Psychological vulnerability in children next‐born after stillbirth: a case–control follow‐up study

Turton, P; Badenhorst, William; Pawlby, Susan; White, Sarah; Hughes, Patricia

doi:10.1111/j.1469-7610.2009.02111.x

Cited by 39 publications

(39 citation statements)

References 41 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Stillbirth has been described as a paradoxical coalescence of life and death, 3 and the trauma of this experience is associated with increased incidence of anxiety, depression and post-traumatic stress disorder. [4][5][6] Owing to the social stigma associated with stillbirth, 7 it is an isolating event leaving mothers more dependent on their own psychological and emotional resources and on those that care for them. 3 The burden on staff is demonstrated internationally in studies of maternity professionals who report that caring for families experiencing a stillbirth is a stressful aspect of their work.…”

Section: Introductionmentioning

confidence: 99%

Bereaved parents’ experience of stillbirth in UK hospitals: a qualitative interview study

et al. 2013

View full text Add to dashboard Cite

ObjectiveTo obtain the views of bereaved parents about their interactions with healthcare staff when their baby died just before or during labour.DesignQualitative in-depth interview study, following an earlier national survey. All interviews took place during 2011, either face-to-face or on the telephone. Data analysis was informed by the constant comparative technique from grounded theory.SettingEvery National Health Service (NHS) region in the UK was represented.ParticipantsBereaved parents who had completed an e-questionnaire, via the website of Sands (Stillbirth and Neonatal Death Society). Of the 304 survey respondents who gave provisional consent, 29 families were approached to take part, based on maximum variation sampling and data saturation.Results22 families (n=25) participated. Births took place between 2002 and 2010. Specific practices were identified that were particularly helpful to the parents. Respondents talked about their interactions with hospital staff as having profound effects on their capacity to cope, both during labour and in the longer term. The data generated three key themes: ‘enduring and multiple loss’: ‘making irretrievable moments precious’; and the ‘best care possible to the worst imaginable’. The overall synthesis of findings is encapsulated in the meta-theme ‘One chance to get it right.’ This pertains to the parents and family themselves, clinical and support staff who care for them directly, and the NHS organisations that indirectly provide the resources and governance procedures that may (or may not) foster a caring ethos.ConclusionsPositive memories and outcomes following stillbirth depend as much on genuinely caring staff attitudes and behaviours as on high-quality clinical procedures. All staff who encounter parents in this situation need to see each meeting as their one chance to get it right.

show abstract

Section: Introductionmentioning

confidence: 99%

Bereaved parents’ experience of stillbirth in UK hospitals: a qualitative interview study

et al. 2013

View full text Add to dashboard Cite

show abstract

“…[48][49][50][51] Methods to document GBS-related stillbirths that can be implemented in high-income as well as in middle-and low-income countries should be codified to enhance comparisons between studies. For instance, the Brighton Collaboration and the WHO are currently collaborating on consolidating definitions of stillbirth to prevent any variation in definition.…”

Section: Resultsmentioning

confidence: 99%

Maternal group B Streptococcus‐related stillbirth: a systematic review

Nan¹,

Dangor

Cutland

et al. 2015

BJOG

127

View full text Add to dashboard Cite

Background Limited epidemiological data on the association between maternal rectovaginal group B Streptococcus (GBS) colonisation and stillbirth makes assessment of antenatal interventions for GBS stillbirth difficult.Objectives To systematically review the existing literature and evaluate the incidence of GBS-related stillbirth by region up to March 2015.Search strategy A systematic review of the published literature was completed using PubMed/MEDLINE, EMBASE, LILACS, and Cochrane Library, with Medical Subject Headings (MeSH) and search terms based upon the Centers for Disease Control and Prevention's (CDC) Active Bacterial Core Surveillance (ABCs) GBS-related stillbirth definition and chorioamnionitis.Selection criteria Studies reporting original data on GBS-related stillbirth occurring ≥20 weeks of gestation, with GBS confirmed by autopsy or by culture from the placenta, amniotic fluid, or other normally sterile site samples from the stillborn.Data collection and analysis Descriptive analyses were performed with the absolute GBS-related stillbirth rates and proportion of stillbirths attributed to GBS calculated per study where possible. Differences in stillbirth definitions did not allow for pooled estimates to be calculated.Main results Seventeen studies reported GBS-related stillbirth rates varying from 0.04 to 0.9 per 1000 births, with the proportion of stillbirths associated with GBS ranging from 0 to 12.1%. Most studies reported data from before the year 2000 and from highincome countries.Conclusions The sparsely available epidemiological evidence was not reported consistently, emphasising the importance of standardised stillbirth definitions and diagnostic methods to optimally assess the effectiveness of any future antenatal interventions. Timing of stillbirth, GBS serotype, and global diversity were gaps in the current evidence.

