CRITICAL ANALYSIS OF ARTICLE

Critical Analysis of Article

Critical Analysis of Article

In this study the problem was adaquetly delimited as there were various ouples and singles used for the study. This study is significant in nursing as it addresses the threats majority if the women faced and are going through during perinatal loss. The problem addresses mostly women and their needs. Men are there for moral and social support. The study was feasible in terms of money,commitment, availability of subjects, facilities, and consents all were duely undertaken and were fulfilled accordingly without any hassle.

The group that was used was quite useful for the study. The sampling carried out was quite sufficient. The women used for the study were 20 years and older. This shows that the women were understanding enough to answer the questions appropriately with their consent and consciousness.

In the article an organization of research investigating psychiatric and psychological distress and disorder following miscarriage has been conducted in a rigorous way using control groups of pregnant and/or community women. The results of these studies allow us to conclude the following (Côté Arsenault, 2007): In the first six months after the loss event, women are at elevated risk for depressive symptoms, sub-threshold depression and depressive disorders. Childlessness was found to be an effect modifier in most studies, whereas factors such as a personal psychiatric history, stress during pregnancy, dissatisfaction with social support and unplanned or unwanted pregnancy have not been established as effect modifiers (i.e., results were inconsistent across studies).

Following the analysis whether the psychological distress of a miscarriage continues into the next pregnancy, or as some authors suggest, is resolved by a new pregnancy, is not yet known. Women who experience clinically significant depression and/or grief after a miscarriage should be followed until after the birth of the subsequent child. In addition, secure attachment between these mothers and their children born subsequent to loss should be of concern. Gynecological research provides no evidence to support a waiting period to avoid the risk of a recurrent miscarriage for couples that wish to conceive shortly after a miscarriage. From a psychological perspective, opinions are mixed.

As a resolution, in this article women should be informed about the advantages and disadvantages of postponing pregnancy. Very few studies have evaluated the psychological reactions of male partners, and those that do have been uncontrolled. These initial studies demonstrate that men are affected by the loss of a pregnancy even though their coping strategies for dealing with the loss may differ from those of women, including such maladaptive strategies as substance use and aggression.

As mentioned in the article new technologies such as ultrasound also may impact males' “attachment” to the fetus. Male partners' role as emotional support provider to the women might make it difficult for men to attend to their own needs. Proper control groups will have to be employed in future studies in order to get conclusive information about male partners' risk for affective disorders and symptoms following ...