Browsing by Subject "miscarriage"

Now showing 1 - 5 of 5
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    Co-Ownership of Private Information in the Miscarriage Context
    (2014-12) Bute, Jennifer J.; Brann, Maria
    Pregnancy loss due to miscarriage is a pervasive health issue. Although talking about the miscarriage experience with friends and family members has been linked to better adjustment, revealing this loss can be difficult because discussing a miscarriage often makes people uncomfortable. Moreover, couples often manage this information jointly as they decide whether to share the miscarriage with people outside the dyad. We conducted in-depth interviews with couples to explore the nature of co-ownership in the miscarriage context and to identify the privacy rules that couples develop to manage this information. We found that couples frame miscarriage as a shared but distinct experience and that both members exert rights of ownership over the information. Couples' privacy rules centered on issues of social support and others' need to know about the loss. Even though couples described their privacy rules as implicitly understood, they also recalled having explicit conversations to develop rules. We discuss how the management of co-owned information can improve communication and maintain relationships.
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    Exploring societal-level privacy rules for talking about miscarriage
    (Sage, 2019) Bute, Jennifer J.; Brann, Maria; Hernandez, Rachael; Communication Studies, School of Liberal Arts
    Communication privacy management (CPM) theory posits that culturally specific understandings of privacy guide how people manage private information in everyday conversations. We use the context of miscarriage to demonstrate how societal-level expectations about (in)appropriate topics of talk converge with micro-level decisions about privacy rules and privacy boundary management. More specifically, we explore how people’s perceptions of broad social rules about the topic of miscarriage influence their disclosure decisions. Based on interviews with 20 couples who have experienced pregnancy loss, we examined how couples described miscarriage as a topic that is bound by societal-level expectations about whether and how this subject should be discussed in interpersonal conversations. Participants reflected on their perceptions of societal-level privacy rules for protecting information about their miscarriage experiences and described how these rules affected their own privacy management decisions. We discuss these findings in terms of CPM’s theoretical tools for linking macro-level discourses to everyday talk.
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    Let’s break the silence about miscarriages
    (2014-10-10) Bute, Jennifer J.; Brann, Maria
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    Qualitative Assessment of Bad News Delivery Practices during Miscarriage Diagnosis
    (SAGE, 2020) Brann, Maria; Bute, Jennifer J.; Foxworthy Scott, Susanna; Communication Studies, School of Liberal Arts
    Miscarriage is one of the most common pregnancy complications health care providers discuss with patients. Previous research suggests that women’s distress is compounded by ineffective communication with providers, who are usually not trained to deliver bad news using patient-centered dialogue. The purpose of this study was to use a patient-centered approach to examine women’s experiences with and perspectives of communication during a miscarriage to assist in the development of communication training tools for health care providers. During focus groups, 22 women who had experienced miscarriage discussed video-recorded standardized patient-provider interactions and recalled communication during their own miscarriages. Results of a pragmatic iterative analysis of the transcripts suggest training techniques and communication behaviors that should guide education for providers to deliver the diagnosis of and treatment options for early pregnancy loss, such as demonstrating empathy, creating space for processing, checking for understanding, and avoiding medical jargon and emotionally charged language.
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    Tensions and Contradictions in Interns’ Communication about Unexpected Pregnancy Loss
    (Taylor & Francis, 2019) Bute, Jennifer J.; Brann, Maria; Communication Studies, School of Liberal Arts
    Early miscarriage is an unexpected pregnancy complication that affects up to 25% of pregnant women. Physicians are often tasked with delivering the bad news of a pregnancy loss to asymptomatic women while also helping them make an informed decision about managing the miscarriage. Assessing the communicative responses, particularly the discursive tensions embedded within providers’ speech, offers insight into the (in)effective communication used in the delivery of bad news and the management of a potentially traumatic medical event. We observed and analyzed transcripts from 40 standardized patient encounters using Baxter’s relational dialectics theory 2.0. Results indicated that interns invoked two primary distal already-spoken discourses: discourses of medicalization of miscarriage and discourses of rationality and informed consent. We contend that tensions and contradictions could affect how women respond to the news of an impending miscarriage and offer practical implications for communication skills training.