Psychosocial Experiences and Challenges of Women Following Pregnancy Loss or Termination: A Phenomenological Study

Abstract

ObjectiveThe aim of this study was to explore the psychosocial experiences and challenges of women who experienced pregnancy loss or termination, and to understand how they coped with the emotional, social, and spiritual effects of this process within the cultural context of T & uuml;rkiye.MethodsThis study was conducted using a phenomenological qualitative design and employed semi-structured, in depth interviews with 23 women who presented to the Obstetrics and Gynecology outpatient clinic of a state hospital in eastern T & uuml;rkiye for follow-up within six months after pregnancy loss or termination. Data were collected between September and October 2024. Criterion sampling method, one of the purposive sampling methods, was used to reach the sample group. Interviews continued until data saturation was achieved, which was determined when no new information or perspectives emerged and participants began to repeat similar statements. All interviews were audio recorded and then transcribed. The data of the study were evaluated using thematic analysis. The study was conducted and reported according to the COREQ checklist.ResultsIn the analysis of the data, three themes (Psychosocial Experiences Before and After Abortion; Physical, Social, and Psychological/Spiritual Impacts of Abortion; and Coping and Psychosocial Support Needs) and seven sub- themes (Before abortion, After abortion, Physical effects, Social effects, Psychological/spiritual effects, Process management and coping, and Psychosocial support) were identified.ConclusionThe study revealed that women undergoing pregnancy loss or termination experience multifaceted psychosocial challenges and have a strong need for comprehensive and individualized care. Psychosocial support was identified as an essential component in helping women cope with the emotional and social consequences of abortion. The findings emphasize the need to integrate structured psychosocial support into reproductive health services and policy frameworks to enhance the quality, accessibility, and continuity of care for women.