Infant and child deaths: Parent concerns about subsequent pregnancies

Brooten, Dorothy; Youngblut, JoAnne M.; Hannan, Jean; Caicedo, Carmen; Roche, Rosa M.; Malkawi, Fatima

doi:10.1002/2327-6924.12243

Cited by 11 publications

(6 citation statements)

References 45 publications

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“…The data describe a range of reactions to loss, and highlight the personal and individual nature of timing a subsequent pregnancy. This is consistent with other studies 18 62–64 64–68. Our findings suggest that parents may feel increased isolation after fetal or perinatal death, due to the taboo nature of the topic 18 69 70.…”

Section: Discussionsupporting

confidence: 92%

Pregnancy decisions after fetal or perinatal death: systematic review of qualitative research

et al. 2019

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ObjectivesTo synthesise the findings of qualitative research exploring parents’ experiences, views and decisions about becoming pregnant following a perinatal death or fetal loss.DesignSystematic review and meta-synthesis of qualitative research.Data sourcesMedline, Web of Science, CINAHL, PsycINFO, ASSIA, Embase, PUBMED, Scopus and Google Scholar.Eligibility criteriaNine electronic databases were searched using predefined search terms. Articles published in English, in peer-reviewed journals, using qualitative methods to explore the experiences and attitudes of bereaved parents following perinatal or fetal loss, were included.Data extraction and synthesisQualitative data relating to first-order and second-order constructs were extracted and synthesised across studies using a thematic analysis.Results15 studies were included. Four descriptive themes and 10 subthemes were identified. The descriptive themes were: deciding about subsequent pregnancy, diversity of reactions to the event, social network influences, and planning or timing of subsequent pregnancy. The decision to become pregnant after death is complex and varies between individuals and sometimes within couples. Decisions are often made quickly, in the immediate aftermath of a pregnancy loss, but may evolve over time. Bereaved parents may feel isolated from social networks.ConclusionsThere is an opportunity to support parents to prepare for a pregnancy after a fetal or perinatal loss, and conversations may be welcomed at an early stage. Health professionals may play an important role providing support lacking from usual social networks.PROSPERO registration numberCRD42018112839

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Section: Discussionsupporting

confidence: 92%

Pregnancy decisions after fetal or perinatal death: systematic review of qualitative research

et al. 2019

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“…Although many parents were prepared to move on and proceed with a subsequent pregnancy, they were adamant that doing so was not a means to forget or replace their previous child. These findings were similarly reported in Campbell‐Jackson et al (2014) and Brooten et al (2015) who found that although the parents' emphasis was on the next child, it was still important for them to maintain a ‘relationship’ and keep the memory of their previous child alive for themselves, their families and communities. Healthcare administrations should ensure that healthcare professionals receive adequate and necessary training so that they can be more wary and sensitive to such needs and allow open conversations where parents can discuss previous losses.…”

Section: Discussionsupporting

confidence: 80%

Decision‐making and future pregnancies after a positive fetal anomaly screen: A scoping review

Shorey

Lalor

Pereira

et al. 2023

Journal of Clinical Nursing

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Aims and ObjectivesTo examine and consolidate literature on the experiences and decision‐making of parents following a screen positive result for a potential fetal anomaly and/or diagnosis of an actual anomaly in a previous pregnancy.BackgroundPrenatal screening consists of any diagnostic modality that is aimed at acquiring information about a fetus or an embryo; however, the entire process is highly stressful for parents, especially if there was a previous screen positive result, but no abnormality was detected in the final result.MethodsEight electronic databases (PubMed, Embase, CINAHL, PsycINFO, Scopus, Web of Science, ProQuest Theses and Dissertations and ClinicalTrials.gov) were searched from each database's inception until February 2022. This scoping review was guided by Arksey and O'Malley's framework and was reported in accordance with the PRISMA‐ScR checklist. Braun and Clarke's thematic analysis framework was utilised.ResultsThirty‐one studies were eligible for inclusion. Two main themes (reliving the fear while maintaining hope, and bridging the past and future pregnancies) and six subthemes were identified.ConclusionsA fetal anomaly diagnosis in pregnancy had a mixed impact on the attitudes of parents toward a future pregnancy. Some parents were fearful of reliving a traumatic experience, while others were determined to have a healthy child and grow their family. Parents generally expressed a greater preference for non‐invasive over invasive prenatal testing due to the procedural risks involved.Relevance to Clinical PracticeThere is a need for healthcare professionals to provide psychosocial and emotional support to parents so that they can achieve resolution for their previous pregnancy. Healthcare professionals' ability to provide informational support also enables these parents to make informed decision and understand their reproductive outcomes. Additionally, healthcare administration and policymakers should reconsider current neonatal or pregnancy loss bereavement guidelines to improve the inclusivity of fathers.Patient or Public ContributionNo patient or public contribution.

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“…More scarce are the studies that analyze these consequences in pregnancies that take place after a gestational loss, with similar results (Al-Maharma, Abujaradeh, Mahmoud, & Jarrad, 2016;Brooten et al, 2015;Chojenta et al, 2014;Üstündağ-Budak, Larkin, Harris, & Blissett, 2015).…”

Section: Discussionmentioning

confidence: 96%

Post-traumatic stress and related symptoms in a gestation after a gestational loss: narrative review

Ordóñez

Diáz

Gil

et al. 2018

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Background. Around 30% of pregnancies conclude in a gestational loss. Most women who suffer a gestational loss become pregnant again. However, mothers who have experienced this situation live the new pregnancy with fear and anxiety. Objective. To perform an update of the main works done in the study of post-traumatic stress and related symptoms during pregnancy after a gestational loss. Method. The Medline database was consulted. Articles published from 2007 to date were selected. Key words related to the topic of study were used. Results. The studies reviewed showed five entities that deserve attention during a pregnancy achieved after a gestational loss: post-traumatic stress, depression, anxiety, relationship, and relationship with the future child. There is a relationship between the presence of post-traumatic stress and the risk of developing depression and anxiety. Discussion and conclusion. Women who experience perinatal loss, regardless of the type of loss and the gestational age in which it occurs, are at risk of continuing grief, symptoms of depression, anxiety, and post-traumatic stress in later pregnancy. The gestational age and the time elapsed between the perinatal loss and the next pregnancy seem to be the most influential factors in the development of post-traumatic stress sindrome, and symptoms of dysfunctional grief, anxiety, and depression.

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Infant and child deaths: Parent concerns about subsequent pregnancies

Cited by 11 publications

References 45 publications

Pregnancy decisions after fetal or perinatal death: systematic review of qualitative research

Pregnancy decisions after fetal or perinatal death: systematic review of qualitative research

Decision‐making and future pregnancies after a positive fetal anomaly screen: A scoping review

Post-traumatic stress and related symptoms in a gestation after a gestational loss: narrative review

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