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Aims: The study aimed to present a broad overview of the research conducted and to synthesize evidence of the utility of nonpharmacological interventions for pain management in medical and surgical abortions. Background: High‐quality care for medical and surgical abortion requires pain to be managed effectively. However, women reported low satisfaction with pain management in abortion care. Design: A scoping review design was employed. Data sources No date limit was set. PubMed, Cochrane Library, EMBASE, Web of Science, CINAHL, PsycINFO, ProQuest and Scopus were searched in April 2021. Review methods: Arksey and O'Malley's framework was used. The Preferred Reporting Items for Systematic reviews and Meta‐analysis extension‐Scoping Reviews was followed. Results: Fifteen studies were included. The results revealed that support interventions, music therapy, acupoint stimulation and hypnotic analgesia were nonpharmacological interventions used to decrease abortion pain. Conclusions: Clinical nurses, nurse managers and policymakers should attach full importance to the pain management in abortion and may use the study findings to guide the pain management practice. Summary statement: What is already known about this topic? Women reported maximum pain levels and low satisfaction with the current pain management of abortion.The quality of abortion care that women receive may impact their psychological well‐being.Nursing professionals lacked professional knowledge and awareness of pain management, which may impede the provision of high‐quality of abortion care. What this paper adds? Among the selected 15 studies, nonpharmacological pain management interventions included support interventions, music therapy, acupoint stimulation and hypnotic analgesia.Useful pain assessment tools, effective pain treatment and sufficient professional attendance are important components for relieving pain in abortion.Outcomes of pain, anxiety and satisfaction could be adopted for effectiveness evaluation. The implications of this paper Nursing professionals may use these findings to ensure better pain management in abortion care for women.Meta‐analysis is needed to clarify the respective effectiveness of nonpharmacological interventions on pain, psychological outcomes, satisfaction and analgesic consumption.Relevant pain management training should be offered to nursing professionals in abortion care. [ABSTRACT FROM AUTHOR]

Aims and objectives: To explore the psychological trajectories of women who have had a diagnosis of foetal abnormality from the time of receiving a definite diagnosis to one month after discharge. Background: Foetal abnormalities are not uncommon worldwide. Such situations are devastating, and the termination of a pregnancy due to foetal abnormalities is a traumatic and stressful event for the mother. Design: A descriptive qualitative approach using expressive writing. Methods: The study included 20 women recruited through purposive sampling at a tertiary hospital in China. The participants were asked to write four 15‐min essays related to their experiences with foetal abnormalities. Thematic analysis was used to generate themes. The COREQ checklist (see Supporting Information Appendix S1) was used. Results: Four themes that reflected the women's psychological trajectories were identified: (a) traumatic response, (b) ruminant meditation, (c) positive coping and (d) post‐traumatic growth stages. The psychological trajectories were dynamically shaped, and different responses were displayed in each stage. Conclusions: Various responses were observed during each of the four psychological trajectories, which indicated that awareness regarding the psychological impacts associated with foetal abnormalities should be increased. The present findings suggest that healthcare services should be made accessible for women who have had a diagnosis of foetal abnormality to allow them to receive targeted nursing care at different stages and improve their psychological well‐being. Relevance to clinical practice: Midwives, nurses and other healthcare professionals should pay more attention to the mental health of women pregnant with foetuses diagnosed with abnormalities. Interventions designed based on women's worries and demands during various phases should be offered. In terms of the present research method, expressive writing possesses unique advantages that can be applied for relevant qualitative research. [ABSTRACT FROM AUTHOR]

Family support is an important protective factor for pregnant women with a foetal abnormality and can prevent adverse psychological outcomes in this population. This study aimed to explore the importance and influencing factors of family support for pregnant women with foetal abnormalities requiring pregnancy termination and then determine the correlation between family support and women's post‐traumatic stress symptoms. A mixed methods study was conducted from March 2016 to September 2017. In all, 214 participants were surveyed using self‐reported questionnaires including the demographic, family and obstetric information questionnaire, the Family Adaptation Partnership Growth Affection and Resolve Index and the Impact of Event Scale‐Revised to collect quantitative data. Semi‐structured in‐depth interviews with 28 participants were conducted to collect qualitative data. Of the pregnant women with foetal abnormalities, 35% had obstacles in family function such that family support was low. The Impact of Event Scale‐Revised score was negatively associated with total score on the Family Adaptation Partnership Growth Affection and Resolve Index as well as the score for each item on this index. In terms of family support, the demographic, family and obstetric variables hierarchically entered into the regression models significantly explained 20.0%, 26.5% and 2.6% of variation, respectively. In addition, three key themes were identified based on qualitative analyses: intensified instrumental support, inadequate emotional support and insufficient informational support. The findings showed that family support plays a protective role in preventing post‐traumatic stress symptoms following termination of pregnancy. At present, family support still needs to be improved, especially in emotional support and informational support. The factors influencing family support may be important to consider for improving family support. [ABSTRACT FROM AUTHOR]

Abstract: Aim: We examined the effects of a family‐support programme for pregnant women with foetal abnormalities in terms of family support, depression, and post‐traumatic stress symptoms. Method: A randomized controlled trial was conducted from November 2016 to June 2017. A total of 124 pregnant women with foetal abnormalities were recruited and randomly assigned to the intervention group that received a family‐support programme or control group that received only routine care. Self‐reported questionnaires including the Family Adaptation Partnership Growth Affection and Resolve Index, the Edinburgh Postnatal Depression Scale, and the Impact of Event Scale‐Revised were administered before and after intervention. Results: Relative to the control group, posttest Family Adaptation Partnership Growth Affection and Resolve Index scores and scores on the intimacy domain were significantly higher in the intervention group, the Edinburgh Postnatal Depression Scale and Impact of Event Scale‐Revised scores and the scores on all subscales except the intrusion subscale were significantly lower in the intervention group. Conclusion: The findings of this study suggest that family‐support programme represents an effective and feasible support approach of improving family support and reducing depression and post‐traumatic stress symptoms for pregnant women with foetal abnormalities requiring pregnancy termination. [ABSTRACT FROM AUTHOR]