Perinatal Loss

The purpose of this pilot study is to evaluate the feasibility, acceptability, and preliminary effects of an Acceptance and Commitment Therapy (ACT)-based psychosocial intervention for women who have experienced perinatal loss (miscarriage, stillbirth, or neonatal death). The intervention is a 4-week programme delivered in a mixed format: four in-person sessions (hospital setting, one-on-two with spouse/significant other) and two videoconferencing sessions (post-discharge, one-on-one), plus a 30-minute booster session one month after completion. Outcome assessments will occur at baseline (pre-intervention), immediately post-intervention, and three months post-intervention. Primary feasibility and acceptability metrics include recruitment, retention, session attendance, and participant-rated satisfaction. Preliminary effectiveness outcomes include perinatal grief, post-traumatic stress, depression, anxiety, psychological flexibility, and perceived social support. A qualitative component (semi-structured interviews) will explore participants' experiences and suggestions for refinement.

The goal of this clinical trial is to evaluate if mandala colouring helps to decrease grief symptoms and increase resilience in women who experienced perinatal loss. The main questions are: Does mandala coloring decrease perinatal grief symptoms? Does mandala coloring increase resilience? Researchers will compare mandala coloring intervention with standard perinatal loss nursing care to evaluate if mandala coloring works to decrease grief symptoms. Participants will: Answer some questionnaires and scales, and do mandala coloring at least for 20 minutes for 10 days after perinatal loss experience.

This study was planned to evaluate the effect of standardised nursing care given to women with perinatal loss using the nursing process on perinatal grief, posttraumatic stress and postpartum depression. H01: There is no difference between pre-test, post-test and follow-up tests in terms of perinatal grief scale mean scores in the intervention group. H02: There is no difference between pre-test, post-test and follow-up tests in terms of IES-R mean scores in the intervention group. H03: There is no difference between pre-test, post-test and follow-up tests in terms of EPDS mean scores in the intervention group. H04: There is no difference between the pre-test post-test and follow-up tests in terms of the mean scores of the Complicated Grief Scale in the intervention group. * At the first encounter with women, the mean scores of PMI, IESR and EPDS will be evaluated. * The mean EPDS score will be evaluated on the 10th postpartum day, 1st, 3rd and 6th month. * The mean I-ESR scale score will be evaluated at postpartum 1st, 3rd and 6th month. * At postpartum 1st and 3rd month, the mean score of PMS will be evaluated. * At the postpartum 6th month, the mean score of the PBI scale will be evaluated.