Spontaneous Abortion is a Trial of Muslim Women’s Faith in Allah: A Qualitative Descriptive Study

Kanida  Masik; Warangkana  Chatchawet; Sopen  Chunuan

Authors

Kanida Masik RN, Master’s degree student, Faculty of Nursing, Prince of Songkla University, Songkhla, Thailand.
Warangkana Chatchawet RN, PhD, Assistant Professor, Faculty of Nursing, Prince of Songkla University, Songkhla, Thailand.
Sopen Chunuan RN, PhD, Associate Professor, Faculty of Nursing, Prince of Songkla University, Songkhla, Thailand.

Keywords:

Grief experiences, Lower southern Thailand, Muslim women, Qualitative study, Spontaneous abortion

Abstract

Grief over spontaneous abortion of women is related to religion, beliefs, and socio-cultural contexts. In-depth understanding and reflection on the grief experiences of Muslim women after spontaneous abortion can provide essential information for developing
holistic and personal care plans for these women. A qualitative descriptive study was conducted in a general hospital in lower southern Thailand. Twelve participants who experienced spontaneous abortion between two months and one year before participating in the study were recruited by purposive sampling. Data were collected through in-depth semi-structured interviews from December 2021 to March 2022 until data saturation. Content analysis was used to analyze the data.
Grief experiences were immersed in three themes: (1) responding to the loss (three subthemes: denying the loss, bereavement for losing an expected child, self-blame for causing spontaneous abortion); (2) coping with grief (three subthemes: using religious doctrine to accept the loss, thinking positively about the loss, overcoming the grief by getting support); and (3) bonding between the mother and the unborn child (two subthemes: unbreakable bonding, dealing with nostalgia). The rich findings of this study can serve as a framework to develop nursing practice guidelines to promote grief coping strategies for Muslim women after spontaneous abortion within a suitable cultural and religious context.

References

Kluny R, Dillard DM. Prenatal bonding: the importance of connecting with body and baby. In: Diana V, Anthony C. Hackney MG, Juan MG, editors. Fertility, preg, and wellness [Internet]. Philadelphia: Elsevier; 2022. pp. 439-48. [cited 2022 June 9]. Available from: https://www.sciencedirect.com/science/article/pii/B9780128183090000083

Anette K, Birgit W. Complicated grief after perinatal loss. Dialogues Clin. Neurosci. 2022;14:187-94. doi:10.31887/DCNS.2012.14.2/akersting.

Documentary file of OBGYN department [Ward 2]. Narathiwat Rajanagarindra Hospital; 2020 (in Thai).

Akwarangkoon S. Psychiatric and mental health nursing 6th ed. Nakhon Si Thammarat: School of Nursing Walailak University; 2019 (in Thai).

Güçlü O, Senormanci G, Tüten A, Gök K, Snormanci Ö. Perinatal grief and related factors after termination of pregnancy for fetal anomaly: one-year follow-up study.Noro Psikiyatr Ars. 2021;58:221-7. doi:10.29399/npa.25110.

Saltzman YL. It’s about time: reconceptualizing the role of time in loss and trauma. Psychol Trauma. 2019;11(6):663-70. doi:10.1037/tra0000435.

Rich, D. Psychological impact of pregnancy loss: best practice for obstetric providers. Clin Obstet Gynecol. 2018;61:628-36.

Michelle HMC, Carolina RM, Matias N, Fernanda SAT, Waldemar NA. Psychosocial aspects of gestational grief in women undergoing infertility treatment: a systematic review of qualitative and quantitative evidence. Int J Environ Res Public Health. 2021;18(24):13143. doi:

3390/ijerph182413143.

Punaglom N, Kongvattananon P, Shu B-C. Grief journey: perception and response based on cultural beliefs in Thai women experiencing perinatal death. Pacific Rim Int J Nurs Res. [Internet]. 2022 Mar 5 [cited 2022 Jun 9];26(2):327-40. Available from: https://he02.tci-thaijo.org/index.php/PRIJNR/article/view/256521

Ekmekci, PE. Abortion in Islamic ethics, and how it is perceived in Turkey: a secular, Muslim country. J Relig Health. 2017;56:884–95. https://doi.org/10.1007/s10943-016-0277-9

Bilateh W. Karn Wai took Nai Wi Tee Chee vit Muslim [Internet]. 2016 [cited 2022 Jun 9]. Available from:https://deepsouthwatch.org/node/9631 (in Thai)

Wae N, Damrak P, Kaewmanee P. Self-healing experiences of women who lost their husbands from unrest: a case study of Muang District, Yala Province. SCNJ. 2016;3(3):1-14 (in Thai).

