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Western Journal of Nursing Research
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*Bereavement
*High Risk Pregnancy
*Infertility
*Pregnancy Loss
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Ectopic Pregnancy Loss during Fertility Management

Ana M. Schaper

Gundersen Lutheran Medical Center, La Crosse, WI

Melissa S. Hellwig

Paula Murphy

Bonnie K. Gensch

Gundersen Lutheran Medical Center

Using qualitative techniques, data were obtainedfrom seven women who experienced an ectopic pregnancy loss while undergoing fertility management. Ectopic pregnancy is a risk factor associated with fertility management, but unlike early miscarriage infertility management, an ectopic pregnancy has additional potential negative sequelaefor the women, including riskfor severe hemorrhage and death and threat to future fertility. The purpose of this study was to describe women's experiences of lossfollowing diagnosis and treatment of an ectopic pregnancy while undergoing fertility management. A thematic analysis of the data derived from semistructured interviews was conducted. Themes emerging from the women's discussion of their pregnancy loss and fertility plans included physical pain and shutdown, emotional protection, grief and pressure, endpoints, and decision making. For women continuingfertility management, both the life-threatening risks of future ectopics and time allowances for grieving were minimized.

Western Journal of Nursing Research, Vol. 18, No. 5, 503-517 (1996)
DOI: 10.1177/019394599601800503
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 Qual Health ResHome page
M. K. E. Lahman
Dreams of My Daughter: An Ectopic Pregnancy
Qual Health Res, February 1, 2009; 19(2): 272 - 278.
[Abstract] [PDF]