Facilitating determinants after pregnancy loss: a qualitative study of women's perspectives in Portugal

Background/Aims Pregnancy loss has significant psychological consequences, can affect women's self-perception and cause distress. This study's aim was to identify factors that support women's transition following pregnancy loss. Methods This hermeneutic phenomenological study was conducted at a Portuguese hospital. A total of 16 women who had experienced pregnancy loss participated in semi-structured interviews. Data were analysed thematically and interpreted using Transitions Theory. Results Three overarching themes emerged: personal, community and social determinants. Coping was facilitated by positive attitudes, freedom of choice and daily routines. Humanised care and clear communication were essential, as was support from partners, family and peer groups. Education and societal awareness helped reduce stigma and promote adaptation. Conclusions Personal, social and community factors interact to support women's bereavement transition, highlighting the importance of humanised, midwife-led care and education on pregnancy loss. Implications for practice Practice should be characterised by clear and honest communication, respect for women's autonomy and informed choice, emotional presence and continuity of support. Integrating partners and families, enabling memory making and ensuring access to psychological support are key to promoting healthier transitions. Education and awareness initiatives are essential to reduce stigma and improve the quality and consistency of care following pregnancy loss.