sukman, “Strategi Coping Terhadap Kecemasan Pada Ibu Hamil Dengan Riwayat Keguguran Di Kehamilan Sebelumnya,” J. Ilm. Psikol. Terap., vol. 4, no. 01, pp. 9–15, 2017.
M. Johri et al., “Increased risk of miscarriage among women experiencing physical or sexual intimate partner violence during pregnancy in Guatemala City, Guatemala: Cross-sectional study,” BMC Pregnancy Childbirth, vol. 11, 2011, doi: 10.1186/1471-2393-11-49.
J. Robinson, “Provision of information and support to women who have suffered an early miscarriage,” Br. J. Midwifery, vol. 22, no. 3, pp. 175–180, 2014, doi: 10.12968/bjom.2014.22.3.175.
M. P. Rahmayani, E. Rohmatin, and Q. Wulandara, “the Influence of Murottal Al-Qur ’ an Therapy on Stress Level of Abortus Patients At Dr . Soekardjo Public Hospital Tasikmalaya in 2018,” J. Bidan “Midwife Journal,” vol. 4, no. 02, pp. 36–41, 2018.
Y. Andriani, S. Setyowati, and Y. Afiyanti, “Paket Pendidikan Kesehatan ‘Tegar’ Terhadap Pengetahuan, Sikap Dan Kecemasan Ibu Pasca Abortus,” J. Kesehat. PERINTIS (Perintis’s Heal. Journal), vol. 7, no. 1, pp. 75–84, 2020, doi: 10.33653/jkp.v7i1.397.
D. Côté-Arsenault and K. Donato, “Emotional cushioning in pregnancy after perinatal loss,” J. Reprod. Infant Psychol., vol. 29, no. 1, pp. 81–92, 2011, doi: 10.1080/02646838.2010.513115.
G. Iwanowicz-Palus, M. Mróz, and A. Bie?, “Quality of life, social support and self-efficacy in women after a miscarriage,” Health Qual. Life Outcomes, vol. 19, no. 1, pp. 1–8, 2021, doi: 10.1186/s12955-020-01662-z.
O. B. Van Den Akker, “The psychological and social consequences of miscarriage,” Expert Rev. Obstet. Gynecol., vol. 6, no. 3, pp. 295–304, 2011, doi: 10.1586/eog.11.14.
D. A. Eschenbach, “Treating spontaneous and induced septic abortions,” Obstet. Gynecol., vol. 125, no. 5, pp. 1042–1048, 2015, doi: 10.1097/AOG.0000000000000795.
S. S. Batool and R. O. de Visser, “Experiences of Infertility in British and Pakistani Women: A Cross-Cultural Qualitative Analysis,” Health Care Women Int., vol. 37, no. 2, pp. 180–196, 2016, doi: 10.1080/07399332.2014.980890.
F. G. Cunningham, " Obstetri William. Jakarta: EGC"
R. Frederick, & M. D.Jelovsek, "The emotional effects of miscarriage Article retrieved" http://www.wdxcyber. com/nmood07.htm
DOI: https://doi.org/10.35730/jk.v13i1.521
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