Various types of grief and emotional impacts during pregnancy with a diagnosis of hydatidiform mole

Abstract

Objective: to understand and reflect on grief and hydatidiform mole based on publications in the area. Methods: narrative review based on the Virtual Health Library database in October 2023, using the descriptors: doença trofoblástica gestacional (gestational trophoblastic disease), aspectos psicológicos (psychological aspects), mola hidatiforme (hydatidiform mole), luto materno (maternal grief), psicanálise (psychoanalysis), perda precoce da gravidez (early pregnancy loss), and aspectos emocionais (emotional aspects). Articles, theses, and dissertations fully available in Portuguese or English, published in the last five years were considered. The analysis of the studies was done through critical reading, considering objectives, methods, and results relevant to the topic, with the creation of a core of meanings. Results: the corpus of this article included nine studies that reflected on how the diagnosis of Hydatidiform Mole impacts pregnant women. Three core of meanings were constructed: Perinatal grief versus grief due to hydatidiform mole; Psychological factors and emotional reactions to hydatidiform mole; Mechanisms for coping with grief and support for pregnant women with hydatidiform mole. Conclusion: the most frequent symptoms associated with grief experienced in pregnancy loss due to hydatidiform mole were anxiety and depression. Reference Centers are indicated to provide appropriate treatment. Among health professionals, Psychology is the category that has the greatest potential to contribute with the most qualified support and prevent the impacts of these losses.