National survey of obstetrician attitudes about timing the subsequent pregnancy after perinatal death

Gold, Katherine J.; Leon, Irving G.; Chames, Mark C.

doi:10.1016/j.ajog.2009.11.039

Cited by 17 publications

(12 citation statements)

References 41 publications

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“…Most parents wanted another child but were very scared of having a subsequent pregnancy, findings consistent with those reported by (Blackmore et al, 2011; Gold et al, 2010; Nazaré et al, 2012). There were more fears and anxiety reported by parents at the 13 th month than at the 7 th month post the death.…”

Section: Discussionsupporting

confidence: 88%

“…Their thoughts are accompanied by feelings of ambivalence, anxiety, depression, and fear about another infant or child loss (Lamb, 2002;Robinson, 2013). Anxiety, depression, anticipatory grief (expecting another loss), and suspending maternal attachment during the next pregnancy may prepare parents for the possibility of losing a subsequent pregnancy and reduce the impact should that occur (Gold, Leon, & Chames, 2010).…”

Section: Introductionmentioning

confidence: 99%

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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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Section: Discussionsupporting

confidence: 88%

Section: Introductionmentioning

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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“…Clinicians should note the potential risk for subsequent stillbirth following infant mortality when conducting such discussions with patients. A survey of 804 US obstetricians revealed that about two‐thirds of respondents endorsed a short interpregnancy interval (of <6 months) for mothers who experienced a perinatal death 41 . This is a concern, as short birth intervals have been associated with adverse birth outcomes worldwide 42–46 …”

Section: Discussionmentioning

confidence: 99%

“…A survey of 804 US obstetricians revealed that about two-thirds of respondents endorsed a short interpregnancy interval (of <6 months) for mothers who experienced a perinatal death. 41 This is a concern, as short birth intervals have been associated with adverse birth outcomes worldwide. [42][43][44][45][46] Public health professionals also have an important role in efforts to prevent the occurrence (and recurrence) of stillbirth.…”

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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“…On the other hand, it is very important to be medically and emotionally prepared for the next pregnancy [15]. Allahdadian et al (2019) in an interview with a number of such women found that most of these mothers had no information to prepare for next pregnancy and prevent it from happening again [16].…”

Section: Introductionmentioning

confidence: 99%

The Impact of Implementing Steps of Empowerment Model for Women with Failed Pregnancies on Decisional Conflict for Re-pregnancy: A Randomized Controlled Trial

Kheirkhah¹,

Salehabadi²,

Esmaeeli³

et al. 2020

Preprint

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Background: Failed pregnancy is a common and destructive experience. It has physical and psychological effects on both women and families. They may become reluctant to re-pregnancy. Providing the coping strategies can help to adapt to failed pregnancies, and make informed decisions about future pregnancies. This study was designed and performed to determine the effect of implementing steps of empowerment model for women with failed pregnancies on decision conflict for re-pregnancy. Method: This interventional research is a randomized controlled trial with a control group that was conducted in Iran from January 2020 to May 2020. Participants were 80 women who had been hospitalized in a referral center during past 3-6 weeks due to failed pregnancies. The eligible women with random allocation of sealed envelope site were divided into two groups of intervention (n=40) and control (n=40) and a separate code was determined for each person. The intervention was performed in four, 90-minute sessions based on the model steps (threat perception, problem solving, educational participation, and evaluation) for intervention group. O'Connor's decisional conflict scale was completed before and six weeks after intervention by both of groups. Data were analyzed using SPSS edition 16 with the independent T-test, Fisher and chi-squared tests. Results: The score of decisional conflict and, its subscales did not differ between the two groups before the intervention (P = 0.65), but six weeks after the intervention, the decisional conflict and, all its subscales in the intervention group reduced. (P < 0.001).Conclusion: Empowerment education in women with a failed pregnancy improved their decision conflict in re-pregnancy, so empowerment education along with health care services for women with failed pregnancies is recommended. Trial registration: This randomized control trial was registered on the TCTR site with the code TCTR20191226001. Registered on 26 December 2019.

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National survey of obstetrician attitudes about timing the subsequent pregnancy after perinatal death

Cited by 17 publications

References 41 publications

Infant and child deaths: Parent concerns about subsequent pregnancies

Infant and child deaths: Parent concerns about subsequent pregnancies

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

The Impact of Implementing Steps of Empowerment Model for Women with Failed Pregnancies on Decisional Conflict for Re-pregnancy: A Randomized Controlled Trial

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