The emotional reaction to a stillbirth

Wolff, John R.; Nielson, Paul E.; Schiller, P

doi:10.1016/0002-9378(70)90207-3

Cited by 87 publications

(35 citation statements)

References 3 publications

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“…29 Parents in a 1970s study stated they saw staff attendants as cold or neutral over half the time. 26 Similarly, a third study concluded that parents described hospital staff as helpful most or almost always 46% of the time but unhelpful 35% of the time. 30 On the other hand, some reports were more favorable.…”

Section: Resultsmentioning

confidence: 99%

“…22,23 For example, in one project, only half of parents reported that they believed the nurse listened to them; in another, only half of nurses were described as supportive; and in a third, 18/28 parents described their nurses as cold or neutral. [24][25][26] Twenty-five articles mentioned at least something positive about experiences with physicians, but doctors were typically rated as much less helpful and supportive than nurses. No mother mentioned a physician as a source of support in one study, and in Figure 1 Systematic selection of articles.…”

Section: Resultsmentioning

confidence: 99%

“…25 Physicians were described as cold or neutral by 15/28 parents in one study, slightly better than nurses but still a poor rating. 26 Hospital staff in general also received mixed reviews. One researcher noted hospital staff were described as just the third most helpful part of bereavement care, preceded both by support groups and mourning rituals.…”

Section: Resultsmentioning

confidence: 99%

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Navigating care after a baby dies: a systematic review of parent experiences with health providers

2007

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Introduction: Health care providers are on the front lines of care when a baby dies, but there is no consensus about which behaviors are most helpful or harmful for families. Materials and Methods:This systematic review of more than 1100 English-language articles from 1966 to 2006 addressed fetal and early infant loss and extracted information about interactions with health providers.Results: Sixty-one studies, covering over 6000 parents, met criteria. Nurses were generally viewed as more emotionally supportive than physicians. Parents valued emotional support, attention to mother and baby and grief education. Avoidance, insensitivity and poor staff communication were the most distressing behaviors encountered.Discussion: Interactions with health providers has profound effects on parents with perinatal losses. Grieving parents perceive many behaviors to be thoughtless or insensitive. Physicians and nurses may benefit from increased training in bereavement support.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Navigating care after a baby dies: a systematic review of parent experiences with health providers

2007

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“…La différence de prise en charge des corps en fonction du terme de la grossesse s'est avérée difficile à expliquer et à concevoir pour certains couples pour lesquels cette classification, issue d'un critère médical théorique sans rapport avec la situation vécue, ne correspondait pas à leur histoire et à leurs représentations. C'est ce que soulignent de nombreux travaux médicaux [10][11][12] ainsi que des travaux de nos collègues juristes pour qui la viabilité est une notion médica-lement complexe et juridiquement infondée [13] , celle-ci doit savoir intégrer trois valeurs essentielles : l'amour, le respect des droits (au sens de règles collectives) et le respect de la dignité. On peut considérer que c'est ce qui est en jeu dans le cadre du questionnement sur le devenir des foetus morts.…”

Section: Une Nécessaire Clarificationunclassified

Corps des foetus mort-nés

et al. 2010

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“…About 10 to 15 percent of the women who had experienced a perinatal loss met the criteria for a psychiatric disorder in the first two years following the loss [17, 631. Women rarely seek psychiatric care following perinatal loss; fewer than 6 percent of women asked for this during the first year following neonatal death [3, 7, 81, and about 4 percent asked for it within the first three years following stillbirth [4]. In these studies most women who had previously received psychiatric care, needed it again after the loss of their child.…”

Section: Findings Related To Pathological Griefmentioning

confidence: 99%

A Critical Review of the Concept of Pathological Grief following Pregnancy Loss

1996

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It has often been suggested in the literature on pregnancy loss, that parents run a high risk of complicated or pathological grief as a result of the specific characteristics of such loss. What confuses the issue is that pathological grief has been defined in various ways. In the interest of improving professional care, it is important to ascertain how pathological grief manifests itself and which parents are most likely to have problems coping with pregnancy loss and therefore develop pathological grief reactions. Given the lack of clarity regarding the concept of pathological grief following pregnancy loss, this article reviews empirical studies on pathological grief following pregnancy loss according to four subtypes derived from general bereavement literature: chronic grief, delayed grief, masked grief, and exaggerated grief. It can be concluded that in the first six months following pregnancy loss, psychological complaints, behavioral changes, and somatic complaints are fairly common responses. Approximately 10-to-15 percent of the women develop a psychiatric disorder during the first two years following such loss, and less than 10 percent seek specific psychiatric care. Parents often mourn the loss of their baby for more than a year; one in five women is unable to accept pregnancy loss after approximately two years. A delayed grief reaction occurs in about 4 percent of parents and seems to occur most often in men. It is suggested that developing pathological grief following pregnancy loss may be more uncommon than had previously been thought, and the long-held idea that parents run a higher risk of pathological grief following pregnancy loss seems partly to result from flaws in the empirical studies in this field. A large majority of women seem to be able to recover from pregnancy loss in due time, drawing on their own strength.

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The emotional reaction to a stillbirth

Cited by 87 publications

References 3 publications

Navigating care after a baby dies: a systematic review of parent experiences with health providers

Navigating care after a baby dies: a systematic review of parent experiences with health providers

Corps des foetus mort-nés

A Critical Review of the Concept of Pathological Grief following Pregnancy Loss

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