Predictors of Maternal Grief in the Year after a Newborn Death

Engler, Arthur J.; Lasker, Judith N.

doi:10.1177/105413730000800302

Cited by 50 publications

(33 citation statements)

References 62 publications

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“…However, in general, positive interpersonal relationships and strong social support are two types of interventions which are negatively correlated with grief intensity. 27 This suggests that, while not the sole variable influencing psychological outcomes for grieving mothers and fathers, psychosocial care and support can reduce the risk of negative affect. Lavender and Walkinshaw conducted a randomized controlled trial (RCT) on women who had experienced traumatic birth and found that supportive counseling, understanding, and explanation e as a formal intervention e provided psychological benefit to women.…”

Section: Interventionsmentioning

confidence: 99%

Psychological effects of stillbirth

Cacciatore

2013

Seminars in Fetal and Neonatal Medicine

140

128

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This article appeared in a journal published by Elsevier. The attached copy is furnished to the author for internal non-commercial research and education use, including for instruction at the authors institution and sharing with colleagues.Other uses, including reproduction and distribution, or selling or licensing copies, or posting to personal, institutional or third party websites are prohibited. Despite the high prevalence globally, the death of a baby to stillbirth is an often misunderstood and disenfranchised loss. Mothers, fathers, and families struggle to cope with the immediate and long-lasting effects of a baby's death which can last for years and sometimes decades. In addition, providers can be adversely affected by stillbirth, particularly when met with experiential avoidance and a sense of guilt and failure. There is little evidence on intervention efficacy in acute grief following perinatal death; however, there is a growing body of scientific literature on the efficacy of mindfulness-based interventions in treating anxiety, depression, and other biopsychosocial maladies as well as improving patient satisfaction with psychosocial care. This paper explores one such intervention model, ATTEND (attunement, trust, therapeutic touch, egalitarianism, nuance, and death education), as a means to improve psychosocial care during both acute and chronic states of bereavement. Whereas the death of a baby to stillbirth is the ultimate paradox for providers and patients e the convergence of life and death and the fundamental contradiction it represents e with proper care and compassion, families stand a better chance in the face of such indescribable loss and they need not suffer alone.Published by Elsevier Ltd.

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Section: Interventionsmentioning

confidence: 99%

Psychological effects of stillbirth

Cacciatore

2013

Seminars in Fetal and Neonatal Medicine

140

128

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“…Predictors of poor coping with perinatal grief in Western societies have included emotion-focused coping strategies, maladaptive coping skills, perceived lack of social support, and intense emotionality at the time of stillbirth (Bennett, Litz, Maguen, & Ehrenreich, 2008;Cacciatore, Schnebly, & Froen, 2009;Engler & Lasker, 2000). The dearth of data pertaining to Indian women's perinatal grief limits our understanding of factors that predict their coping with the loss.…”

Section: Introductionmentioning

confidence: 95%

“…A conceptual model was theoretically developed; structural equation modeling (SEM) was then used to explore the model fitness. We hypothesized that (a) women with lower autonomy would have higher perinatal grief scores due to a lack freedom to exercise any practical coping, thereby relying heavily on emotion focused coping which is associated with increased perinatal grief (Engler & Lasker, 2000), and that (b) women with traditional views toward social norms would have greater perinatal grief due to inhibited expression of grief proscribed by social expectations and the stigma and blame attached to stillbirth (Sather et al, 2010;Stanton, Lawn, Rahman, Wilczynska-Ketende, & Hill, 2006). Additionally, the internationally validated Perinatal Grief Scale (PGS) was expected to perform reliably in our study population.…”

Section: Introductionmentioning

confidence: 99%

Autonomy and Social Norms in a Three Factor Grief Model Predicting Perinatal Grief in India

Roberts

Lee

2013

Health Care for Women International

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Perinatal grief following stillbirth is a significant social and mental health burden. We examined associations among the following latent variables: autonomy, social norms, self-despair, strained coping, and acute grief-among poor, rural women in India who experienced stillbirth. A structural equation model was built and tested using quantitative data from 347 women of reproductive age in Chhattisgarh. Maternal acceptance of traditional social norms worsens self-despair and strained coping, and increases the autonomy granted to women. Greater autonomy increases acute grief. Greater despair and acute grief increase strained coping. Social and cultural factors were found to predict perinatal grief in India.

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“…Die Trauerbelastung nach perinatalem Verlust ist umso intensiver und / oder langwieriger, je weniger soziale Unterstützung (Verwandte, Freunde, Bekannte etc.) die Eltern tatsächlich oder vermeintlich erfahren und je weniger stabil und zufrieden stellend die elterliche Partnerschaftsbeziehung ist [11,18,20].…”

Section: Faktoren Die Unterschiede Im Trauerverlauf Verursachen Könnenunclassified

Palliative Versorgung bei Früh- und Reifgeborenen mit sehr ungünstiger Prognose

Schulze

Wermuth²

2007

Z Geburtshilfe Neonatol

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Involvement of the family in decisions to withhold or withdraw intensive care and parental involvement in care planning for terminally ill infants does not aggravate or prolong parents' grief responses, their feelings of guilt, or the incidence of pathological grief responses. Effective physical pain and symptom management is critically important. Compassionate care plans, however, need to implement a number of other and equally important components. Parents are not uniform in their perceived needs to make various kinds of contacts with their dying infant. They should be allowed to make their individual choices regarding contact with their baby during that time. The perinatal loss of a twin infant appears to evoke no less serious stress and risks to parents' compared to the loss of a singleton. The disruption of family life during a perinatal loss affects siblings of the baby, and their specific needs should be acknowledged. Post-death or post-autopsy meetings with the family should routinely be scheduled a few weeks after death, and bereavement support should actively be offered. Parents need to be informed about differences to be expected between maternal and paternal grief responses. The risk of pathological grief variants and chronic grief should be mentioned to parents because professional help is required in such occurrence.

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Predictors of Maternal Grief in the Year after a Newborn Death

Cited by 50 publications

References 62 publications

Psychological effects of stillbirth

Psychological effects of stillbirth

Autonomy and Social Norms in a Three Factor Grief Model Predicting Perinatal Grief in India

Palliative Versorgung bei Früh- und Reifgeborenen mit sehr ungünstiger Prognose

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