Support after perinatal death: a study of support and counselling after perinatal bereavement.

Forrest, Gillian C.; Standish, Elizabeth; Baum, John

doi:10.1136/bmj.285.6353.1475

Cited by 206 publications

(129 citation statements)

References 9 publications

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“…Psychopathology in a subsequent pregnancy was also further predicted by a pattern of anxious grieving. Healthcare providers should monitor support isolation in women following miscarriage, since evidence unequivocally suggests women who are insufficiently supported socially from their partners or from their social network, develop stronger grief reactions than those in supportive relationships [82][83][84]. It is therefore unsurprising that research has associated martial satisfaction with decreased psychopathology following miscarriage [85,86].…”

Section: Psychological Management Of Women Following Miscarriagementioning

confidence: 99%

The psychological and social consequences of miscarriage

Akker¹

2011

Expert Review of Obstetrics & Gynecology

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This article summarizes the research detailing factors relevant to the identification and estimation of medically defined miscarriages, and describes research highlighting the psychological effects and individual social context of miscarriage. Specifically, issues of culture and social psychological interpretations of miscarriage are discussed in this article, and suggestions for improvement of follow-up care are discussed. The research reviewed shows there is a need for immediate and longer term recognition of the psychosocial effects of miscarriage and support for women, particularly those not supported within their social network, and emphasizes the need to be culturally aware when addressing health policy and healthcare needs of different populations undergoing similar reproductive losses.

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Section: Psychological Management Of Women Following Miscarriagementioning

confidence: 99%

The psychological and social consequences of miscarriage

Akker¹

2011

Expert Review of Obstetrics & Gynecology

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“…El reconocimiento de la depresión posparto en la atención médica primaria es pobre, sobre todo si se considera el aumento que la depresión ha experimentado en toda la sociedad (10). Estas situaciones y el hecho de la omisión de la asistencia sanitaria puede originar trastornos en la interacción entre las madres y sus recién nacidos (12), tales como alteraciones psicológicas a corto y largo plazo en los hijos y un mayor riesgo de separaciones y divorcios (4).…”

Section: Introductionunclassified

Prevalencia De Depresión Posparto en Primigestas Y Multíparas Valoradas Por La Escala De Edimburgo

García³

et al. 2010

Rev. chil. obstet. ginecol.

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RESUMENAntecedentes: Los trastornos depresivos representan un importante problema de salud pública, siendo más frecuente en las mujeres y con mayor riesgo durante el embarazo y puerperio. Objetivo: Comparar la prevalencia de depresión posparto en primigestas y multíparas atendidas en la División de Obstetricia y Ginecología del Servicio Autónomo Hospital Universitario de Maracaibo, Venezuela. Método: Se realizó una investigación comparativa con diseño no experimental, que incluyó una muestra de 100 mujeres en puerperio tardío, divididas en dos grupos pares de 50 sujetos según paridad, evaluadas mediante la Escala de Depresión Posparto de Edimburgo. Resultados: Los resultados demostraron una prevalencia del test positivo en el 91% de la muestra, con una prevalencia de depresión posparto confirmada por medio del DSM-IV del 22%, presentando mayor frecuencia de ideación suicida las multíparas (p<0,05). No hubo una asociación estadísticamente significativa entre paridad y depresión posparto. Conclusión: La población estudiada presenta una alta prevalencia de depresión postparto, sin diferencias en cuanto a su paridad.Palabras clave: Depresión posparto, escala de depresión posparto de Edimburgo, paridad SUMMARY Background: Today the depressive upheavals represent an important public health´s problem, being more frequent in the women and with greater risk during the pregnancy and puerperium. Objective: To compare the prevalence of postpartum depression in nulliparous and multiparous women taken care of Maternity "Dr. Armando Castillo Plaza" at the University Hospital of Maracaibo, Venezuela. Method: A comparative investigation with non experimental design was realized, it which included a sample of 100 women in later puerperium, divided in two even groups of 50 subjects according to her parity, evaluated by Edinburgh Postnatal Depression Scale. The results demonstrated a prevalence of the positive test in 91% of the sample, with a confirmed prevalence of postpartum depression by the DSM-IV of 22%, presenting a highly frequency of suicidal ideas in the multiparous group (p<0.05); also, don't found statistically significant association between parity and postpartum depression. Conclusión: The studied population show a highly prevalence of postpartum depression, without majors differences according to the parity.

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“…30 Many women will be highly motivated to try for another child after stillbirth, with studies showing that as many as half of all bereaved couples become pregnant within 6 months. 31 Timing of the next pregnancy is important as women who conceive within 12 months of a perinatal loss have higher rates of depression and anxiety in their next pregnancy than women who conceive later. 32 There is evidence that these emotional states can influence pregnancy outcome: diagnosis and management of maternal anxiety and depression may reduce the risk of preterm birth and possibly other adverse pregnancy outcomes.…”

Section: Introductionmentioning

confidence: 99%

Management of subsequent pregnancy after an unexplained stillbirth

Robson

Leader

2009

J Perinatol

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Purpose: To review the management of pregnancy after an unexplained stillbirth.Epidemiology: Approximately 1 in 200 pregnancies will end in stillbirth, of which about one-third will remain unexplained. Unexplained stillbirth is the largest single contributor to perinatal mortality. Subsequent pregnancies do not appear to have an increased risk of stillbirth, but are characterized by increased rates of intervention (induction of labor, elective cesarean section) and iatrogenic adverse outcomes (low birth weight, prematurity, emergency cesarean section and post-partum hemorrhage). Conclusions:There is no level-one evidence to guide management in this situation. Pre-pregnancy counseling is very important to detect and correct potential risk factors such as obesity, smoking and maternal disease. As timely delivery is the mainstay of management, early accurate determination of gestational age is vital. There is controversy regarding the pattern of surveillance, but evidence exists only for ultrasound and not for regular non-stress testing, nor formal fetal movement charting. There is an urgent need for more studies in this important area.

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Support after perinatal death: a study of support and counselling after perinatal bereavement.

Cited by 206 publications

References 9 publications

The psychological and social consequences of miscarriage

The psychological and social consequences of miscarriage

Prevalencia De Depresión Posparto en Primigestas Y Multíparas Valoradas Por La Escala De Edimburgo

Management of subsequent pregnancy after an unexplained stillbirth

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