Page 213 - Petelin, Ana, Nejc Šarabon, Boštjan Žvanut, eds. 2017. Zdravje delovno aktivne populacije ▪︎ Health of the Working-Age Population. Proceedings. Koper: Založba Univerze na Primorskem/University of Primorska Press
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The quality of life here refers to the physical and mental well-being. It women‘s quality of life during the grief process after perinatal death 211
is based on five factors: functional state of an individual, presence of physi-
cal symptoms, emotional and social condition including social relationships
and the impact of medical treatment. More and more studies research the link
between the quality of life and health and also give opinions and standpoints
from the patients‘ point of view (Kopčavar Guček in Franić, 2008).

Women‘s quality of life in the grief process after perinatal death is very
individually oriented and can be affected by many different factors, among
which are also the ones we have already mentioned. It is extremely important
that grieving women are given the chance to respectfully and decently grieve;
the process should start already in the maternity hospital and continue in their
home environment. The key role have the health workers.

Methods
Sample
108 women participated in the survey and the average age in the time of the
loss was 29.2 (SD = 5.18 years). Participants of the survey were in average 24
weeks pregnant (SD = 9.90 weeks). 34% of the participants, which represented
the majority of women participating in the survey, had university degree, i.e.
they completed the second cycle of the Bologna process. In the time of the loss
of the child, 52% of women were married and 48% had a non-marital partner.

Research Tools
The initial questionnaire took demographic data, medical history, i.e. how
many times were the women pregnant before and possible miscarriages or in-
duced abortions. The questionnaire also included questions about how they
received the news about their child‘s death, the course of stillbirth, the peri-
od after the labor and needs of the grieving mothers or both parents and what
they would require afterwards from the health professional in that time. Add-
ed were also open-ended questions about their experiences of the treatment
and handling in the maternity hospital from the time they were accepted in the
hospital until their release and their home environment, the treatment of the
home care nurse, about expressing their feelings after the loss and their search
of the purpose afterwards, impacts of the loss on the relationship with the part-
ner and their other living children and the completed grieving process.

Munich Grief Scale
Munich Questionnaire consists of 22 questions where participants answered
with the Likert five point scale (1 − never, 2 − rarely, 3 − sometimes, 4 − often,
5 − always) and also described how they felt in that moment. The questions
are combined into 5 subscales: grief (6 questions), fear of the loss (5 questions),
guilt (5 questions), anger (3 questions) and search of the purpose (3 questions).
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