show abstract

“…Since prenatal attachment has been significantly correlated with postpartum bonding [15], it is reasonable to expect that women with a history of perinatal loss may have an increased risk of impaired maternal-infant bonding. Evidence also exists that women with a history of perinatal loss are more concerned with the health of their child [16,17] and report more problems with their child both in early infancy [18] and at school age [19]. However, Price [20] found no difference in the way mothers with a history of perinatal loss interacted with or perceived the behavior of their infants born subsequent to perinatal loss.…”

Section: Introductionmentioning

confidence: 99%

“…In a study of mothers of children born subsequent to stillbirth, Turton and colleagues [19] found that although mothers with a history of stillbirth reported that their children had more difficulties and peer problems than was reported by a control group of mothers, teacher ratings did not show any difference. This suggests that a relationship issue between the child and the mother may exist even when the child is otherwise perceived by others as functioning normally.…”

Section: Introductionmentioning

confidence: 99%

Effect of miscarriage history on maternal-infant bonding during the first year postpartum in the First Baby Study: a longitudinal cohort study

et al. 2014

View full text Add to dashboard Cite

BackgroundMiscarriage, the unexpected loss of pregnancy before 20 weeks gestation, may have a negative effect on a mother’s perception of herself as a capable woman and on her emotional health when she is pregnant again subsequent to the miscarriage. As such, a mother with a history of miscarriage may be at greater risk for difficulties navigating the process of becoming a mother and achieving positive maternal-infant bonding with an infant born subsequent to the loss. The aim of this study was to examine the effect of miscarriage history on maternal-infant bonding after the birth of a healthy infant to test the hypothesis that women with a history of miscarriage have decreased maternal-infant bonding compared to women without a history of miscarriage.MethodsWe completed secondary analysis of the First Baby Study, a longitudinal cohort study, to examine the effect of a history of miscarriage on maternal-infant bonding at 1 month, 6 months, and 12 months after women experienced the birth of their first live-born baby. In a sample of 2798 women living in Pennsylvania, USA, we tested our hypothesis using linear regression analysis of Shortened Postpartum Bonding Questionnaire (S-PBQ) scores, followed by longitudinal analysis using a generalized estimating equations model with repeated measures.ResultsWe found that women with a history of miscarriage had similar S-PBQ scores as women without a history of miscarriage at each of the three postpartum time points. Likewise, longitudinal analysis revealed no difference in the pattern of maternal-infant bonding scores between women with and without a history of miscarriage.ConclusionsWomen in the First Baby Study with a history of miscarriage did not differ from women without a history of miscarriage in their reported level of bonding with their subsequently born infants. It is important for clinicians to recognize that even though some women may experience impaired bonding related to a history of miscarriage, the majority of women form a healthy bond with their infant despite this history.

show abstract

Psychological vulnerability in children next‐born after stillbirth: a case–control follow‐up study

Cited by 39 publications

References 41 publications

Bereaved parents’ experience of stillbirth in UK hospitals: a qualitative interview study

Bereaved parents’ experience of stillbirth in UK hospitals: a qualitative interview study

Maternal group B Streptococcus‐related stillbirth: a systematic review

Effect of miscarriage history on maternal-infant bonding during the first year postpartum in the First Baby Study: a longitudinal cohort study

Contact Info

Product

Resources

About