Integrative Review of Emotional Care Following Perinatal Loss

Eraso, Sara Furtado; Escalada-Hernández, Paula; Marín‐Fernández, Blanca

doi:10.1177/0193945920954448

Cited by 24 publications

(30 citation statements)

References 62 publications

(176 reference statements)

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“…In contrast, task-based communication, disrespectful words, neglecting women’s needs and delayed responses may lead to undesirable interactions and even conflicts, which should be avoided. The emphasis on women’s needs varied in different stages [ 14 , 48 ]. Therefore, prompt feedback and targeted care should be given to women based on their needs and psychological responses.…”

Section: Discussionmentioning

confidence: 99%

Exploring interactions between women who have experienced pregnancy loss and obstetric nursing staff: a descriptive qualitative study in China

Qian

Wang²,

Sun

et al. 2022

BMC Pregnancy Childbirth

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Background Contradictory interactions between bereaved women who have experienced pregnancy loss and obstetric nursing staff are becoming increasingly prominent. The aim of the present study was to gain an understanding of how women who have experienced pregnancy loss and obstetric nursing staff perceive their interactions, what influencing factors impacted their experiences. Methods A qualitative, exploratory study was conducted in a delivery room and six maternity wards of a tertiary hospital. Semi-structured interviews were performed with six nurses, 13 midwives and seven women who experienced pregnancy loss to collect rich information about how they make sense of their interactions. Thematic analysis was adopted to analyse the data. Results Five overarching themes were identified: (1) interaction characteristics, (2) interactive contradiction, (3) influencing factors of the interaction, (4) training needs and (5) suggestions for benign interactions. Conclusions Healthcare providers should be instructed in adopting a respectful and sympathetic attitude in communication, strengthening information support and offering patient-centred care for benign interactions. Ignoring women’s needs and using disrespectful words should be avoided. Training for preparing nurses and midwives in perinatal bereavement care and addressing heavy emotional burden is necessary. Additional efforts are needed to improve medical services and to facilitate benign interactions in induced abortion care.

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Section: Discussionmentioning

confidence: 99%

Exploring interactions between women who have experienced pregnancy loss and obstetric nursing staff: a descriptive qualitative study in China

Qian

Wang²,

Sun

et al. 2022

BMC Pregnancy Childbirth

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“…32,33 As other studies show, the management of lactation following a perinatal loss is rarely discussed with women, 33,35 and the lack of information increases women's pain and anxiety. 36 Furthermore, the lack of prior lactation counseling results in many women feeling surprised and unprepared when they experience breast engorgement and milk leakage. 18,37 However, it is essential for bereaved women that health care professionals provide comprehensive information which enables them to make informed choices about the range of lactation management options.…”

Section: Discussionmentioning

confidence: 99%

Milk Donation Following a Perinatal Loss: A Phenomenological Study

Medina

Jiménez-Lasserrotte

Fernández

et al. 2022

J Midwife Womens Health

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Introduction Perinatal loss is a traumatic event for women with negative consequences for their well‐being and mental health. After perinatal loss, some women choose to not suppress lactation and to donate their breast milk. Donating milk can be a grief ritual to cope with the loss. The aim of this study was to explore women's experiences of donating their breast milk following a perinatal loss. Methods A hermeneutic phenomenology was carried out. Thirteen semistructured interviews were conducted. Data was recorded, transcribed, and categorized into themes and subthemes. Results Two main themes emerged from the data: (1) lactation after loss: a forgotten aspect of the care, with the subthemes “the silence surrounding grieving lactation” and “experiencing lactation amidst a sea of tears”; and (2) milk donation: a resource to alleviate pain and offer hope, with the subthemes “expressing and donating breast milk: a healing ritual” and “breaking the taboo of the grieving lactation.” Discussion Information about lactation options is not typically included in participants’ care plan. Women's experiences highlight the need for the support of health care professionals. Donating milk helps some women to cope with the loss and accept and integrate it into their daily lives. Milk donation is also an opportunity to educate society about options following a perinatal loss.

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“…Only two MICs (Argentina and Mexico) provided 40 or more responses, which limited comparisons between individual countries. Although the original survey was conducted 5 years ago, there is little to suggest that there have been major changes in bereavement care following stillbirth since then, and these findings remain the most up‐to‐date international data available and provide a baseline for future study 38 . The areas covered by the survey focused mainly on acknowledgment of parenthood, which is one of the four domains of care identified as part of the PSANZ/CRE Framework and where most research has focused.…”

Section: Discussionmentioning

confidence: 99%

Parents’ experiences of care offered after stillbirth: An international online survey of high and middle‐income countries

Horey

Boyle

Cassidy³

et al. 2021

Birth

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Background Stillbirth, the death of a baby before birth, is associated with significant psychological and social consequences that can be mitigated by respectful and supportive bereavement care. The absence of high‐level evidence to support the broad scope of perinatal bereavement practices means that offering a range of options identified as valued by parents has become an important indicator of care quality. This study aimed to describe bereavement care practices offered to parents across different high‐income and middle‐income countries. Methods An online survey of parents of stillborn babies was conducted between December 2014 and February 2015. Frequencies of nine practices were compared between high‐income and middle‐income countries. Differences in proportions of reported practices and their associated odds ratios were calculated to compare high‐income and middle‐income countries. Results Over three thousand parents (3041) with a self‐reported stillbirth in the preceding five years from 40 countries responded. Fifteen countries had atleast 40 responses. Significant differences in the prevalence of offering nine bereavement care practices were reported by women in high‐income countries (HICs) compared with women in middle‐income countries (MICs). All nine practices were reported to occur significantly more frequently by women in HICs, including opportunity to see and hold their baby (OR = 4.8, 95% CI 4.0‐5.9). The widespread occurrence of all nine practices was reported only for The Netherlands. Conclusions Bereavement care after stillbirth varies between countries. Future research should look at why these differences occur, their impact on parents, and whether differences should be addressed, particularly how to support effective communication, decision‐making, and follow‐up care.

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Integrative Review of Emotional Care Following Perinatal Loss

Cited by 24 publications

References 62 publications

Exploring interactions between women who have experienced pregnancy loss and obstetric nursing staff: a descriptive qualitative study in China

Exploring interactions between women who have experienced pregnancy loss and obstetric nursing staff: a descriptive qualitative study in China

Milk Donation Following a Perinatal Loss: A Phenomenological Study

Parents’ experiences of care offered after stillbirth: An international online survey of high and middle‐income countries

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