Interconception Care for Couples After Perinatal Loss

Moore, T.; Parrish, Heather L.; Black, Beth

doi:10.1097/jpn.0b013e3182071a08

Cited by 31 publications

(28 citation statements)

References 44 publications

(62 reference statements)

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“…After the death of a child, women and their families frequently have questions regarding the decision to attempt another pregnancy, which provides opportunities for crucial targeted inter-conception strategies [35, 36]. Clinicians should consider the potential risk of adverse infant outcomes, such as SGA, as they counsel affected mothers that are contemplating another pregnancy.…”

Section: Discussionmentioning

confidence: 99%

Infant Mortality and the Risk of Small Size for Gestational Age in the Subsequent Pregnancy: A Retrospective Cohort Study

Salihu

August

Cruz

et al. 2012

Matern Child Health J

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To examine the association between prior infant mortality and subsequent risk for small for gestational age (SGA). This population-based, retrospective cohort study used the Missouri maternally linked, longitudinal dataset (1989–2005). Analyses were restricted to women who had two singleton pregnancies during the study period. Logistic regression was conducted to obtain adjusted odds ratios (AOR) and 95 % confidence intervals (CI) for the association between infant mortality in the first pregnancy and SGA in the second pregnancy. Women with a prior occurrence of infant death were more likely to be black and obese and had lower educational levels and had higher rates of pregnancy-related complications (p < 0.01). White women with previous infant mortality were at 1.46 times greater risk for SGA in the subsequent pregnancy (AOR = 1.46, 95 % CI = 1.24–1.71). For black women with prior infant death, the risk for SGA increased to 2.77 times (AOR = 2.77, 95 % CI = 2.19–3.51). White mothers who experienced infant mortality coupled with SGA in the first pregnancy had a nearly threefold heightened risk for SGA in the second pregnancy (AOR = 2.89, 95 % CI = 2.21–3.78), whereas black women with this history were more than four times as likely to have an infant with SGA (AOR = 4.60 95 % CI = 3.05–6.96). Prior occurrence of infant mortality is associated with increased risk for subsequent SGA. This finding has important implications for health professionals, as targeted inter-conception strategies for women who have experienced infant death, as well as SGA, may be warranted.

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Section: Discussionmentioning

confidence: 99%

Infant Mortality and the Risk of Small Size for Gestational Age in the Subsequent Pregnancy: A Retrospective Cohort Study

Salihu

August

Cruz

et al. 2012

Matern Child Health J

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“…Our findings have potential implications for a number of stakeholder groups, including researchers, clinicians, and public health professionals. Following the death of a child, mothers and couples have questions regarding whether they can attempt another pregnancy (and when) 37 . Even for those without a history of loss, interconception care is becoming widely recognised as an important part of a comprehensive strategy to improve feto‐infant outcomes 38–40 .…”

Section: Discussionmentioning

confidence: 99%

Infant mortality and subsequent risk of stillbirth: a retrospective cohort study

August

Weldeselasse³

et al. 2011

BJOG: An International Journal of Obstetrics &Amp; Gynaecology

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Objective To examine the association between infant mortality in a first pregnancy and risk for stillbirth in a second pregnancy.Design Population-based, retrospective cohort study.Setting Maternally linked cohort data files for the state of Missouri.Population Women who had two singleton pregnancies in Missouri during the period 1989-2005 (n = 320 350).Methods Women whose first pregnancy resulted in infant death were compared with those whose infant from the first pregnancy survived the first year of life. The Kaplan-Meier product limit estimator was employed to compare probabilities for stillbirth in the second pregnancy between both groups of women. Adjusted hazard ratios (AHRs) and 95% confidence intervals (95% CIs) were generated to assess the association between infant mortality in the first pregnancy and stillbirth in the second pregnancy.Main outcome measures Exposure was defined as infant mortality in the first pregnancy, and the outcome was defined as stillbirth in the second pregnancy.Results Women with prior infant deaths were about three times as likely to experience stillbirth in their subsequent pregnancy (AHR 2.91; 95% CI 2.02-4.18). White women with a previous infant death were nearly twice as likely to experience a subsequent stillbirth, compared with white women with a surviving infant (AHR 1.96; 95% CI 1.13-3.39). Black women with a previous infant death were more than four times as likely to experience subsequent stillbirth, compared with black women with a surviving infant (AHR 4.28; 95% CI 2.61-6.99).Conclusions Previous infant mortality results in an elevated risk for subsequent stillbirth, with the most profound increase observed among black women. Interconception care should consider prior childbearing experiences to avert subsequent fetal loss.

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“…Mothers have described perinatal loss as a life changing event with feelings of vulnerability, worry and uncertainty about the outcome of subsequent pregnancies (Cote-Arsenault & Morrison-Beedy, 2001; Moore, Parrish & Black, 2011). Women describe seeking reassurance from health care providers, changing providers, being hyper-vigilant and wanting additional testing in subsequent pregnancies (Robson, Leader, Bennett, & Dear, 2010).…”

Section: Literature Reviewmentioning

confidence: 99%

Infant and child deaths: Parent concerns about subsequent pregnancies

Brooten

Youngblut

Hannan

et al. 2015

Journal of the American Association of Nurse Practitioners

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Purpose Examine parents’ concerns about subsequent pregnancies after experiencing an infant or child death (newborn to 18 years). Data sources Thirty‐nine semistructured parent (white, black, Hispanic) interviews 7 and 13 months post infant/child death conducted in English and/or Spanish, audio‐recorded, transcribed, and content analyzed. Mothers’ mean age was 31.8 years, fathers’ was 39 years; 11 parents were white, 16 black, and 12 Hispanic. Conclusions Themes common at 7 and 13 months: wanting more children; fear, anxiety, scared; praying to God/God's will; thinking about/keeping the infant's/child's memory and at 7 months importance of becoming pregnant for family members; and at 13 months happy about a new baby. Parents who lost a child in neonatal intensive care unit (NICU) commented more than those who lost a child in pediatric intensive care unit (PICU). Black and Hispanic parents commented more on praying to God and subsequent pregnancies being God's will than white parents. Implications for practice Loss of an infant/child is a significant stressor on parents with documented negative physical and mental health outcomes. Assessing parents’ subsequent pregnancy plans, recognizing the legitimacy of their fears about another pregnancy, discussing a plan should they encounter problems, and carefully monitoring the health of all parents who lost an infant/child is an essential practitioner role.

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Interconception Care for Couples After Perinatal Loss

Cited by 31 publications

References 44 publications

Infant Mortality and the Risk of Small Size for Gestational Age in the Subsequent Pregnancy: A Retrospective Cohort Study

Infant Mortality and the Risk of Small Size for Gestational Age in the Subsequent Pregnancy: A Retrospective Cohort Study

Infant mortality and subsequent risk of stillbirth: a retrospective cohort study

Infant and child deaths: Parent concerns about subsequent pregnancies

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