Maternity and Reproductive Health Nursing

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Browsing Maternity and Reproductive Health Nursing by Author "Adugna, Hawenie (BSc, MSc)"

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    Assessment of maternal coping mechanisms following perinatal death in select public hospital Addis Ababa, Ethiopia,2018
    (Addis Ababa University, 2018-06) Ayalew, Esete; Adugna, Hawenie (BSc, MSc)
    Introduction: For most women, pregnancy is an emotionally charged experience representing the realization of dreams, hopes, and aspirations. Unfortunately, not all pregnancies result in the birth of a child. In Ethiopia EDHS 2016 report showed 236 per 1000 live birth and perinatal mortality also 33 per 1000. Worldwide, neonatal mortality accounts for 38 percent of all under five mortalities where 75 percent of the deaths took place during the first week of the neonatal period. For women who come across to this condition, there are wide range of coping strategies that can be used in a variety of situations. Objectives: The main aim of the study was to assess the coping mechanism of women following perinatal death in selected three public hospitals in Addis Ababa. Methods: Institution based Cross–sectional study for quantitative and thematic analysis for qualitative study was conducted from March 1– March30, 2018. The total sample size of 371 study participant were selected using random sampling technique. Result: In this study a total of 371 participants give complete response. 168 (45.3%) had positive status on mother ability to cope following perinatal loss , the respondent who had friend support 3.86 times more likely cope the grief positively (AOR= 3.86,95% CI (2.087,7.135 ) compared with those who had no support, Among the factors secondary and more than secondary education was significantly associated with positively coping effect following perinatal loss with p-value <0.05. Applying thematic analysis on the interview seven themes were emerged as a result. The first two themes are related to emotional experience and the other five are related to coping mechanisms. Conclusion: In all, the result of the study provides assessment of coping mechanisms that specifically focus on perinatal loss. Considering the severity of the perinatal death in the context Ethiopia, it has paramount importance to exploit and further extend this research results to guide mothers who will enter such situation.