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"Perdida en la traducción": the impact of perceived medical care on psychological morbidity in Spanish-speaking women after pregnancy loss
Thesis   Open access

"Perdida en la traducción": the impact of perceived medical care on psychological morbidity in Spanish-speaking women after pregnancy loss

Kayla Alana Marie Layne
Master of Science (M.S.), Drexel University
Mar 2026
DOI:
https://doi.org/10.17918/00011316
pdf
Layne_Kayla_2026792.32 kBDownloadView
PDFOpen Access (License Unspecified),  Open Access

Abstract

Medical care Pregnancy loss Spanish speakers Miscarriage Stillbirth
Pregnancy loss is a profound, distressing experience that affects numerous women around the world, often resulting in significant emotional and psychological challenges. For Spanish-speaking women living in the United States in particular, the perception and quality of medical care received during and after pregnancy loss can play a critical role in shaping their emotional recovery. This current study is a continuation of an existing data collection effort that was initiated in 2015 and paused recruitment in 2021. The present study extended recruitment and enrollment of Spanish-speaking Hispanic/Latinx women and examined how their perceptions of their medical care following a pregnancy loss influence their psychological well-being. The study uses a cross-sectional, self-report survey design to target 2 primary aims: 1) To investigate the broader relationship between Spanish-speaking women's perceptions of their medical care following a pregnancy loss and their psychological well-being. 2) To identify if this relationship exists while controlling for age, socio-economic status, parity, and previous losses. Analyses were conducted with a partial sample (n = 6-8). Results indicate that perceptions of medical care were not associated with psychological morbidity in this interim sample. Understanding Spanish-speaking women's unique experience is essential for improving outcomes and delivering equitable care. Given that the sample is underpowered, results should be interpreted with caution. This large data collection effort seeks to inform provider education and guide clinical recommendations to improve care for Spanish-speaking women navigating an English healthcare system. Data collection is ongoing.

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