Taonoi K, Deoisres W, Suppaseemanont W. Factors related to anxiety among pregnant women with a history of pregnancy loss. JFONUBUU. 2018;26(4):51-9 (in Thai).

Crockett JE, Jennifer L, Rogers, Erin EB. Cultural dimensions of early pregnancy loss: spiritual and religious issues. Couns Values. 2021;66:21-39. doi: 10.1002/cvj.12142.

Whitburn, S. Experiences of pregnancy loss in low- and low-middle-income countries: a systematic review and meta-synthesis. [thesis]. [South Australia]: University of Adelaide; 2021.

Kuber-Ross E, Kesster D. On grief and grieving. New York: Scribner Book Company; 2007.

Bowlby J. Attachment and loss: separation. New York:Basic Books; 1980.

Techatraisak K, Tanmahasamut P, Benjapibal M, Jaishuen A, Wongwananuruk T. Gynecology book. 4th rev. ed. Bangkok: Department of Obstetrics and Gynecology,Faculty of Medicine Siriraj Hospital, Mahidol University;2017. 619 p. (in Thai).

Phadungyam M. Mental health and psychiatric nursing. Bangkok: Neo digital; 2018. 260 p. (in Thai).

Allahdadian M, Irajpour A. The role of religious beliefs in pregnancy loss. J Educ Health Promot. 2015;4:99.doi:10.4103/2277-9531.171813.

Kain VJ. Perinatal palliative care: cultural, spiritual, and religious considerations for parents-what clinicians need to know. Front Pediatr. 2021;9:597519. doi:10.3389/fped.2021.597519.

Saad NB. Not just a miscarriage: the social and cultural perspectives of miscarriage among urban Malay women [thesis]. [Kuala Lumpur]: International Islamic University Malaysia; 2018.

Turale S. A brief introduction to qualitative description: a research design worth using. Pacific Rim Int J Nurs Res. [Internet]. 2020 Jul 9 [cited 2022 Jul 28];24(3):289-91.Available from: https://he02.tci-thaijo.org/index.php/PRIJNR/article/view/243180

American Psychiatric Association. Diagnostic and statistical manual of mental disorders 5th rev. ed. Arlington: American Psychiatric Association; 2013. 188 p.

Uamtani A. Qualitative research in nursing. 3th rev. ed. Bangkok: Printing Press of Chulalongkorn University;2016. 305 p. (in Thai).

Sawangdee Y. Content analysis, content analysis institute for population and social research. Paper presented at the Workshop on Report Writing Techniques Qualitative Research. 2016; Bangkok (in Thai).

Lincoln SY, Guba GE. Naturalistic inquiry. Newbury Park: SAGE. 1985.

Samutri E, Widyawati W, Nisman WA, Gittelsohn J, Hadi H, Lewis EC, Endriyani L, Indrayana S, Afita AMR. The experience of chronic sorrow among Indonesian mothers who have suffered recent perinatal loss. Open-Access Maced J Med Sci. 2022 Jan 03;10(T8):114-21. https://doi.org/10.3889/oamjms.2022.9502

Tseng YF, Chen CH, Wang HH. Taiwanese women’s process of recovery from stillbirth: a qualitative descriptive study. Res Nurs Health. 2014;37(3):219-28. doi:10.1002/nur.21594.

Lafarge C, Mitchell K, Fox P. Posttraumatic growth following pregnancy termination for fetal abnormality: the predictive role of coping strategies and perinatal grief. Anxiety Stress Coping. 2017;30(5):536-50. https://doi.org/10.1080/10615806.2016.1278433

Thanakornnuwat S, Iamsuphasit S, Srikruedong S. Effect of mindfulness training and positive thinking on subjective well-being of community hospitals employees. JDRU.2019;13(2):193-211 (in Thai).